Nursing homes › Oregon › Windsor Health and Rehabilitation
820 Cottage Street Ne, Salem, OR 97301 · 5033991135 · 100 certified beds
Per CMS filings, this facility is affiliated with Evergreen Healthcare Group, a group operating 44 facilities in 6 states. Group record: average rating 2.5/5, 10 abuse citation icons, 4 facilities on the Special Focus list, $2,156,851 in federal fines. This facility rates above its group average (2.5/5).
Total nurse staffing: 5.07 (Oregon median: 4.96). RN hours: 0.39. Weekend total: 4.51. Nursing staff turnover: 51%.
All-time on record: 20 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-17 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-04-15 |
| 2026-03-17 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2026-04-15 |
| 2026-02-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-03-31 |
| 2026-02-24 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | complaint | corrected 2026-03-31 |
| 2026-02-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-03-31 |
| 2026-02-24 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-03-31 |
| 2025-07-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-08-01 |
| 2025-03-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-03 |
| 2025-03-14 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-05-03 |
| 2025-03-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | 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. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | 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. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-03 |
| 2025-03-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-05-03 |
| 2023-11-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-12-08 |
| 2023-06-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-06-21 |
| 2023-06-02 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-06-21 |
| 2023-06-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-06-21 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| WINDSOR SNF OPERATIONS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/31/2023 |
| CEPEDA, MYLENE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| OREGON SNF CONSULTING LLC (DE) | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| WINDSOR SNF OPERATIONS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| CABANEROS, CECILLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| CEPEDA, MYLENE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| HENNING, TRACEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| MORRIS, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385224. Corrections: data@carerecords.org.