Windsor Health and Rehabilitation
Nursing home in Salem, OR
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 820 Cottage Street Ne, Salem, OR 97301
- Phone
- (503) 399-1135
- Listed under
- For-profit
- Medicare CCN
- 385224
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 100
- Average residents per day
- 48
- Ownership
- For-profit, limited Liability company
- Legal business name
- Windsor SNF Operations LLC
- Chain
- Evergreen Healthcare Group (44 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 3, 1991
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 14, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 2, 2023 to Mar 17, 2026): 7 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 17, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| Mar 17, 2026 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| Feb 24, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Feb 24, 2026 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D |
| Feb 24, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Feb 24, 2026 | Respond appropriately to all alleged violations. | D |
| Jul 3, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Mar 14, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Mar 14, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 14, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| Mar 14, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… | D |
| Mar 14, 2025 | 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… | D |
Fines and payment denials
CMS records 1 fine totalling $20,910 in the last three years.
| Jul 13, 2026 | Fine: $20,910 |
Staffing
- Total nurse staffing per resident per day
- 5.07 hours
- Registered nurse (RN) time per resident per day
- 0.39 hours
- Nurse aide time per resident per day
- 3.54 hours
- Total nurse staffing on weekends
- 4.51 hours
- Nursing staff turnover (yearly)
- 51%
- RN turnover (yearly)
- 86%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.