Tierra Rose Care Center
4254 Weathers Street Ne · Salem, OR · 97301 · 5035854602
76 certified beds For profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 4.48 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D October 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 10, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025
Provide and implement an infection prevention and control program.
Corrected November 10, 2025 · Infection Control
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Potential for harm · D June 28, 2024
Provide appropriate foot care.
Corrected July 29, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
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.
Corrected July 29, 2024 · Pharmacy Service
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Potential for harm · E June 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 29, 2024 · Nutrition and Dietary
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Potential for harm · D June 28, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 29, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected July 29, 2024 · Environmental
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Potential for harm · D April 21, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected May 10, 2023 · Resident Rights
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Potential for harm · D April 21, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 10, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 10, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 10, 2023 · Nursing and Physician Services
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Potential for harm · E April 21, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 10, 2023 · Nursing and Physician Services
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Potential for harm · D April 21, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 10, 2023 · Pharmacy Service
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Potential for harm · D April 21, 2023
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.
Corrected May 10, 2023 · Pharmacy Service
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Potential for harm · D April 21, 2023
Ensure 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.
Corrected May 10, 2023 · Nutrition and Dietary
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Potential for harm · D April 21, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 10, 2023 · Nutrition and Dietary
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Potential for harm · D April 21, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 10, 2023 · Nutrition and Dietary
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Potential for harm · D April 21, 2023
Provide or get specialized rehabilitative services as required for a resident.
Corrected May 10, 2023 · Quality of Life and Care
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 38E075 · certified since April 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.