The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: G
Nursing home report
WINDSOR HEALTH AND REHABILITATION
SALEM, OR · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Windsor Health and Rehabilitation (Salem, OR) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It had $20,910 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 5.07 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
5.0726 hrs/resident/day
Quality measures
Last inspection: July 13, 2026Penalties, last 24 months: $20,910recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0726.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.14
- Nurse aides
- 3.54
- Weekend nursing
- 4.51
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 86%
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
12.5%0%Improving
Residents with a fall causing major injury
3.2%3%No change
Residents with pressure ulcers (bedsores)
3.4%7.5%Worsening
Residents with a urinary tract infection
3.4%3%No change
Residents who lost too much weight
3.6%6.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.9%20.7%Worsening
Residents whose ability to walk got worse
—36.1%—
Long-stay residents on antianxiety or sleep medication
10%24.1%Worsening
Short-stay residents newly given an antipsychotic
0%2.4%Worsening
Residents with a long-term catheter
2.6%2%Improving
Residents with new or worsening incontinence
26.8%18.3%Improving
Residents with depressive symptoms
4.2%3.6%Improving
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
—97.1%—
Long-stay residents given the pneumonia vaccine
83.9%48.5%Worsening
Short-stay residents given the seasonal flu vaccine
—54.1%—
Short-stay residents given the pneumonia vaccine
71.7%40.5%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
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
The home failed to provide activities that met all residents’ needs. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — 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 July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $20,910 was recorded.
- 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
Penalties & enforcement
On record with Medicare: 1 fine · $20,910 in total fines.
- $20,910
Federal fine
Jul 13, 2026
Operator & ownership
Recent ownership change · Aug 31, 2023
Now operated by Windsor Health & Rehabilitation Center, previously Windsor Health and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 47.7 residents on an average day (48% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.