Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WINDSOR HEALTH AND REHABILITATION
SALEM, OR · 100 certified beds · Last Life Safety survey July 13, 2026
CMS Certification Number 385224 · first certified July 1991
Ownership
Operated by EVERGREEN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed August 31, 2023 (change of ownership)to WINDSOR HEALTH & REHABILITATION CENTER from EVERGREEN OREGON HEALTHCARE SALEM, L.L.C.
Position within OR
8 citations — more than 22% 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
The latest survey found 2 citations; the earlier surveys on file averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens October 2027 — about 11 months from now. This facility’s last Life Safety survey was July 2026. 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 about three years in Virginia. How the window is measured
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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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
3 of the 8 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 8 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in OR | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 16, 2023 | 0 |
| March 14, 2025 | 6 |
| July 13, 2026 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2026-07-13 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-03-14 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2025-03-14 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2026-07-13 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2025-03-14 |
| E-0013 | Develop Emergency Preparedness policies and procedures. | 1 | 2025-03-14 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2025-03-14 |
What the citations cover
- Miscellaneous Deficiencies 3
- Emergency Preparedness Deficiencies 3
- Smoke Deficiencies 2
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 3 |
| Smoke Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 13, 2026 — 2 citations
March 14, 2025 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (April 11, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (April 11, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 11, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 3, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 11, 2025) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (April 11, 2025) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.