The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
TIERRA ROSE CARE CENTER
SALEM, OR · Medicare-certified · 76 beds
In good standing
For-profit
5 of 5 overall
Tierra Rose Care Center in Salem, OR has a 5 out of 5 overall rating, with 5 stars for health inspections and 4 stars for staffing. It reports 4.93 nursing hours per resident per day versus the 4.1 federal benchmark, $0 in fines over the last 24 months, and recent inspection citations related to food handling, equipment safety, and staffing coverage.
Facility ratings
Health inspections
Staffing
4.9306 hrs/resident/day
Quality measures
Last inspection: October 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9306.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 0.90
- Nurse aides
- 3.74
- Weekend nursing
- 4.48
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.9%5.7%No change
Residents with a fall causing major injury
1.4%1.5%No change
Residents with pressure ulcers (bedsores)
10.3%8.3%Improving
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
4.7%6.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.7%9.5%Improving
Residents whose ability to walk got worse
—12.8%—
Long-stay residents on antianxiety or sleep medication
7.8%11.1%Worsening
Residents with a long-term catheter
3.7%3.5%No change
Residents with new or worsening incontinence
26%25.1%Improving
Residents with depressive symptoms
6.2%6.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.2%100%Improving
Short-stay residents given the pneumonia vaccine
—89.3%—
What the inspectors found
The nursing home failed to keep essential equipment working safely. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 72.3 residents on an average day (95% of 76 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.