Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TIERRA ROSE CARE CENTER

SALEM, OR · 76 certified beds · Last Life Safety survey October 17, 2025

CMS Certification Number 38E075 · first certified April 1980

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Rosewood Court Residential Care (4254 Weathers Street Ne). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within OR

13 citations — more than 58% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was October 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 13 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.

This facility13OR median11National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in OR11
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-04102024-0602025-10
Citations at each Life Safety survey
Survey dateCitations
April 21, 20233
June 28, 202410
October 17, 20250

Most-cited tags

Most-cited tags at this facility
K-03532K-02911K-09321K-09201K-03451E-00131K-03411E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-06-28
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-06-28
K-0932Meet other general requirements.12023-04-21
K-0920Ensure proper usage of power strips and extension cords.12023-04-21
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-06-28
E-0013Develop Emergency Preparedness policies and procedures.12024-06-28
K-0341Install a fire alarm system that can be heard throughout the facility.12024-06-28
E-0039Conduct testing and exercise requirements.12024-06-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 28, 2024 — 10 citations

Citations issued on June 28, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (August 17, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (August 17, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 17, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 17, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (August 17, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 17, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 17, 2024)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 17, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 17, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 17, 2024)

April 21, 2023 — 3 citations

Citations issued on April 21, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 16, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 16, 2023)
K-0932Meet other general requirements.Deficient, Provider has date of correction (May 16, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.