facebook tracking Tierra Rose Care Center, Salem OR: CMS Ratings & Inspections
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Tierra Rose Care Center

All states › Oregon › Salem › Tierra Rose Care Center

4254 Weathers Street NE Salem, OR 97301 · Marion County

(503) 585-4602

All 4 nursing homes in Salem, OR (4 take Medicaid)

Accepts Medicaid 76 certified beds For profit

CMS certification number 38E075 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Tierra Rose Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Tierra Rose Care Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Oregon average of 3.2. Inspectors issued 20 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 5.15 hours per resident per day at Tierra Rose Care Center, above the Oregon median of 4.98 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 4.55 hours, 12% below its all-week average. 27.6% of nursing staff left within a year (Oregon median 40.8%). That is lower than most homes in Oregon, a sign of a steadier team.

Nursing care per resident per day 5.15 hours
Above the Oregon median of 4.98 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.55 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 27.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 28.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds76
Residents per day 72 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicaid
Certified sinceApril 1980
Legal business nameLegal Business Name Not Available

Paying for care at Tierra Rose Care Center: Medicare and Medicaid

Tierra Rose Care Center is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Oregon Medicaid.

Health inspections

The most recent standard inspection was on October 17, 2025 and found 2 deficiencies. In total, inspectors issued 20 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 20 citations at Tierra Rose Care Center across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (6) and nutrition and dietary (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, June 28, 2024).

October 17, 2025 · 2 citations

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Nov 10, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 10, 2025)

June 28, 2024 · 6 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 29, 2024)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2024)

DProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Deficient, Provider has date of correction (Jul 29, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 29, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jul 29, 2024)

April 21, 2023 · 12 citations

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (May 10, 2023)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (May 10, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 10, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 10, 2023)

DEnsure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0712 · Deficient, Provider has date of correction (May 10, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 10, 2023)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (May 10, 2023)

DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (May 10, 2023)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (May 10, 2023)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (May 10, 2023)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Deficient, Provider has date of correction (May 10, 2023)

Questions to ask on a tour of Tierra Rose Care Center

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 4/5 4/5
August 2026 5/5 5/5 4/5 3/5
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Location

Hospitals near Tierra Rose Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.3 mi
    Oregon State Hospital Salem
    No ER listed in Medicare data
  • 2.8 mi
    Salem Hospital Salem
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 54m for patients treated and sent home
  • 10.1 mi
    Silverton Hospital Network Silverton
    Emergency room
    Median ER visit 2h 22m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Windsor Health and Rehabilitation Salem · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 100 beds · Medicaid
Keizer Nursing and Rehabilitation Keizer · 3.3 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 49 beds · Medicaid
Salem Transitional Care Salem · 4.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 80 beds · Medicaid
Avamere Court at Keizer Keizer · 4.5 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 69 beds · Medicaid
Avamere Transitional Care at Sunnyside Salem · 4.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 88 beds · Medicaid

More nursing homes near Tierra Rose Care Center ›   All nursing homes in Salem ›

Compare Tierra Rose Care Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/oregon/salem/tierra-rose-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.