Nursing HomeInspections

Windsor Health and Rehabilitation

Nursing home in Salem, OR

Medicare & Medicaid certified3★ overall (CMS)

Call (503) 399-1135Send a messageMap ↗

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

CMS certification number 385224. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Mar 17, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 17, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2026Protect 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2026Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 14, 2025Develop 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
D
Potential for more than minimal harm, isolated
Mar 14, 2025Provide 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
D
Potential for more than minimal harm, isolated
Mar 14, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 14, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 14, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $20,910 in the last three years.

Jul 13, 2026Fine: $20,910

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

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