Tierra Rose Care Center — nursing home in Salem, OR

Facility type: Nursing facility · Medicaid only
CMS provider type: Medicaid
Certified beds: 76 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: 72.2 CMS, MDS-derived
CMS Certification Number: 38E075
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 1980
Ownership type: For profit - Corporation
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Not part of a CMS-reported chain
Phone: (503) 585-4602
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Oct 17, 2025

Citations

33

20 health · 13 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E3	F11
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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 38E075
Program: Medicaid
Medicare (SNF): No
Medicaid (NF): Certified
Certified beds: 76
First approved: Apr 1, 1980
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Oregon.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Oct 17, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 17, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jun 28, 2024	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Jun 28, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Apr 21, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 21, 2023	Health	Health Standard	12	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E3	F11
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Oct 17, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2025
Oct 17, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 10, 2025
Jun 28, 2024	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 17, 2024
Jun 28, 2024	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2024
Jun 28, 2024	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	Corrected Jul 29, 2024	Complaint
Jun 28, 2024	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 Jul 29, 2024
Jun 28, 2024	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	E · Potential harm Pattern	Corrected Jul 29, 2024
Jun 28, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2024
Jun 28, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 29, 2024	Complaint
Apr 21, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 16, 2023
Apr 21, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2023
Apr 21, 2023	K-0932	Meet other general requirements. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2023
Apr 21, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	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 May 10, 2023
Apr 21, 2023	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	Corrected May 10, 2023
Apr 21, 2023	F-0712	Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	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 May 10, 2023
Apr 21, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	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 10, 2023
Apr 21, 2023	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 10, 2023
Apr 21, 2023	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 10, 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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.9

Quality measuresstate 3.7

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.15

State avg 5.13US avg 3.90

Registered nurse (RN)0.41

State avg 0.76US avg 0.69

Licensed practical nurse0.87

State avg 0.89US avg 0.86

Nurse aide3.86

State avg 3.48US avg 2.35

Weekend total nurse4.55

State avg 4.56US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.22 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover27.6%

State avg 43.5%US avg 45.3%

Registered nurse turnover28.6%

State avg 49.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Oct 17, 2025
Cycle 1 health score: 8
Total weighted score: 14

Operating entity

CMS reports the legal business name as not available.

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

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.

No ownership disclosures in the CMS Ownership file for this CCN.

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4254 Weathers 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
Windsor Health and Rehabilitation 820 Cottage Street NE, Salem, OR 97301 CCN 385224	3.9 km	100	Jul 13, 2026	441 harm	$14k
Keizer Nursing and Rehabilitation 4062 Arleta Avenue NE, Keizer, OR 97303 CCN 385241	5.3 km	49	Dec 17, 2025	461 harm	—
Salem Transitional Care 3445 Boone Road SE, Salem, OR 97317 CCN 385234	7 km	80	Jul 24, 2026	422 harm	$23k
Avamere Court at Keizer 5210 River Road N., Keizer, OR 97303 CCN 385233	7.3 km	69	Sep 19, 2025	34	—
Avamere Transitional Care at Sunnyside 4515 Sunnyside Road SE, Salem, OR 97302 CCN 385189	7.8 km	88	Aug 24, 2026	52	—
Mt Angel Health and Rehabilitation 540 South Main Street, Mount Angel, OR 97362 CCN 385018	19.4 km	93	Jun 5, 2026	382 harm	$42k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	38E075	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	38E075	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 38E075

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