WINDSOR SNF OPERATIONS LLC

SALEM, OR · Marion County · For profit - Limited Liability company · 100 certified beds

📍 820 Cottage Street Ne, Salem, OR 97301  ·  📞 (503) 399-1135

Medicare ID: 385224  ·  Last Medicare inspection: Feb 24, 2026

Overall Safety Score
69
out of 100
Fair
Component Scores
60
Inspection
59
Staffing
✓ Clean
Enforcement
75
Complaints
48
Quality
📋 Last inspected: February 24, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
60
Staffing
59
Enforcement
100
Complaints
75
Quality Outcomes
48

What the numbers mean

WINDSOR SNF OPERATIONS LLC scored 69 out of 100 — near the state average.

📋 Inspections: 18 citations over the last 36 months — 8 fewer than the state average (26). None were rated as causing actual harm to residents. 1 finding recurred across inspection cycles — indicating a problem that was not fixed.

⚠️ Staffing: Staffing levels are below average. Lower staffing is associated with longer response times, more pressure injuries, and higher hospitalization rates. Ask the facility directly about their RN-to-resident ratio and how they handle shortfalls.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

💬 Complaints: Some complaint-driven inspections have occurred. These are unannounced visits triggered by formal concerns from residents, families, or staff. Ask the facility how they handle resident grievances.

⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.

What inspectors found (last 3 surveys)

18
Total citations
State avg: 26.2
0
Serious (G+)
State avg: 1.2
1
Repeat findings

Top concern areas

18

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
📊
Enforcement score: 100/100 — above the state average of 67/100 — relatively better than peer facilities. This is a positive indicator — limited enforcement history compared to peer facilities.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
3.6% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
35.6% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
28.2% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
18.2% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 19 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 7, 2026.