WINDSOR HEALTH & REHABILITATION CENTER
820 COTTAGE STREET NE, SALEM, OR 97301 · CCN 385224
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 47.6
- Phone
- 5033991135
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 | 2025-03-14 | 10 | 10.4 | 9.5 | -0.4 better |
| 2 | 2023-11-16 | 1 | 12.7 | 9.8 | -11.7 better |
| 3 | 2023-06-02 | 3 | 10.9 | 9.3 | -7.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.23 | 54.7% |
| RN staffing (reported) | 0.27 | 100.0% |
| Total nurse staffing (adjusted) | 5.27 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- EVERGREEN HEALTHCARE GROUP
- Facilities in chain
- 41
- Chain avg overall
- 2.30 / 5
Inspection citations (14)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-03 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2025-03-14 · Health · corrected 2025-05-03
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.2025-03-14 · Health · corrected 2025-05-03
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.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-14 · Health · corrected 2025-05-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-02 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-02 · Health · corrected 2023-06-21
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.2023-06-02 · Health · corrected 2023-06-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-31 |
| WITZCORP GLOBAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-08-31 |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| OREGON SNF CONSULTING LLC (DE) | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| WINDSOR SNF OPERATIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| CABANEROS, CECILLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| CEPEDA, MYLENE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| HENNING, TRACEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| MORRIS, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| ODENTHAL, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PERLMAN, HAROLD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-03 |
| SPIELMAN, SHIMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
Other facilities in SALEM
| Name | Overall | Beds |
|---|---|---|
| TIERRA ROSE CARE CENTER | ★★★★☆ | 76 |
| 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.