Windsor Health and Rehabilitation
820 Cottage Street Ne, Salem, OR 97301 · Marion County · (503) 399-1135
100 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385224 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 13, 2026, inspectors cited 19 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 36 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $20,910 in the last three years; the largest was $20,910, and the latest is dated July 13, 2026.
Nurses and nurse aides worked 5.07 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
51.4% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to Evergreen Healthcare Group, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
111/23
903/25
107/25
402/26
203/26
1907/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 36 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
26D
7E
2F
Potential for minimal harm
0A
0B
0C
July 13, 2026Standard inspection, Complaint inspection · 19 citations
- G Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide necessary behavioral health services for 1 of 1 sampled resident (#32) reviewed for behavior. This failured resulted in Resident 32 continuing to experience untreated mental health symptoms, including expressing statements of wanting to die and socially isolating her/himself.
- F Have 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to staff a registered nurse for eight consecutive hours per day, seven days per week, for 18 out of 34 days reviewed for staffing. This placed residents at risk for unmet assessment needs.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide personalized individual and independent activities for 3 of 3 sampled residents (#s 7, 9, and 33) reviewed for activities. This placed residents at risk for unmet physical, mental, and psychosocial needs.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to have adequate staff available to meet the needs of residents in a timely manner for 1 of 2 halls (South Hall) reviewed for sufficient staffing. This placed residents at risk for unmet needs.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to assist residents in obtaining dental services for 3 of 3 sampled residents (#s 7, 10, and 43) reviewed for dental services. This placed residents at risk for unmet dental needs.
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 3 of 3 sampled residents (#s 2, 33, and 53) reviewed for arbitration. This placed residents at risk for being uninformed regarding their legal rights.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow Enhanced Barrier Precautions, failed to disinfect reusable resident equipment between residents, and failed to ensure staff implemented proper hand hygiene while assisting residents for 1 of 1 facility reviewed for infection control. This placed residents at risk for exposure to infections and illness from cross contamination.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on interview and record review it was determined the facility failed to assess for self-administration of medications for 1 of 4 sampled residents (#31) reviewed for choices. This placed residents at risk for delayed treatment for chest pain and shortness of breath.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to allow resident self-determination related to smoking for 2 of 4 sampled residents (#s 31 and 32) reviewed for choices. This placed residents at risk for diminished quality of life. Findings Include:A review of the Resident Smoking Safety Policy revealed no evidence relating to the number of cigarettes residents were allowed to smoke during their 20-minute smoking break.1. Resident 31 was admitted to the facility in 6/2026 with diagnoses of cervical spondylosis with myelopathy (age related arthritis of the neck/spine). On 7/6/26 at 1:57 PM, Resident 31 stated she/he was allowed to smoke during the 20-minute smoke breaks, but she/he felt like the facility treated the residents who required supervision while smoking, like children by allowing them two cigarettes only during each smoking break. [...]
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation and interview the facility failed to ensure residents could meet in private for 1 of 1 resident council meeting reviewed for resident rights. This placed residents at risk for diminished quality of life.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure non-psychotropic PRN medication was administered prior to psychotropic medication as ordered for 1 of 5 sampled residents (#8) reviewed for medications. This placed residents at risk for adverse side effects of psychotropic medication.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to safely store narcotics for 1 of 1 sampled resident (#70) reviewed for safe medication storage. This placed residents at risk for misappropriation of their narcotic.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a safe discharge for 1 of 2 sample residents (#60) reviewed for discharge planning. This placed residents at risk for unmet discharge needs and failed discharge.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review it was determined the facility failed to conduct a Significant Change MDS assessment within the required timeframe for 1 of 4 sampled residents (#51) reviewed for choices. This placed residents at risk for unassessed needs.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review it was determined the facility failed to accurately complete a diabetic baseline care plan for 1 of 5 sampled residents (#2) reviewed for medications. This placed residents at risk for lack of diabetic care and monitoring.
- D Provide 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide ROM for 1 of 1 sampled resident (#16) reviewed for decreased ROM. This placed residents at risk for contractures.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received appropriate supervision during meals for 1 of 3 sampled residents (#58) reviewed for accidents. This placed residents at risk for choking and aspiration.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure physician orders for respiratory care, an individualized respiratory care plan, and ongoing respiratory monitoring and assessment were in place for 1 of 2 sampled residents (#4) reviewed for respiratory care. This placed residents at risk for breathing difficulty.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure dialysis (a procedure which removes waste products and excess fluid from the blood when the kidneys are no longer functioning properly) services were in place including communication with the dialysis provider for 1 of 1 sampled resident (#46) reviewed for dialysis. This placed residents at risk for dialysis complications and delayed treatment.
March 17, 2026Complaint inspection · 2 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the call light was accessible for 1 of 3 sampled residents (#10) reviewed for accommodation of needs. This placed residents at risk for the inability to call for assistance.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide pain medication as ordered for 1 of 3 sampled residents (#7) reviewed for pain management. This placed residents at risk for worsening discomfort.
February 24, 2026Complaint inspection · 4 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from neglect by staff for 1 of 3 sampled residents (#103) reviewed for abuse and neglect. This placed residents at risk for abuse.
- D Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Inspectors wroteBased on interviews and record review it was determined the facility failed to ensure the resident was free from involuntary seclusion by staff for 1 of 3 sampled residents (# 104) reviewed for involuntary seclusion. This placed residents at risk for mistreatment.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure allegations of abuse or neglect were reported timely for 2 of 3 sampled residents (#s 103 and 104) reviewed for abuse reporting. This placed residents at risk for continued abuse and neglect.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to thoroughly investigate allegations of potential abuse and neglect for 2 of 3 sampled residents (#103 and 104) reviewed for abuse investigations. This placed residents at risk for continued abuse and neglect.
July 3, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 2 of 3 sampled residents (#s 10 and 11) reviewed for physician orders. This placed residents at risk for a delay in treatment and adverse medication side effects.
March 14, 2025Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure kitchen staff wore appropriate hair restraints during meal preparation for 1 of 1 facility kitchen reviewed for sanitation. This placed residents at risk for unsanitary foods.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 2 of 5 sampled CNA staff (#s 9 and 12) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of competent staff.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review it was determined the facility failed to include residents in the developient of the comprehensive care plan for 3 of 4 sampled residents (#s 15, 32, and 42) reviewed for care planning. This placed resident at risk for lack of a comprehensive care plan.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were assessed for removal of the a catheter for 1 of 1 sampled resident (#42) reviewed for urinary catheter. This placed residents at risk for increased infections.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to complete IV dressing changes for 1 of 1 resident (#39) reviewed for antibiotics. This placed residents at risk for IV site infections.
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure psychotropic medications were decreased as ordered 1 of 5 sampled residents (#2) reviewed for medications. This placed residents at risk for unnecessary psychotropic medications.
- D 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure medication rooms were free of expired biologicals for 1 of 2 sampled medication rooms reviewed for medication storage. This placed residents at risk for diminished treatment efficacy.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow infection control practices for wound care for 1 of 2 sampled residents (#6) reviewed for pressure ulcers. This placed residents at risk for wound infections.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were offered pneumonia vaccines for 1 of 5 sampled residents (#10) reviewed for vaccinations. This placed residents at increased risk for pneumonia.
November 16, 2023Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to follow infection control standards for 1 of 2 halls reviewed for transmission-based precautions and medication administration. This placed residents at risk for cross-contamination and spread of infection.
Fire safety inspections
8 fire safety citations on file: 2 on July 13, 2026, 6 on March 14, 2025.
Every fire safety citation8 citations
- F Have simulated fire drills held at unexpected times.
- D Establish policies and procedures for volunteers.
- F Develop Emergency Preparedness policies and procedures.
- F Establish policies and procedures including evacuation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 13, 2026 | Fine | $20,910 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.07 | 5.03 | 3.86 |
| Registered nurses | 0.39 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.51 | 4.51 | 3.42 |
| Nurse aides | 3.54 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 51.4% | 47.4% | 45.8% |
| Registered nurse turnover | 85.7% | 51.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.55 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.30 on weekdays and 4.51 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.26 in April to June 2025 to 5.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.07 | 0.39 | 5.30 | 4.51 | 2.7% | 0 of 90 | 48 |
| Oct to Dec 2025 | 5.01 | 0.32 | 5.21 | 4.49 | 3.4% | 0 of 92 | 48 |
| Jul to Sep 2025 | 5.23 | 0.27 | 5.45 | 4.69 | 11.7% | 1 of 92 | 48 |
| Apr to Jun 2025 | 5.26 | 0.21 | 5.46 | 4.75 | 8.6% | 7 of 91 | 45 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.5 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 36.1 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.5 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.5 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.3 | 16.1 | 12.0 |
Owners and operators
Legal business name: WINDSOR SNF OPERATIONS LLC. CMS links this home to Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (or) LLC | Direct ownership interest | Organization | 08/31/2023 | |
| Ch Pacific Northwest Holdings LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Windsor SNF Operations LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Witzcorp Global LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Herzka, Yisroel | Indirect ownership interest | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Indirect ownership interest | Individual | 08/31/2023 | |
| Cepeda, Mylene | Managing control - governing body | Individual | 08/31/2023 | |
| Odenthal, Jason | Managing control - governing body | Individual | 08/31/2023 | |
| Couve Financial Services LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Oregon SNF Consulting LLC (de) | Operational/managerial control | Organization | 08/31/2023 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Windsor SNF Operations LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Cabaneros, Cecille | Operational/managerial control | Individual | 08/31/2023 | |
| Cepeda, Mylene | Operational/managerial control | Individual | 08/31/2023 | |
| Henning, Tracey | Operational/managerial control | Individual | 08/31/2023 | |
| Morris, Christopher | Operational/managerial control | Individual | 08/31/2023 | |
| Odenthal, Jason | Operational/managerial control | Individual | 08/31/2023 | |
| Spielman, Shimon | Operational/managerial control | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Operational/managerial control | Individual | 08/31/2023 | |
| Ch Pacific Northwest Holdings LLC | Adp of the SNF | Organization | 08/31/2023 | |
| Couve Financial Services LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Couve Healthcare Consulting LLC | Adp of the SNF | Organization | 04/04/2025 | |
| Oregon SNF Consulting LLC (de) | Adp of the SNF | Organization | 04/04/2025 | |
| Pacific Northwest Opco Management LLC | Adp of the SNF | Organization | 04/04/2025 | |
| Windsor SNF Operations LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Witzcorp Global LLC | Adp of the SNF | Organization | 08/31/2023 | |
| Cabaneros, Cecille | Adp of the SNF | Individual | 08/31/2023 | |
| Cepeda, Mylene | Adp of the SNF | Individual | 08/31/2023 | |
| Henning, Tracey | Adp of the SNF | Individual | 08/31/2023 | |
| Herzka, Yisroel | Adp of the SNF | Individual | 08/31/2023 | |
| Morris, Christopher | Adp of the SNF | Individual | 08/31/2023 | |
| Odenthal, Jason | Adp of the SNF | Individual | 08/31/2023 | |
| Spielman, Shimon | Adp of the SNF | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Adp of the SNF | Individual | 08/31/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on July 13, 2026: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on July 13, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 13, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 13, 2026: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Tierra Rose Care Center Salem, 2.4 mi · 5 of 5 stars · 20 citations
- Keizer Nursing and Rehabilitation Keizer, 2.7 mi · 3 of 5 stars · 33 citations
- Avamere Court at Keizer Keizer, 3.7 mi · 4 of 5 stars · 18 citations
- Avamere Transitional Care at Sunnyside Salem, 3.9 mi · 2 of 5 stars · 52 citations
- Salem Transitional Care Salem, 4.8 mi · 2 of 5 stars · 35 citations
- Independence Health and Rehabilitation Independence, 11 mi · 2 of 5 stars · 31 citations
- Mt Angel Health and Rehabilitation Mount Angel, 13.9 mi · 4 of 5 stars · 22 citations
- Dallas Retirement Village Health Center Dallas, 14.2 mi · 4 of 5 stars · 35 citations
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Windsor Health and Rehabilitation's Medicare star rating?
- CMS rates Windsor Health and Rehabilitation 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Windsor Health and Rehabilitation get at its last inspection?
- 19 health deficiencies at the standard inspection on July 13, 2026. The Oregon average is 9.2.
- Has Windsor Health and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $20,910 in the last three years.
- Does Windsor Health and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Windsor Health and Rehabilitation?
- CMS lists 36 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: WINDSOR SNF OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.