Elder Care Record

Oregon › Marion County › Salem

Tierra Rose Care Center

4254 Weathers Street Ne, Salem, OR 97301

CCN 38E075 · For-profit, corporation · 76 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Tierra Rose Care Center, in Salem, Oregon, is certified for 76 beds under for-profit, corporation ownership.

CMS gives it 5 of 5 stars overall, above the Oregon median of 3; the health inspection rating is 5, staffing 4 and quality measures 3.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (2, 6, 12 by cycle, most recent first), none at the actual-harm level. That is 26.3 per 100 beds, fewer than the state median of 40.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.2 hours per resident per day (0.4 RN), close to the Oregon median of 5.0; nursing staff turnover is 30.6%.

20health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.2nurse hours per resident per daystate median 5.0
93%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilityMarion Co. medianOregon medianUS average
Overall star rating5333.0
Health citations, 3 cycles20303228.7
Citations per 100 beds26.337.540.026.8
Total nurse hours per resident day5.25.15.03.9
RN hours per resident day0.40.40.60.7
Nursing staff turnover30.6%51.4%45.9%45.8%
Fines listed$0$20,910$4,194—

County and state figures are medians across facilities (8 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 26
Cycle 312

Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Oct 2025, 28 Jun 2024.

Severity mix: D ×17 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Oct 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Nov 2025
17 Oct 2025F0880Provide and implement an infection prevention and control program.DStandard survey10 Nov 2025
28 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 Jul 2024
28 Jun 2024F0908Keep all essential equipment working safely.EComplaint investigation29 Jul 2024
28 Jun 2024F0687Provide appropriate foot care.DStandard survey29 Jul 2024
28 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation29 Jul 2024
28 Jun 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey29 Jul 2024
28 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey29 Jul 2024
21 Apr 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey10 May 2023
21 Apr 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey10 May 2023
21 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 May 2023
21 Apr 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey10 May 2023
21 Apr 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 May 2023
21 Apr 2023F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey10 May 2023
21 Apr 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey10 May 2023
21 Apr 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey10 May 2023
21 Apr 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey10 May 2023
21 Apr 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey10 May 2023
21 Apr 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey10 May 2023
21 Apr 2023F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey10 May 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.15 h
Nurse aides3.88 h
LPN0.87 h
RN0.4 h
Weekend total4.64 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 30.6%, RNs 16.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOregon medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.8%14.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.5%0.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.9%1.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%2.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.6%19.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.5%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.7%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Marion County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avamere Court At KeizerKeizer694441826.1—19 Sep 2025
Mt Angel Health and RehabilitationMount Angel934442223.7$28K5 Jun 2026
Keizer Nursing and RehabilitationKeizer493323367.3—17 Dec 2025
Windsor Health and RehabilitationSalem1003332020.0$21K17 Mar 2026
Avamere Transitional Care At SunnysideSalem882235259.1—6 Jun 2025
Salem Transitional CareSalem802233037.5$23K29 Jan 2026
French Prairie Nursing & Rehabilitation CenterSFF CandidateWoodburn801126277.5$103K3 Jun 2026

All 8 facilities in Marion County

Questions and answers

How many deficiencies has Tierra Rose Care Center been cited for?

20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.

Has Tierra Rose Care Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Tierra Rose Care Center compare?

Reported total nurse staffing is 5.2 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.

Who operates Tierra Rose Care Center?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Tierra Rose Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 17 Oct 2025; the most recent standard health survey was 17 Oct 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.