Nursing homeActive

Windsor Health And Rehabilitation

820 Cottage Street Ne, Salem, OR 973015033991135100 certified beds · 48 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
20
0200
Penalties · 3 yrs
$20,910
1 fine
Last survey
2026-03-17
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
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
DateKindDeficienciesOfficial recordArchived PDF
2026-03-17Complaint020CMS-2567 (Care Compare)
2026-02-24Complaint040CMS-2567 (Care Compare)
2025-07-03Complaint010CMS-2567 (Care Compare)
2025-03-14Standard090CMS-2567 (Care Compare)
2023-11-16Standard010CMS-2567 (Care Compare)
2023-06-02Standard030CMS-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.

2026-03-17Complaint survey · 2 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 385224-20260317-F558
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 2026-04-15Record 385224-20260317-F697
2026-02-24Complaint survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 385224-20260224-F600
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 385224-20260224-F603
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 385224-20260224-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 385224-20260224-F610
2025-07-03Complaint survey · 1 deficiencyOfficial report
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 2025-08-01Record 385224-20250703-F684
2025-03-14Standard survey · 9 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F657
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 2025-05-03Record 385224-20250314-F690
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F694
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F730
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-03Record 385224-20250314-F880
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 2025-05-03Record 385224-20250314-F883
2023-11-16Standard survey · 1 deficiencyOfficial report
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 2023-12-08Record 385224-20231116-F880
2023-06-02Standard survey · 3 deficienciesOfficial report
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 2023-06-21Record 385224-20230602-F684
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 2023-06-21Record 385224-20230602-F695
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 2023-06-21Record 385224-20230602-F756

Penalties & enforcement

DateActionAmountSource
2026-07-13Civil money penalty$20,910CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.39
Facility
Oregon
National
Oregon 0.72 · National 0.69
Total nurse hours per resident day5.07
Facility
Oregon
National
Oregon 5.03 · National 3.86
Weekend total nurse hours4.51
Facility
Oregon
National
Oregon 4.51 · National 3.42
Total nursing staff turnover51%
Facility
Oregon
National
Oregon 47% · National 46%
Registered nurse turnover86%
Facility
Oregon
National
Oregon 52% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOregonNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.3%5.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.2%2.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.5%13.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
4.3%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
20.5%14.9%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.0%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)
EntityRoleInterestSinceRegistry
Cabaneros, Cecille
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cepeda, Mylene
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Couve Financial Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Couve Healthcare Consulting LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Henning, Tracey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morris, Christopher
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Odenthal, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Oregon SNF Consulting LLC (De)
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pacific Northwest Opco Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Spielman, Shimon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Windsor SNF Operations LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Yenowitz, Yitzchok
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cabaneros, Cecille
Individual
ADP OF THE SNFNOT APPLICABLE
Cepeda, Mylene
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Cepeda, Mylene
Individual
ADP OF THE SNFNOT APPLICABLE
Ch Pacific Northwest Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ch Pacific Northwest Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Couve Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Couve Healthcare Consulting LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Henning, Tracey
Individual
ADP OF THE SNFNOT APPLICABLE
Herzka, Yisroel
Individual
ADP OF THE SNFNOT APPLICABLE
Herzka, Yisroel
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Morris, Christopher
Individual
ADP OF THE SNFNOT APPLICABLE
Odenthal, Jason
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Odenthal, Jason
Individual
ADP OF THE SNFNOT APPLICABLE
Oregon SNF Consulting LLC (De)
Organization
ADP OF THE SNFNOT APPLICABLE
Pacific Northwest Opco Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pacific Northwest SNF Operations Holdings (Or) LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pacific Northwest SNF Operations Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Spielman, Shimon
Individual
ADP OF THE SNFNOT APPLICABLE
Windsor SNF Operations LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Windsor SNF Operations LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Witzcorp Global LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Witzcorp Global LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Yenowitz, Yitzchok
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Yenowitz, Yitzchok
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Evergreen Healthcare Group44 facilities
View chain record

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 Marion.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Keizer Nursing And Rehabilitation
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2.7 mi2025-12-170210
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Avamere Court At Keizer
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Avamere Transitional Care At Sunnyside
Salem
3.9 mi2025-06-060410
Salem Transitional Care
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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01