Salem Crossing

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Salem, IN

CMS overall rating

200 Connie Ave, Salem, IN 47167 View map

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Salem Crossing accepts Medicare, Medicaid, and private pay.

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Salem Crossing accepts Medicare, Medicaid, and private pay.

Overview of Salem Crossing

Salem Crossing is a 92-bed skilled nursing facility operated by Health and Hospital Corporation of Marion County in Salem, Indiana. Occupancy has consistently run at or near full capacity, well above Indiana’s 68.1 percent average. Situated in Washington County, the community takes Medicare, Medicaid, and private pay. Skilled nursing, memory care, and respite care are offered.

The inspection record supports the 5-star CMS overall rating. Over four years on file, the facility averaged 5.5 deficiencies annually, only 31 percent above Indiana’s 4.2 average, with no immediate jeopardy findings, fines, or enforcement actions. Deficiencies have been low in severity and spread across both clinical and life safety categories rather than concentrated in resident harm. The most consequential single finding was a March 2023 substantiated complaint involving verbal abuse by a nurse aide toward three residents, which resulted in a termination and staff education. A June 2024 annual survey cited a four-month gap in required eight-hour consecutive RN coverage, worth noting for families prioritizing consistent RN oversight. All four CMS sub-ratings sit above Indiana average, 4-star on health inspection, staffing, and quality measures. One staffing metric warrants attention: weekend RN hours run 78 percent below state average, an outlier within an otherwise solid staffing profile.

Salem Crossing fits residents seeking long-term skilled nursing or memory care in a consistently compliant, high-occupancy community in Washington County.

Facility Direct Line (812) 883-1877

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 30m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +19% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	24m per day	▼ 39% State avg: 40m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	51m per day	▲ 10% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 18m per day	■ Avg State avg: 2h 16m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 6m per day	▼ 4% State avg: 3h 14m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	5m per day	▲ 19% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	7m per day	▼ 76% State avg: 27m per day · National avg: 28m per day

Capacity and availability

147 days

92-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 69 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

84%

Higher than the Indiana average: 68.1%

Occupied beds

77 / 92

Average occupied beds in Indiana homes 70 beds

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Dually Certified

StatusActive

IssuanceOctober 1, 2024

ExpirationSeptember 30, 2026

License Number24-000223-1

CMS Certification Number155330

Salem Crossing is legally operated by Health And Hospital Corporation Of Marion County, and administered by Holly Thompson.

Profit StatusNonprofit

SNF/NF (Combined)

92 units

Total beds

92 units

Staffing

Key information about the people who lead and staff this community.

Director of NursingRobin Dean

Fax(812) 883-3501

Restaurant

Tavern

Garden Views

Touring HoursThursday to Sunday; Office Hours: Tuesday to Friday 10:30AM - 2PM.

Since 2022 · 4 years of data 22 deficiencies 5 complaints 25 inspections

Inspection Score

3 points above the Indiana average for assisted living residences (83/100)

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Indiana state average

Overall vs. IN average

Latest Inspection June 6, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IN Average	vs. IN Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	22	36	This facility has 39% fewer total deficiencies than a typical Indiana assisted living residence (22 vs. IN avg 36).↓ 39% better Rank #128 / 317 Total deficiencies — State benchmarked This home is ranked 128th out of 317 homes in Indiana for Deficiencies. Shows this facility's deficiencies compared to the Indiana average among 317 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Average deficiencies per year since 2022.	5.5	9	This facility has 39% fewer deficiencies per year than a typical Indiana assisted living residence (5.5 vs. IN avg 9).↓ 39% better
Deficiencies per inspection Average deficiencies per inspection.	0.9	1.9	This facility has 53% fewer deficiencies per inspection than a typical Indiana assisted living residence (0.9 vs. IN avg 1.9).↓ 53% better Rank #56 / 317 Deficiencies per inspection — State benchmarked This home is ranked 56th out of 317 homes in Indiana for Deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IN Average	vs. IN Avg
Total visits Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.	25	19	This facility has had 32% more total visits than the Indiana average (25 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 32% more
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	7	7	This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	28%	37%	This facility has 9 percentage points lower inspection deficiency rate than a typical Indiana assisted living residence (28% vs. IN avg 37%).↓ 9% better
Inspections Routine, scheduled inspections conducted by state regulators.	17	13	This facility has 31% more inspections than a typical Indiana assisted living residence (17 vs. IN avg 13).↑ 31% worse

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	IN Average	vs. IN Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	5	5	This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg Rank #172 / 293 Total complaints — State benchmarked This home is ranked 172nd out of 293 homes in Indiana for Total complaints. Shows this facility's total complaints compared to the Indiana average among 293 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Complaints per year Average complaints per year since 2022.	1.3	1.3	This facility has complaints per year in line with the Indiana average (1.3 vs. IN avg 1.3).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on June 6, 2025, found Salem Crossing in full compliance with all applicable federal and state regulations with no deficiencies cited.
The December 3, 2024 complaint investigation substantiated a deficiency for inadequate supervision during a resident outing that led to a resident falling into a lake.
The June 19, 2024 Life Safety Code survey cited eight deficiencies related to fire door latching, emergency exit gate swing, self-closing devices, sprinkler maintenance, and electrical safety issues.

Show Inspection Reports

Inspections since 2023

Total health inspections 5

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

1.8

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

9 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Pharmacy moderate citation Jun 06, 2025

Corrected

Quality of Care moderate citation Dec 03, 2024

Corrected

Nursing Services moderate citation Jun 05, 2024

Corrected

Pharmacy moderate citation Jun 05, 2024

Corrected

Total staff 122

Employees 115

Contractors 7

Staff to resident ratio 1.63 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 45

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,859

Nursing staff breakdown

8.6 hours

9.1 hours

7.3 hours

Contractor staffing

65 contractor hours this quarter

Occupational Therapy Assistant: 6 Medical Director: 1

Staff by category


Certified Nursing Assistant	57	0	57	14,356	92	100%	7.3
Licensed Practical Nurse	17	0	17	5,446	92	100%	9.1
Medication Aide/Technician	5	0	5	1,733	86	93%	7.8
Clinical Nurse Specialist	4	0	4	1,377	79	86%	8
Nurse Aide in Training	6	0	6	1,244	87	95%	7.6
Registered Nurse	6	0	6	1,238	72	78%	8.6
RN Director of Nursing	2	0	2	919	73	79%	7.6
Respiratory Therapy Technician	3	0	3	601	64	70%	5.1
Dental Services Staff	2	0	2	515	60	65%	7.8
Physical Therapy Aide	2	0	2	501	63	68%	7.9
Administrator	1	0	1	496	62	67%	8
Dietitian	1	0	1	480	67	73%	7.2
Mental Health Service Worker	1	0	1	464	58	63%	8
Nurse Practitioner	2	0	2	459	56	61%	7.9
Speech Language Pathologist	1	0	1	378	45	49%	8.4
Other Dietary Services Staff	1	0	1	286	53	58%	5.4
Qualified Social Worker	1	0	1	157	39	42%	4
Physical Therapy Assistant	2	0	2	115	49	53%	2.3
Occupational Therapy Assistant	0	6	6	35	31	34%	1
Medical Director	0	1	1	30	9	10%	3.3
Occupational Therapy Aide	1	0	1	30	6	7%	5

57 Certified Nursing Assistant

% of Days 100%

17 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 93%

4 Clinical Nurse Specialist

% of Days 86%

6 Nurse Aide in Training

% of Days 95%

6 Registered Nurse

% of Days 78%

2 RN Director of Nursing

% of Days 79%

3 Respiratory Therapy Technician

% of Days 70%

2 Dental Services Staff

% of Days 65%

2 Physical Therapy Aide

% of Days 68%

1 Administrator

% of Days 67%

1 Dietitian

% of Days 73%

1 Mental Health Service Worker

% of Days 63%

2 Nurse Practitioner

% of Days 61%

1 Speech Language Pathologist

% of Days 49%

1 Other Dietary Services Staff

% of Days 58%

1 Qualified Social Worker

% of Days 42%

2 Physical Therapy Assistant

% of Days 53%

6 Occupational Therapy Assistant

% of Days 34%

1 Medical Director

% of Days 10%

1 Occupational Therapy Aide

% of Days 7%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 2.4

71% better than State average

State average: 8.0

Functional decline score 8.0

53% better than State average

State average: 17.1

Long-stay resident measures

Significantly above average State avg: 4.1

Need for Help with Daily Activities Increased 2.4%

80% better than State average

State average: 12.0%

Walking Ability Worsened 0.0%

100% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 21.5%

13% better than State average

State average: 24.6%

Falls with Major Injury 4.1%

6% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 1.8%

59% better than State average

State average: 4.4%

Urinary Tract Infection 0.7%

43% better than State average

State average: 1.2%

Lost Too Much Weight 3.4%

39% better than State average

State average: 5.7%

Depressive Symptoms 17.4%

28% better than State average

State average: 24.1%

Antipsychotic Use 10.0%

20% better than State average

State average: 12.4%

Pneumococcal Vaccine 100.0%

7% better than State average

State average: 93.7%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days 1.50

6% better than State average

State average: 1.60

ED visits per 1,000 days 2.20

49% worse than State average

State average: 1.48

Short-stay resident measures

Significantly above average State avg: 2.9

Pneumococcal Vaccine 96.1%

18% better than State average

State average: 81.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.4%

Influenza Vaccine 96.2%

22% better than State average

State average: 79.0%

Re-hospitalized after SNF stay 14.5%

35% better than State average

State average: 22.4%

Emergency department visits 18.8%

79% worse than State average

State average: 10.5%

Falls with major injury 2.8%

261% worse than State average

State average: 0.8%

Ability to care for self at discharge 69.0%

28% better than State average

State average: 53.7%

Successful return to home or community 51.8%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

25% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

41% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 75

Medicare

4% of residents

Medicaid

73.3% of residents

Private pay or other

22.7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Salem Crossing from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 88.3% ↓ 0.8pp vs 2022

Net Patient Income $717.4K ↑ ~$176.3K vs 2022

Payroll Costs $5.4M ↑ ~$75.1K vs 2022

Operating Margin 7.5% ↑ 1.7pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	94.8%	97.7%	95.9%	90.7%	83.5%	85.2%	83.5%	91.5%	85.4%	89.3%	89.1%	88.3%
Beds	92	92	92	92	92	92	92	92	92	92	92	92
Net Income	$171,786	$196,596	-$3,899	$48,490	-$307,711	-$346,913	-$523,420	$16,528	-$6,886	-$328,580	$560,621	$1,912,813
Gross Revenue	$9,536,104	$9,843,344	$10,620,174	$10,981,677	$10,300,243	$8,692,179	$8,230,353	$9,167,881	$9,076,700	$9,168,042	$8,947,536	$9,372,859
Operating Expenses	$6,933,040	$7,482,594	$7,833,833	$7,698,478	$7,427,188	$7,386,010	$7,380,884	$8,054,824	$8,944,215	$9,083,090	$8,793,653	$8,912,349
Net Patient Income	$152,204	$177,392	-$16,887	$34,924	-$318,269	-$356,840	-$521,030	$6,582	-$576,223	-$447,168	$541,097	$717,427
Net Patient Revenue	$7,085,244	$7,659,986	$7,816,946	$7,733,402	$7,108,919	$7,029,170	$6,859,854	$8,061,406	$8,367,992	$8,635,922	$9,334,750	$9,629,776
Payroll Costs	$3,610,965	$3,908,552	$3,891,889	$3,999,585	$3,730,714	$4,007,572	$4,004,239	$4,579,251	$5,086,800	$5,412,867	$5,276,467	$5,351,596
Operating Margin %	2.2%	2.3%	-0.2%	0.5%	-4.5%	-5.1%	-7.6%	0.1%	-6.9%	-5.2%	5.8%	7.5%
Medicare %	12.0%	13.0%	14.7%	16.7%	16.6%	11.9%	8.6%	9.5%	11.3%	10.3%	10.8%	6.7%
Medicaid %	0.0%	0.0%	0.0%	70.4%	69.6%	79.1%	77.1%	71.8%	73.8%	76.1%	68.2%	72.9%
Private %	88.0%	87.0%	85.3%	12.9%	13.8%	9.0%	14.3%	18.7%	14.9%	13.5%	21.0%	20.3%
Net Patient Revenue/Day	$222	$233	$243	$254	$253	$246	$245	$262	$291	$288	$312	$325
Cost/Day	$217	$228	$243	$253	$264	$258	$263	$262	$311	$303	$294	$301
Avg Length of Stay	249.5 days	214.5 days	200.1 days	155.4 days	123.8 days	171.3 days	159.2 days	168.8 days	160.7 days	217.4 days	143.8 days	147.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.6M

Net patient income

$717.4K

Nonprofit Nonprofit Corporation

Net patient revenue

$9.6M

Net patient income

$717.4K

Other income

$1.2M

Payroll costs

$5.4M 55.6% of net patient revenue

Other operating costs

$3.6M

Total costs

$8.9M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 9 - 10 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 25%

Medicaid 41%

Coverage residents most often leave under.

Medicare 23%

Private pay 24%

Medicaid 52%

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.


The Barrington of Carmel	NH AL IL MC SNF	Carmel	-	154	A+	39	Studio / 1 Bed / 2 Bed
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Salem Crossing	NH HOS MC PC RC SNF	Salem	-	92	-	69	-

Nursing Home Explorer

Who is the Director of Nursing at Salem Crossing?

Robin Dean is the Director of Nursing at Salem Crossing.

Who is the owner of Salem Crossing?

Salem Crossing is legally operated by Health And Hospital Corporation Of Marion County, and administered by Holly Thompson.

Is Salem Crossing in a walkable area?

Salem Crossing has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Salem Crossing?

According to IN state health department records, Salem Crossing's license number is 24-000223-1.

When does Salem Crossing's license expire?

According to IN state health department records, Salem Crossing's license expires on September 30, 2026.

What is the occupancy rate at Salem Crossing?

Salem Crossing's occupancy is 84%.

Does Salem Crossing operate as a for-profit or non-profit?

Salem Crossing is registered as a non-profit in IN.

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Salem Crossing

Overview of Salem Crossing

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Contact Information

Amenities & Lifestyle

Contact Salem Crossing

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

57 Certified Nursing Assistant

17 Licensed Practical Nurse

5 Medication Aide/Technician

4 Clinical Nurse Specialist

6 Nurse Aide in Training

6 Registered Nurse

2 RN Director of Nursing

3 Respiratory Therapy Technician

2 Dental Services Staff

2 Physical Therapy Aide

1 Administrator

1 Dietitian

1 Mental Health Service Worker

2 Nurse Practitioner

1 Speech Language Pathologist

1 Other Dietary Services Staff

1 Qualified Social Worker

2 Physical Therapy Assistant

6 Occupational Therapy Assistant

1 Medical Director

1 Occupational Therapy Aide

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Salem Crossing

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