Oregon › Marion County › Salem
Windsor Health and Rehabilitation
820 Cottage Street Ne, Salem, OR 97301
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.
Certified for 100 beds, Windsor Health and Rehabilitation serves Salem in Marion County, Oregon and has taken Medicare and Medicaid residents since 1991.
CMS gives it 3 of 5 stars overall, equal to the Oregon median; the health inspection rating is 3, staffing 3 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (15, 2, 3 by cycle, most recent first), none at the actual-harm level. That is 20.0 per 100 beds, fewer than the state median of 40.0.
CMS lists 1 penalty in the period covered: fines totalling $21K.
Reported nurse staffing is 5.1 hours per resident per day (0.4 RN), close to the Oregon median of 5.0; nursing staff turnover is 51.4%.
Compared with county, state and nation
| Measure | This facility | Marion Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 30 | 32 | 28.7 |
| Citations per 100 beds | 20.0 | 37.5 | 40.0 | 26.8 |
| Total nurse hours per resident day | 5.1 | 5.1 | 5.0 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 51.4% | 51.4% | 45.9% | 45.8% |
| Fines listed | $20,910 | $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
Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Mar 2025, 16 Nov 2023.
Severity mix: D ×17 E ×2 F ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Apr 2026 |
| 17 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 15 Apr 2026 |
| 24 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 Mar 2026 |
| 24 Feb 2026 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 31 Mar 2026 |
| 24 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Mar 2026 |
| 24 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 31 Mar 2026 |
| 3 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Aug 2025 |
| 14 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0758 | Implement 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. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0761 | Ensure 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. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 May 2025 |
| 14 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 May 2025 |
| 16 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Dec 2023 |
| 2 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jun 2023 |
| 2 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Jun 2023 |
| 2 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Jul 2026 | Fine | $20,910 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 51.4%, RNs 85.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.5% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 36.1% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.5% | 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, limited liability company. Legal business name: Windsor Snf Operations Llc. Chain: Evergreen Healthcare Group (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Or) LLC | Direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Windsor SNF Operations LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Witzcorp Global LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Oregon SNF Consulting LLC (De) | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Windsor SNF Operations LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Adp of the snf | NOT APPLICABLE | 06/13/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
| Oregon SNF Consulting LLC (De) | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
| Windsor SNF Operations LLC | Adp of the snf | NOT APPLICABLE | 06/13/2025 |
| Witzcorp Global LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Tierra Rose Care Center | Salem | 76 | 5 | 5 | 4 | 20 | 26.3 | — | 17 Oct 2025 |
| Avamere Court At Keizer | Keizer | 69 | 4 | 4 | 4 | 18 | 26.1 | — | 19 Sep 2025 |
| Mt Angel Health and Rehabilitation | Mount Angel | 93 | 4 | 4 | 4 | 22 | 23.7 | $28K | 5 Jun 2026 |
| Keizer Nursing and Rehabilitation | Keizer | 49 | 3 | 3 | 2 | 33 | 67.3 | — | 17 Dec 2025 |
| Avamere Transitional Care At Sunnyside | Salem | 88 | 2 | 2 | 3 | 52 | 59.1 | — | 6 Jun 2025 |
| Salem Transitional Care | Salem | 80 | 2 | 2 | 3 | 30 | 37.5 | $23K | 29 Jan 2026 |
| French Prairie Nursing & Rehabilitation CenterSFF Candidate | Woodburn | 80 | 1 | 1 | 2 | 62 | 77.5 | $103K | 3 Jun 2026 |
All 8 facilities in Marion County
Questions and answers
How many deficiencies has Windsor Health and Rehabilitation 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 Windsor Health and Rehabilitation been fined?
Yes. CMS lists fines totalling $21K in the period covered.
How does staffing at Windsor Health and Rehabilitation compare?
Reported total nurse staffing is 5.1 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Windsor Health and Rehabilitation?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Or) LLC, Ch Pacific Northwest Holdings LLC and Pacific Northwest SNF Operations Holdings LLC. Individual owners and managers are not listed on this site.
When was Windsor Health and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 17 Mar 2026; the most recent standard health survey was 14 Mar 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.