B82

WINDSOR HEALTH & REHABILITATION CENTER

Grade B 82/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

100

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

820 COTTAGE STREET NE, SALEM, OR 97301
5033991135

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.28h
LPN
1.37h
CNA
3.63h
Total
5.27h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CH PACIFIC NORTHWEST HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

67%

WITZCORP GLOBAL LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

25%

COUVE FINANCIAL SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

COUVE HEALTHCARE CONSULTING LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

OREGON SNF CONSULTING LLC (DE)

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PACIFIC NORTHWEST OPCO MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

WINDSOR SNF OPERATIONS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

CABANEROS, CECILLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

CEPEDA, MYLENE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

HENNING, TRACEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

MORRIS, CHRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

ODENTHAL, JASON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PERLMAN, HAROLD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

SPIELMAN, SHIMON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

YENOWITZ, YITZCHOK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

July 3, 2025Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 1, 2025
March 14, 2025Health9 deficiencies
0761DMinimal harm, Isolated

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 locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected May 3, 2025
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected May 3, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 3, 2025
0657DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected May 3, 2025
0690DMinimal harm, Isolated

Provide 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 Deficiencies

Corrected May 3, 2025
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected May 3, 2025
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected May 3, 2025
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected May 3, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 3, 2025
November 16, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 8, 2023
June 2, 2023Health3 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jun 21, 2023

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Frequently Asked Questions

What is the CareGrader rating for WINDSOR HEALTH & REHABILITATION CENTER?

WINDSOR HEALTH & REHABILITATION CENTER in SALEM, Oregon has a CareGrader grade of B (Good), with a composite score of 82.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WINDSOR HEALTH & REHABILITATION CENTER?

WINDSOR HEALTH & REHABILITATION CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WINDSOR HEALTH & REHABILITATION CENTER have?

WINDSOR HEALTH & REHABILITATION CENTER has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WINDSOR HEALTH & REHABILITATION CENTER have?

WINDSOR HEALTH & REHABILITATION CENTER has 100 certified beds with approximately 47 current residents (47% occupancy). The facility is located at 820 COTTAGE STREET NE, SALEM, Oregon 97301. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.