Tierra Rose Care Center
Nursing Home, Assisted Living, Memory Care, Residential Care & Skilled Nursing · Salem, OR
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tierra Rose Care Center
Nursing Home, Assisted Living, Memory Care, Residential Care & Skilled Nursing · Salem, OR
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Oregon averages
Total nursing care
This home is ranked 27th out of 79 homes we track in Oregon for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 23m
3% above state avgStaff type
Hours / day / resident
vs state avg
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 44m
Avg State avg: 4h 50m per day · National avg: 3h 30m per day
0 of 1 metrics below state avg
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
76
Residents per day (avg)
72
Walk Score: 52 / 100 Rank #271 / 462Walk Score — State benchmarkedThis home is ranked 271st out of 462 homes we track in Oregon for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Oregon facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Oregon that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rehabilitation Services
Short-Term Rehab
24-Hour Staffing
Intermediate Care
Cable Tv
Pond
Walking Paths
Dining
Salon
Park-Like Setting With Fountains
Specific ProgramsIntermediate Care Facility, Rehabilitation & Restorative Services, Activity Program, Laundry & housekeeping services, Medical Director on staff
Inspection History
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Places of interest near Tierra Rose Care Center
3.2 miles from city center
Estimated distance in miles from Salem's city center to Tierra Rose Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Tierra Rose Care Center
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Compare Nursing Homes around Salem
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 to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avamere Court at Keizer | NH AL IL RESC RC SNF | Keizer | 69
Facility
69
OR AVG
67
Rank
#147 / 350 |
75.4%
Facility
75.4%
OR AVG
74.7
Rank
#36 / 69 | +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
56
Rank
#108 / 462 | Ari Cbc 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
67
Rank
#79 / 350 |
85.0%
Facility
85.0%
OR AVG
74.7
Rank
#23 / 69 | +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 | 53
Facility
53
OR AVG
34.0
Rank
#67 / 78 | 7.6
Facility
7.6
OR AVG
6.9
Rank
#51 / 78 | - | 75 | - |
78
Facility
78
OR AVG
56
Rank
#96 / 462 | Amanda Ingraham | $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
67
Rank
#104 / 350 |
88.8%
Facility
88.8%
OR AVG
74.7
Rank
#16 / 69 | +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 | 29
Facility
29
OR AVG
34.0
Rank
#32 / 78 | 3.6
Facility
3.6
OR AVG
6.9
Rank
#7 / 78 | 2 | 71 | - |
77
Facility
77
OR AVG
56
Rank
#103 / 462 | Tyler Bolin | $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 |
Financial Assistance for
Nursing Home in Oregon
Tierra Rose Care Center is located in NE Salem, Oregon.
Here are the financial assistance programs available to residents in Oregon.
Frequently Asked Questions about Tierra Rose Care Center
Is Tierra Rose Care Center in a walkable area?
Tierra Rose Care Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Are pets allowed at Tierra Rose Care Center?
No, Tierra Rose Care Center has a no-pet policy.
Does Tierra Rose Care Center operate as a for-profit or non-profit?
Tierra Rose Care Center is registered as a non-profit.
Are there photos of Tierra Rose Care Center?
Yes — there are 5 photos of Tierra Rose Care Center in the photo gallery on this page.
What is the address of Tierra Rose Care Center?
Tierra Rose Care Center is located at 4254 Weathers Street Ne, Salem, OR 97301.
What is the phone number of Tierra Rose Care Center?
(503) 585-4602 will put you in contact with the team at Tierra Rose Care Center.
Is Tierra Rose Care Center Medicare or Medicaid certified?
Tierra Rose Care Center is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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