Nursing home · SNF / NF

Windsor Health and Rehabilitation

Federal · CMSActive CMS certificationCCN 385224For profit CMS overall

820 Cottage Street NE, Salem, OR 97301 · Operated by Windsor SNF Operations LLC · Chain Evergreen Healthcare Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

100

Avg residents / day

Inspections

Citations

Harm-level

Fines

$14k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 47.0 CMS, MDS-derived
CMS Certification Number: 385224
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 3, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Windsor SNF Operations LLC
CMS chain: Evergreen Healthcare Group 43 facilities
Phone: (503) 399-1135
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 13, 2026

Citations

36 health · 8 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D29	E7	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$13,592

Payment denials

Latest

Jul 13, 2026

Date	Domain	Survey types	Citations	Most severe	Open
Jul 13, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 13, 2026	Health	Health Complaint, Health Standard	19	Actual harm	—	Open →
Mar 17, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Feb 24, 2026	Health	Health Complaint	4	Potential harm	—	Open →
Jul 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 14, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Mar 14, 2025	Health	Health Standard	9	Potential harm	—	Open →
Nov 16, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 16, 2023	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jul 13, 2026	Civil money penalty (fine)	$13,592	—	385224\|Fine\|142306

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D29	E7	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 13, 2026	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Aug 11, 2026
Jul 13, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 11, 2026
Jul 13, 2026	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026	Complaint
Jul 13, 2026	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 13, 2026	F-0688	Provide 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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance
Jul 13, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 13, 2026	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 13, 2026	F-0727	Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jul 31, 2026
Jul 13, 2026	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 13, 2026	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 13, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 31, 2026
Mar 17, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 15, 2026	Complaint
Mar 17, 2026	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2026	Complaint
Feb 24, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Feb 24, 2026	F-0603	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Feb 24, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Feb 24, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Jul 3, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 1, 2025	Complaint
Mar 14, 2025	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Apr 11, 2025
Mar 14, 2025	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Apr 11, 2025
Mar 14, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 11, 2025
Mar 14, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 3, 2025
Mar 14, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 11, 2025
Mar 14, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 11, 2025
Mar 14, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 3, 2025
Mar 14, 2025	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 3, 2025
Mar 14, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 3, 2025
Mar 14, 2025	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 3, 2025
Nov 16, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 8, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Windsor SNF Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Evergreen Healthcare Group

43 facilities in 6 states. CMS chain ID 846.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pacific Northwest SNF Operations Holdings (Or) LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Ch Pacific Northwest Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Pacific Northwest SNF Operations Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Windsor SNF Operations LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Witzcorp Global LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Yisroel Herzka	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Yitzchok Yenowitz	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pacific Northwest SNF Operations Holdings (Or) LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Ch Pacific Northwest Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Pacific Northwest SNF Operations Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Windsor SNF Operations LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Witzcorp Global LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Yisroel Herzka	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Yitzchok Yenowitz	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 31, 2023
Mylene Cepeda	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 31, 2023
Jason Odenthal	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 31, 2023
Couve Financial Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Couve Healthcare Consulting LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Oregon SNF Consulting LLC (De)	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Pacific Northwest Opco Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Windsor SNF Operations LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Cecille Cabaneros	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Mylene Cepeda	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Tracey Henning	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Christopher Morris	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Jason Odenthal	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Shimon Spielman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Yitzchok Yenowitz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 31, 2023
Ch Pacific Northwest Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Couve Financial Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 13, 2025
Couve Healthcare Consulting LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 4, 2025
Oregon SNF Consulting LLC (De)	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 4, 2025
Pacific Northwest Opco Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 4, 2025
Windsor SNF Operations LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 13, 2025
Witzcorp Global LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Cecille Cabaneros	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Mylene Cepeda	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Tracey Henning	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Yisroel Herzka	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Christopher Morris	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Jason Odenthal	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Shimon Spielman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023
Yitzchok Yenowitz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 31, 2023

Same chain in Oregon

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Village Health Care 3955 SE 182nd Avenue, Gresham, OR 97030 CCN 385068	106	Jun 5, 2026	492 harm	$16k
Milton Freewater Health and Rehabilitation 120 Elzora Street, Milton Freewater, OR 97862 CCN 385161Abuse icon	70	Jan 15, 2026	361 harm	$8,278
The Dalles Health and Rehabilitation 1023 W. 25th Street, The Dalles, OR 97058 CCN 385172	121	Jul 10, 2026	222 harm	$9,347
Independence Health and Rehabilitation 1525 Monmouth Street, Independence, OR 97351 CCN 385188	80	Jul 31, 2026	401 harm	$70k
La Grande Post Acute Rehab 91 Aries Lane, La Grande, OR 97850 CCN 385211	76	Jul 23, 2026	42	—
Hillsboro Health and Rehabilitation 1778 NE Cornell Road, Hillsboro, OR 97124 CCN 385217	78	Aug 21, 2026	3511 open	—
Portland Health and Rehabilitation 12441 SE Stark Street, Portland, OR 97233 CCN 385228	105	Feb 27, 2026	612 harm	$25k

Coordinates as published by CMS.

Address: 820 Cottage Street NE, Salem, OR 97301
ZIP: 97301
County: Marion County FIPS 41047
State: Oregon
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Tierra Rose Care Center 4254 Weathers Street NE, Salem, OR 97301 CCN 38E075	3.9 km	76	Oct 17, 2025	33	—
Keizer Nursing and Rehabilitation 4062 Arleta Avenue NE, Keizer, OR 97303 CCN 385241	4.3 km	49	Dec 17, 2025	461 harm	—
Avamere Court at Keizer 5210 River Road N., Keizer, OR 97303 CCN 385233	6 km	69	Sep 19, 2025	34	—
Avamere Transitional Care at Sunnyside 4515 Sunnyside Road SE, Salem, OR 97302 CCN 385189	6.3 km	88	Aug 24, 2026	52	—
Salem Transitional Care 3445 Boone Road SE, Salem, OR 97317 CCN 385234	7.7 km	80	Jul 24, 2026	422 harm	$23k
Independence Health and Rehabilitation 1525 Monmouth Street, Independence, OR 97351 CCN 385188	17.7 km	80	Jul 31, 2026	401 harm	$70k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	385224	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	385224	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 385224

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

Loading facility…

Windsor Health and Rehabilitation

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Oregon

Nearby nursing homes

Windsor Health and Rehabilitation

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Oregon

Nearby nursing homes