The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
WINDSOR HEALTH and REHABILITATION
SALEM, OR · Medicare-certified · 100 beds
In good standing
For-profitChain member
3 of 5 overall
WINDSOR HEALTH and REHABILITATION in Salem, OR has a 3-star overall rating, with 3 stars for health inspections and staffing but 2 stars for quality measures. It reports 5.01 nurse staffing hours per resident per day, above the 4.1 federal benchmark, with no fines in the last 24 months; recent cited areas included food handling, nurse aide training, and infection prevention and control.
Facility ratings
Health inspections
Staffing
5.0119 hrs/resident/day
Quality measures
Last inspection: March 17, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0119.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.19
- Nurse aides
- 3.49
- Weekend nursing
- 4.49
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 86%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.4%Steady
Residents with a fall causing major injury
3.3%Steady
Residents with pressure ulcers (bedsores)
6.2%Improving
Residents with a urinary tract infection
3.6%Worsening
Residents who lost too much weight
4.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.1%Worsening
Residents whose ability to walk got worse
35.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.4%Worsening
Residents with new or worsening incontinence
32.1%Worsening
Residents with depressive symptoms
4.8%Improving
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
81.8%Improving
Short-stay residents given the seasonal flu vaccine
54.1%Steady
Short-stay residents given the pneumonia vaccine
68.1%Improving
What the inspectors found
The home failed to properly watch nurse aides' work and provide regular training. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
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 November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: D
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 47.9 residents on an average day (48% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.