facebook tracking Windsor Health and Rehabilitation, Salem OR: CMS Ratings
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Windsor Health and Rehabilitation

All states › Oregon › Salem › Windsor Health and Rehabilitation

820 Cottage Street NE Salem, OR 97301 · Marion County

(503) 399-1135

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

Accepts Medicare Accepts Medicaid 100 certified beds For profit

CMS certification number 385224 · 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 Windsor Health and Rehabilitation 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 Windsor Health and Rehabilitation as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Oregon average of 3.2. Inspectors issued 36 citations in the last three years. CMS imposed 1 penalty, including $13,592 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 5.33 hours per resident per day at Windsor Health and Rehabilitation, above the Oregon median of 4.98 (US median: 3.72). About 0.25 of those hours are from registered nurses. On weekends it falls to 4.59 hours, 14% below its all-week average. 45.5% of nursing staff left within a year (Oregon median 40.8%).

Nursing care per resident per day 5.33 hours
Above the Oregon median of 4.98 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.25 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.59 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 45.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 83.3% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds100
Residents per day 47 About 47% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1991
Part of a chainEvergreen Healthcare Group
Legal business nameWINDSOR SNF OPERATIONS LLC

Paying for care at Windsor Health and Rehabilitation: Medicare and Medicaid

Windsor Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oregon's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 13, 2026 and found 18 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 36 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 36 citations at Windsor Health and Rehabilitation across 6 inspection dates, 8 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 13, 2026. The most common areas cited were quality of life and care (11) and freedom from abuse, neglect, and exploitation (6). The most serious was cited under the CMS rule to "ensure each resident must receive and the facility must provide necessary behavioral health care and services" (tag F0740, level G, July 13, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.

July 13, 2026 · 19 citations · includes complaint inspection

GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0740 · Deficient, Provider has date of correction (Jul 31, 2026)

FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Jul 31, 2026)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jul 31, 2026)

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 (Jul 31, 2026)

EProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Jul 31, 2026)

EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Potential for more than minimal harm · Administration Deficiencies · Tag F0847 · Deficient, Provider has date of correction (Jul 31, 2026)

EProvide 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 (Jul 31, 2026)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Jul 31, 2026)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Jul 31, 2026)

DHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Jul 31, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Jul 31, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Jul 31, 2026)

DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2026)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jul 31, 2026)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jul 31, 2026)

DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Jul 31, 2026)

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 · Past Non-Compliance

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 31, 2026)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Jul 31, 2026)

March 17, 2026 · 2 citations · includes complaint inspection

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

February 24, 2026 · 4 citations · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Mar 31, 2026)

DProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 · Complaint inspection · Deficient, Provider has date of correction (Mar 31, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Mar 31, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Mar 31, 2026)

July 3, 2025 · 1 citation · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

March 14, 2025 · 9 citations

FProcure 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 (May 3, 2025)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (May 3, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 3, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (May 3, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (May 3, 2025)

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 3, 2025)

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 (May 3, 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 (May 3, 2025)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 3, 2025)

November 16, 2023 · 1 citation

EProvide 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 (Dec 8, 2023)

Questions to ask on a tour of Windsor Health and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on July 13, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on July 13, 2026. How are staff trained, and how are concerns reported?
  3. The home averages about 47% of its beds filled. Are any units closed?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

1 penalty in the last three years, including $13,592 in fines.

DateTypeAmount or length
Jul 13, 2026 Fine $13,592

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 2/5
August 2026 3/5 3/5 3/5 2/5
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Location

Hospitals near Windsor Health and Rehabilitation

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

  • 1.0 mi
    Salem Hospital Salem
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 54m for patients treated and sent home
  • 1.4 mi
    Oregon State Hospital Salem
    No ER listed in Medicare data
  • 12.4 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

Tierra Rose Care Center Salem · 2.4 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 76 beds · Medicaid
Keizer Nursing and Rehabilitation Keizer · 2.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 49 beds · Medicaid
Avamere Court at Keizer Keizer · 3.7 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 69 beds · Medicaid
Avamere Transitional Care at Sunnyside Salem · 3.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 88 beds · Medicaid
Salem Transitional Care Salem · 4.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 80 beds · Medicaid

More nursing homes near Windsor Health and Rehabilitation ›   All nursing homes in Salem ›

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Other Evergreen Healthcare Group nursing homes in Oregon

Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Evergreen Healthcare Group nursing homes ›

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/windsor-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.