WINDSOR HEALTH AND REHABILITATION

CCN 385224 · WINDSOR SNF OPERATIONS LLC · For profit - Limited Liability company · EVERGREEN HEALTHCARE GROUP chain · 100 certified beds · Marion · OR


With 100 certified beds in SALEM, Oregon, WINDSOR HEALTH AND REHABILITATION has been a Medicare and Medicaid provider since 1991-07-03, averaging 47.7 residents a day.

Has WINDSOR HEALTH AND REHABILITATION been cited for violations?

CMS lists 20 health-inspection deficiencies for WINDSOR HEALTH AND REHABILITATION since 2023-06-02, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-03-17.

Survey dateTagDeficiencySeverity
2026-03-17F0558, F0697Reasonably accommodate the needs and preferences of each resident. / Provide safe, appropriate pain management for a resident who requires such services.D
2026-02-24F0600, F0603, F0609, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-07-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-03-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-14F0730Observe each nurse aide's job performance and give regular training.E
2025-03-14F0657, F0690, F0694, F0758, F0761, F0880, F0883Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / 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. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-11-16F0880Provide and implement an infection prevention and control program.E
2023-06-02F0684, F0695, F0756Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D

Why was WINDSOR HEALTH AND REHABILITATION fined?

DateTypeAmount
2026-07-13Fine$20,910

How is WINDSOR HEALTH AND REHABILITATION staffed?

MeasureThis facilityOR average
Total nurse staffing hours per resident per day5.072625.03143
Total nursing staff turnover (%)51.447.4
Average number of residents per day47.758.1

Who owns WINDSOR HEALTH AND REHABILITATION, and what chain is it in?

WINDSOR HEALTH AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name WINDSOR SNF OPERATIONS LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTPACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLCsince 08/31/2023
INDIRECT OWNERSHIP INTERESTCH PACIFIC NORTHWEST HOLDINGS LLC, PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC, WINDSOR SNF OPERATIONS LLC, WITZCORP GLOBAL LLC, HERZKA, YISROEL, YENOWITZ, YITZCHOKsince 08/31/2023
MANAGING CONTROL - GOVERNING BODYCEPEDA, MYLENE, ODENTHAL, JASONsince 08/31/2023
OPERATIONAL/MANAGERIAL CONTROLCOUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, OREGON SNF CONSULTING LLC (DE), PACIFIC NORTHWEST OPCO MANAGEMENT LLC, WINDSOR SNF OPERATIONS LLC, CABANEROS, CECILLE, CEPEDA, MYLENE, HENNING, TRACEY, MORRIS, CHRISTOPHER, ODENTHAL, JASON, SPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 08/31/2023
ADP OF THE SNFCH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, OREGON SNF CONSULTING LLC (DE), PACIFIC NORTHWEST OPCO MANAGEMENT LLC, WINDSOR SNF OPERATIONS LLC, WITZCORP GLOBAL LLC, CABANEROS, CECILLE, CEPEDA, MYLENE, HENNING, TRACEY, HERZKA, YISROEL, MORRIS, CHRISTOPHER, ODENTHAL, JASON, SPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 04/04/2025

Were you or a family member harmed at WINDSOR HEALTH AND REHABILITATION?