TIERRA ROSE CARE CENTER
4254 WEATHERS STREET NE, SALEM, OR 97301 · CCN 38E075
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 76
- Avg residents/day
- 71.0
- Phone
- 5035854602
Inspection history vs Oregon & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oregon avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-10-17 | 2 | 10.4 | 9.5 | -8.4 better |
| 2 | 2024-06-28 | 6 | 12.7 | 9.8 | -6.7 better |
| 3 | 2023-04-21 | 12 | 10.9 | 9.3 | +1.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.13 | 26.7% |
| RN staffing (reported) | 0.40 | 14.3% |
| Total nurse staffing (adjusted) | 5.49 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (20)
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-17 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-10-17 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0761Ensure 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.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-06-28 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0758Implement 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.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0803Ensure 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.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-04-21 · Health · corrected 2023-05-10
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in SALEM
| Name | Overall | Beds |
|---|---|---|
| WINDSOR HEALTH & REHABILITATION CENTER | ★★★★☆ | 100 |
| AVAMERE TRANSITIONAL CARE AT SUNNYSIDE | ★★☆☆☆ | 88 |
| SALEM TRANSITIONAL CARE | ★★☆☆☆ | 80 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.