nursing home in Salem, OR
Tierra Rose Care Center
4254 Weathers Street NE, Salem, OR 97301 · (503) 585-4602
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tierra Rose Care Center at a glance
Tierra Rose Care Center is a 76-bed for-profit nursing home in Salem, Oregon (Marion County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Oregon average of 3.1.
Residents receive about 5.2 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 (October 17, 2025) found 2 health citations. The Oregon average is 9.2.
It has not received a federal fine in the past three years.
Nursing staff turnover is 30.6% per year (state average 47.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 76
- Certified for
- Medicaid
- Medicare-certified since
- April 1, 1980
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 38E075
Ratings
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.15 hrs | 5.03 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.88 hrs | 3.40 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.64 hrs | 4.51 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 30.6% | 47.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 16.7% | 51.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 14 | 71.8 | 80.6 | Better |
Penalties
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $27,522 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 76 | 83 | 107 | |
| Average residents per day | 71 | 58 | 86 | |
| Occupancy | 93.4% | 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) | 1.4% | 2.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.5% | 5.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.7% | 13.9% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.5% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 12.8% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.6% | 20.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 7.5% | 4.7% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.9% | 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) | 8.2% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.6% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 87.5% | 85.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 10, 2025 |
| October 17, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 10, 2025 |
| June 28, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | F Potential harm, widespread | Corrected August 17, 2024 |
| June 28, 2024 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 | E Potential harm, pattern | Corrected July 29, 2024 |
| June 28, 2024 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected July 29, 2024 |
| June 28, 2024 Complaint | 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 | Corrected July 29, 2024 |
| June 28, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 29, 2024 |
| June 28, 2024 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 July 29, 2024 |
| June 28, 2024 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected July 29, 2024 |
| April 21, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 16, 2023 |
| April 21, 2023 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | D Potential harm, isolated | Corrected May 16, 2023 |
| April 21, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected May 16, 2023 |
| April 21, 2023 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 May 10, 2023 |
| April 21, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 Standard | 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 · Tag F0756 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 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 | Corrected May 10, 2023 |
| April 21, 2023 Standard | 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 May 10, 2023 |
| April 21, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 21, 2023 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 10, 2023 |
| April 21, 2023 Standard | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected May 10, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Tierra Rose Care Center
Windsor Health and Rehabilitation
820 Cottage Street NE, Salem, OR 97301 · 2.4 mi
For-profit · 100 beds · Part of Evergreen Healthcare Group
★★★★★1Much below averageKeizer Nursing and Rehabilitation
4062 Arleta Avenue NE, Keizer, OR 97303 · 3.3 mi
For-profit · 49 beds · Part of Volare Health
★★★★★3AverageSalem Transitional Care
3445 Boone Road SE, Salem, OR 97317 · 4.4 mi
For-profit · 80 beds · Part of Cascadia Healthcare
- New owner (last 12 months)
★★★★★2Below averageAvamere Court at Keizer
5210 River Road N., Keizer, OR 97303 · 4.5 mi
For-profit · 69 beds · Part of Avamere
★★★★★4Above averageAvamere Transitional Care at Sunnyside
4515 Sunnyside Road SE, Salem, OR 97302 · 4.8 mi
For-profit · 88 beds · Part of Avamere
★★★★★2Below averageMt Angel Health and Rehabilitation
540 South Main Street, Mount Angel, OR 97362 · 12 mi
For-profit · 93 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is Tierra Rose Care Center's rating?
Tierra Rose Care Center has 5 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 Tierra Rose Care Center receive?
Its most recent standard health inspection found 2 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.
Does Tierra Rose Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Tierra Rose Care Center?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tierra Rose Care Center and how do I contact it?
Tierra Rose Care Center is at 4254 Weathers Street NE, Salem, OR 97301. Phone: (503) 585-4602.
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.