Best Nursing Homes in Salem, OR

Why trust this guide? Our editorial team analyzed 5 nursing homes in Salem, OR using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in OR
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We analyzed These are the facilities in Salem, OR our team has analyzed — not a count of every nursing home provider in Salem, OR.
5 homes
Other senior care options in Salem:
Avg Overall CMS Rating: 2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Salem, OR. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Salem, OR. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.7/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Salem, OR. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Salem (Metro Area)

Info below is compiled from CMS reports & the OR Dept. of Human Services (ODHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Oregon average is: 49.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Avamere Court at Keizer
NH
AL
IL
RESC
RC
SNF
Keizer
69
Facility 69
OR AVG 77
Rank #55 / 94
75.4%
Facility 75.4%
OR AVG 74.9%
Rank #36 / 67
+1%
4.79
Facility 4.79
OR AVG 5.24
Rank #64 / 79
-56%-9%
$0
Facility $0
OR AVG $62.3k
Rank #1 / 84
18
Facility 18
OR AVG 34.0
Rank #17 / 78
6.0
Facility 6.0
OR AVG 6.9
Rank #38 / 78
-52-
76
Facility 76
OR AVG 61
Rank #33 / 100
Keizer Campus Operations, LLC
$12.9MFiscal year ending 12/2023
Facility $12.9MFiscal year ending 12/2023
OR AVG $11.5M
Rank #19 / 64
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
OR AVG $5.7M
Rank #20 / 64
48.8%Fiscal year ending 12/2023
Facility 48.8%Fiscal year ending 12/2023
OR AVG 49.5%
Rank #31 / 64
385233
Avamere Transitional Care at Sunnyside
NH
RC
SNF
Salem (Morningside)
88
Facility 88
OR AVG 77
Rank #33 / 94
85.0%
Facility 85.0%
OR AVG 74.9%
Rank #23 / 67
+14%
5.83
Facility 5.83
OR AVG 5.24
Rank #16 / 79
-47%+11%
$0
Facility $0
OR AVG $62.3k
Rank #1 / 84
52
Facility 52
OR AVG 34.0
Rank #67 / 78
8.7
Facility 8.7
OR AVG 6.9
Rank #51 / 78
-75-
78
Facility 78
OR AVG 61
Rank #30 / 100
Sunnyside Operations, LLC
$12.1MFiscal year ending 12/2023
Facility $12.1MFiscal year ending 12/2023
OR AVG $11.5M
Rank #25 / 64
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
OR AVG $5.7M
Rank #28 / 64
46.6%Fiscal year ending 12/2023
Facility 46.6%Fiscal year ending 12/2023
OR AVG 49.5%
Rank #41 / 64
385189
Salem Transitional Care
NH
SNF
Se Salem
80
Facility 80
OR AVG 77
Rank #44 / 94
88.8%
Facility 88.8%
OR AVG 74.9%
Rank #16 / 67
+19%
4.34
Facility 4.34
OR AVG 5.24
Rank #76 / 79
-15%-17%
$22.5k
Facility $22.5k
OR AVG $62.3k
Rank #55 / 84
30
Facility 30
OR AVG 34.0
Rank #32 / 78
3.8
Facility 3.8
OR AVG 6.9
Rank #7 / 78
271-
77
Facility 77
OR AVG 61
Rank #32 / 100
South Salem Rehabilitation, LLC
$14.4MFiscal year ending 12/2023
Facility $14.4MFiscal year ending 12/2023
OR AVG $11.5M
Rank #14 / 64
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
OR AVG $5.7M
Rank #22 / 64
40.5%Fiscal year ending 12/2023
Facility 40.5%Fiscal year ending 12/2023
OR AVG 49.5%
Rank #61 / 64
385234

Rank badges are statewide: each nursing home is ranked against every OR nursing home we track that reports that metric, not just the 5 analyzed for Salem. See how we rank facilities

Overview of Avamere Court at Keizer

Avamere Court is a nursing home that continues to show that whatever category of living their residents are situated in, they are provided with quality healthcare. The nursing home ensures that residents enhance their lives with care and ease with personalized care that caters specifically to their needs. The lifestyle promoted in the community provides an environment where residents are able to celebrate their individuality and independence. Avamere Court is where residents can relax and recover. 
Avamere Court at Keizie specializes in skilled nursing, rehabilitation, long-term care, and respite care; they also provide services for independent living communities. 

Contact Avamere Court at Keizer

Overview of Avamere Transitional Care at Sunnyside

Avamere at Transitional Care is a nursing home in Avamere that continues to show that whatever category of living their residents are situated in, they are provided with quality healthcare. The nursing home ensures that residents enhance their lives with care and ease with personalized care that caters specifically to their needs. The lifestyle promoted in the community provides an environment where residents are able to celebrate their individuality and independence. Avamere Transitional Care is where residents can relax and recover. 
Avamere Transitional Care at Sunnyside specializes in skilled nursing, rehabilitation, long-term care, and respite care. 

Contact Avamere Transitional Care at Sunnyside

Overview of Salem Transitional Care

Under Tyler Bolin’s ownership and administration, Salem Transitional Care is an 80-bed nursing home in Salem, Oregon. Operated by South Salem Rehabilitation, LLC, it sits at 3445 Boone Road Southeast in a neighborhood with a Walk Score of 77. Most errands and many essentials are then walkable.

With 57 residents in its 80 beds, the home currently maintains a 71 percent occupancy rate. This moderate census level reflects a stable, established operation within Salem’s care community. Staffing support is a core component of the facility’s daily operations. On average, residents get a total of roughly 5 hours of nursing care per day, broken down as 41 minutes of registered nurse time, 3 hours 23 minutes of nurse aide support, and 1 hour 29 minutes of LPN/LVN care. This structure ensures 24/7 skilled nursing coverage for occupants needing post-acute rehabilitation, active medical management, or long-term care. Medicare, Medicaid, and private pay are accepted to give families multiple pathways to cover care costs, making the facility accessible to a wide range of residents.

The facility operates under Oregon’s Department of Human Services, Aging and People with Disabilities’ oversight.

Families thinking of choosing Salem Transitional Care can request more data regarding specific services, amenities, and programs available to occupants.

Contact Salem Transitional Care

Overview of Tierra Rose Care Center

Tierra Rose Care Center provides nursing home, assisted living, memory care, residential care, and skilled nursing in Salem, Oregon. Assisted living supports help with daily tasks while a resident lives in a private or semi private room. Memory care offers a secured and supervised setting for someone living with dementia, while skilled nursing provides professional nursing services around the clock. The range of care types may be a good fit for a resident whose needs change over time or who needs supervised memory care.

The community has 76 beds. Private rooms give one resident a room to themselves, while semi private rooms accommodate a roommate. Rehabilitation services allow residents to receive therapy through the community, and a doctor is on staff for physician care within the facility.

Outdoor paths, fountains, and a pond give residents space to walk outside, while private dining rooms can host family events. A beauty and barber shop provides personal grooming services on site. Colleen Rees serves as administrator, and Cml operates the community. The area is somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to handle selected nearby trips independently.

Contact Tierra Rose Care Center

Overview of Tierra Rose Care Center

At 4254 Weathers Street NE in Salem, Marion County, Tierra Rose Care Center has been running as a nursing facility for 32 years. The 76-bed community is operated by CML, Inc. and administered by Colleen Rees. It sits about 2 miles from Salem’s city center, in a moderately walkable neighborhood with a Walk Score of 50.

The care structure is intermediate nursing: 24-hour staffing, a doctor on staff, and rehabilitation services, with total nursing hours at 5 hours and 23 minutes per resident per day. That figure reflects a staffing model oriented toward residents with ongoing care needs rather than high-intensity acute episodes.

A park setting with fountains, a pond, and walking paths gives the physical environment more texture than most comparable buildings. Residents have private and semi-private rooms, access to a beauty/barber shop, and a private dining room available for family visits. Three meals are provided daily.

State inspections have touched on medication management, infection control, staffing credentials, environmental safety, and care planning. The Oregon Department of Human Services, Aging and People with Disabilities performs the oversight.

Tierra Rose Care Center is a long-tenured Salem nursing facility with outdoor grounds that stand out at this care level. Families considering it for a loved one needing sustained daily nursing support will find a physically comfortable setting with a track record long enough to have generated a real compliance history.

Contact Tierra Rose Care Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Salem, OR

What's the difference between assisted living and a nursing home in Oregon?

Assisted living in Oregon is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Oregon Medicaid cover nursing home care?

Yes — Oregon Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 5 nursing homes in Salem, OR. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Salem, OR?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Salem, OR, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Salem, OR?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.