Minds In Motion Initiative
State licensed744 Capitol Street Northeast, Salem, OR 97301
Assisted Living
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Medicare-certifiedSkilled Nursing
WINDSOR HEALTH and REHABILITATION
Salem, OregonMedicare inspection record
About WINDSOR HEALTH and REHABILITATION
Windsor Health and Rehabilitation provides comprehensive skilled nursing and rehabilitation services to Salem, Oregon residents recovering from surgery, illness, or injury. Our compassionate team focuses on helping each person regain independence through personalized care plans and evidence-based therapies.
Community at a glance
Capacity
100 residents
Location
Salem, OR
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
820 COTTAGE STREET NE, Salem, Oregon 97301
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 13, 2026, state inspectors cited 25 health deficiencies (the Oregon average is 9.2).
Nurses and nurse aides spend 5 hours 4 minutes with each resident a day, about the same as the Oregon average.
Medicare fined WINDSOR HEALTH and REHABILITATION once in the last three years, $20,910 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 4 minutes |
| Registered nurse time per resident, per day | 24 minutesBelow the Oregon average |
| Nursing staff who left in the past year | 51%Above the Oregon average |
1 administrator has left the home in the past year.
Inspections
36 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 13, 2026 · Standard inspection · 19 citations
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 31, 2026Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jul 31, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 31, 2026Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 31, 2026Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 31, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 31, 2026Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 31, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 31, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 31, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 31, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 31, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareAlready fixed before the inspectionHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 31, 2026Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 31, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 31, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 31, 2026Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 31, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 31, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 31, 2026
March 17, 2026 · Complaint investigation · 2 citations
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 15, 2026Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 15, 2026
February 24, 2026 · Complaint investigation · 4 citations+
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 31, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 31, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 31, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 31, 2026
July 3, 2025 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 1, 2025
March 14, 2025 · Standard inspection · 9 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 3, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 3, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 3, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 3, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 3, 2025Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 3, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 3, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 3, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 3, 2025
November 16, 2023 · Standard inspection · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 8, 2023
Fines and payment denials
1 fine totaling $20,910 in the last three years.
- July 13, 2026Fine: $20,910
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Windsor SNF Operations LLC
- Medicare-certified beds
- 100
- Average residents per day
- 48
- Accepts
- Medicare and Medicaid
- First certified
- July 3, 1991
- Part of a chain
- Evergreen Healthcare Group, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 385224
Location
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820 COTTAGE STREET NESalem, OR 97301
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Questions about WINDSOR HEALTH and REHABILITATION
How did WINDSOR HEALTH and REHABILITATION do on its last inspection?+
State inspectors visited on July 13, 2026 and cited 25 health deficiencies, 7 of them from complaint investigations. The Oregon average is 9.2.
How much nursing care does each resident get at WINDSOR HEALTH and REHABILITATION?+
Nurses and aides spend 5 hours 4 minutes with each resident per day, including 24 minutes from registered nurses. 51% of nursing staff left over the past year.
Has WINDSOR HEALTH and REHABILITATION been fined by Medicare?+
Yes. Medicare fined WINDSOR HEALTH and REHABILITATION once in the last three years, totaling $20,910.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.