Senior Care Records.

Windsor Health and Rehabilitation

820 COTTAGE STREET NE, Salem, OR, 97301

Nursing home100 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 16 deficiencies against Windsor Health and Rehabilitation in Salem, Oregon at its most recent standard inspection on 2025-03-14, 7 of them arising from complaints. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
100certified beds
16deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.20
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2026-03-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · F0697 · 2026-03-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm

D

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0603 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

F

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies · F0730 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · F0690 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies · F0694 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0758 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0761 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies · F0883 · 2025-03-14 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-11-16 · standard survey · No actual harm, potential for more than minimal harm

E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2023-06-02 · standard survey · No actual harm, potential for more than minimal harm

D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2023-06-02 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · F0756 · 2023-06-02 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS5.07262
Nursing staff turnoverShare of nursing staff who left in a year51.4%
Ownership

Who owns Windsor Health and Rehabilitation

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLCOrganizationNOT APPLICABLEsince 08/31/2023
CH PACIFIC NORTHWEST HOLDINGS LLCOrganizationNOT APPLICABLEsince 08/31/2023
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganizationNOT APPLICABLEsince 08/31/2023
WINDSOR SNF OPERATIONS LLCOrganizationNOT APPLICABLEsince 08/31/2023
WITZCORP GLOBAL LLCOrganizationNOT APPLICABLEsince 08/31/2023
HERZKA, YISROELIndividualNOT APPLICABLEsince 08/31/2023
YENOWITZ, YITZCHOKIndividualNOT APPLICABLEsince 08/31/2023
CEPEDA, MYLENEIndividualNOT APPLICABLEsince 08/31/2023
ODENTHAL, JASONIndividualNOT APPLICABLEsince 08/31/2023
COUVE FINANCIAL SERVICES LLCOrganizationNOT APPLICABLEsince 08/31/2023
COUVE HEALTHCARE CONSULTING LLCOrganizationNOT APPLICABLEsince 08/31/2023
OREGON SNF CONSULTING LLC (DE)OrganizationNOT APPLICABLEsince 08/31/2023

Part of the EVERGREEN HEALTHCARE GROUP group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Windsor Health and Rehabilitation a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Windsor Health and Rehabilitation has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 5033991135 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 385224.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction