nursing home in Salem, OR
Windsor Health and Rehabilitation
820 Cottage Street NE, Salem, OR 97301 · (503) 399-1135
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windsor Health and Rehabilitation at a glance
Windsor Health and Rehabilitation is a 100-bed for-profit nursing home in Salem, Oregon (Marion County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Oregon average of 3.1.
Residents receive about 5.1 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 5 hours.
Its most recent standard health inspection (July 13, 2026) found 25 health citations. The Oregon average is 9.2.
Federal regulators fined it 1 time in the past three years, totaling $20,910.
Nursing staff turnover is 51.4% per year (state average 47.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Evergreen Healthcare Group
- Medicare-certified since
- July 3, 1991
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 385224
Ratings
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.07 hrs | 5.03 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.39 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.54 hrs | 3.40 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.51 hrs | 4.51 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 51.4% | 47.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 51.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 25 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 125 | 71.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $20,910 | $27,522 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 83 | 107 | |
| Average residents per day | 48 | 58 | 86 | |
| Occupancy | 47.7% | 71.9% | 80.9% |
Long-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 2.4% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 5.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 3.5% | 13.9% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.3% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.9% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.5% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 36.1% | 20.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.8% | 4.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.3% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 75.8% | 95.2% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.7% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 54.1% | 81.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 66.5% | 85.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 13, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 11, 2026 |
| July 13, 2026 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | D Potential harm, isolated | Corrected August 11, 2026 |
| July 13, 2026 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | G Actual harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 31, 2026 |
| July 13, 2026 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | E Potential harm, pattern | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected July 31, 2026 |
| July 13, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Past Non-Compliance |
| July 13, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 13, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected July 31, 2026 |
| March 17, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 15, 2026 |
| March 17, 2026 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 15, 2026 |
| February 24, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 24, 2026 Complaint | 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 · Tag F0600 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 24, 2026 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 24, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 31, 2026 |
| July 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 1, 2025 |
| March 14, 2025 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected April 11, 2025 |
| March 14, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 11, 2025 |
| March 14, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 3, 2025 |
| March 14, 2025 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected April 11, 2025 |
| March 14, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected April 11, 2025 |
| March 14, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 11, 2025 |
| March 14, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 3, 2025 |
| March 14, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected May 3, 2025 |
| March 14, 2025 Standard | 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 · Tag F0657 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | 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 · Tag F0758 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected May 3, 2025 |
| March 14, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected May 3, 2025 |
| November 16, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $20,910 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 13, 2026 | Fine | $20,910 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CABANEROS, CECILLE Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| CEPEDA, MYLENE Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 06/13/2025 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| HENNING, TRACEY Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| HERZKA, YISROEL Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| MORRIS, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| OREGON SNF CONSULTING LLC (DE) Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| WINDSOR SNF OPERATIONS LLC Organization | adp of the snf | NOT APPLICABLE | 06/13/2025 |
| WITZCORP GLOBAL LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC Organization | direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| HERZKA, YISROEL Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| WINDSOR SNF OPERATIONS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| WITZCORP GLOBAL LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| CEPEDA, MYLENE Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| CABANEROS, CECILLE Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| CEPEDA, MYLENE Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| HENNING, TRACEY Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| MORRIS, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| OREGON SNF CONSULTING LLC (DE) Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| WINDSOR SNF OPERATIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
Other nursing homes near Windsor Health and Rehabilitation
- ★★★★★5Much above average
Keizer Nursing and Rehabilitation
4062 Arleta Avenue NE, Keizer, OR 97303 · 2.7 mi
For-profit · 49 beds · Part of Volare Health
★★★★★3AverageAvamere Court at Keizer
5210 River Road N., Keizer, OR 97303 · 3.7 mi
For-profit · 69 beds · Part of Avamere
★★★★★4Above averageAvamere Transitional Care at Sunnyside
4515 Sunnyside Road SE, Salem, OR 97302 · 3.9 mi
For-profit · 88 beds · Part of Avamere
★★★★★2Below averageSalem Transitional Care
3445 Boone Road SE, Salem, OR 97317 · 4.8 mi
For-profit · 80 beds · Part of Cascadia Healthcare
- New owner (last 12 months)
★★★★★2Below averageIndependence Health and Rehabilitation
1525 Monmouth Street, Independence, OR 97351 · 11 mi
For-profit · 80 beds · Part of Evergreen Healthcare Group
★★★★★2Below average
Frequently asked questions
What is Windsor Health and Rehabilitation's rating?
Windsor Health and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Oregon nursing homes is 3.1 stars.
How many inspection citations did Windsor Health and Rehabilitation receive?
Its most recent standard health inspection found 25 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.
Does Windsor Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Windsor Health and Rehabilitation?
It is for profit - corporation and part of Evergreen Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windsor Health and Rehabilitation and how do I contact it?
Windsor Health and Rehabilitation is at 820 Cottage Street NE, Salem, OR 97301. Phone: (503) 399-1135.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.