Nursing homeActive
Independence Health And Rehabilitation
1525 Monmouth Street, Independence, OR 97351503838000180 certified beds · 35 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
31
● 1● 29● 1
Penalties · 3 yrs
$69,876
3 fines
Last survey
2026-05-11
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Oregon Department of Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-11 | Standard | 1130 | CMS-2567 (Care Compare) | — |
| 2025-02-18 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2023-11-17 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-08-03 | Complaint | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Oregon Department of Human Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F552
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F584
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F637
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F690
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F883
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F887
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 385188-20260511-F908
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-06-12Record 385188-20260511-F732
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-21Record 385188-20250218-F689
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F584
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F688
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F697
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F757
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 385188-20250218-F919
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F552
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F656
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F692
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 385188-20231117-F883
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-24Record 385188-20230803-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-24Record 385188-20230803-F695
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-02-18 | Civil money penalty | $45,819 | CMS · Penalties |
| 2024-01-17 | Civil money penalty | $16,039 | CMS · Penalties |
| 2024-01-17 | Civil money penalty | $8,018 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
Oregon
National
Oregon 0.72 · National 0.69
Total nurse hours per resident day5.29
Facility
Oregon
National
Oregon 5.03 · National 3.86
Weekend total nurse hours4.70
Facility
Oregon
National
Oregon 4.51 · National 3.42
Total nursing staff turnover65%
Facility
Oregon
National
Oregon 47% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Oregon | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.3% | 5.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.7% | 2.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.7% | 13.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 2.0% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.2% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.3% | 12.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Couve Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Durst, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heiman, Jacob Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Independence SNF Operations LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morris, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Odenthal, Jason Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oregon SNF Consulting LLC (De) Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cepeda, Mylene Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cepeda, Mylene Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ch Pacific Northwest Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ch Pacific Northwest Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Durst, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heiman, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herzka, Yisroel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herzka, Yisroel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Independence SNF Operations LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Independence SNF Operations LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morris, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Odenthal, Jason Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Odenthal, Jason Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Odenthal, Jason Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oregon SNF Consulting LLC (De) Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pacific Northwest SNF Operations Holdings (Or) LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Pacific Northwest SNF Operations Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Witzcorp Global LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Witzcorp Global LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Evergreen Healthcare Group — 44 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Oregon.
No county cost figures on file for Polk.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Dallas Retirement Village Health Center Dallas | 7.7 mi | 2026-04-10 | 0100 |
| Avamere Transitional Care At Sunnyside Salem | 8.7 mi | 2025-06-06 | 0410 |
| Windsor Health And Rehabilitation Salem | 11.0 mi | 2026-03-17 | 0170 |
| Salem Transitional Care Salem | 11.0 mi | 2026-01-29 | 0242 |
| Keizer Nursing And Rehabilitation Keizer | 13.1 mi | 2025-12-17 | 0210 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |