Tierra Rose Care Center
Nursing Home · Salem, OR
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Tierra Rose Care Center
Nursing Home · Salem, OR
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Tierra Rose Care Center is a 76-bed skilled nursing and intermediate care facility in Salem, Oregon, administered by Colleen Rees and operated by CML, Inc., a voluntary non-profit organization affiliated with a church. The facility has operated for over 32 years, licensed since December 6, 1993. The occupancy rate stands at approximately 95 percent with 72 occupied beds out of 76 licensed beds and an average daily census of 72 residents. The facility’s license is active and CMS certified. The facility accepts Medicare and Medicaid.
Tierra Rose holds a CMS Overall rating of 2 out of 5 stars, below Oregon’s state average of 3.1. Health Inspection rating is 2 out of 5 (Oregon average 2.9) and Quality Measures rating is 2 out of 5 (Oregon average 3.5). The facility’s primary strength is staffing, earning 4 out of 5 stars, above Oregon’s average of 3.7. Nursing time averages 5 hours and 23 minutes per resident per day, approximately 4 percent above the Oregon average of 5 hours 12 minutes.
The Oregon Department of Human Services, Aging and People with Disabilities conducted 10 inspections, with the most recent completed November 13, 2025. The facility recorded 73 citations and 94 deficiencies across its inspection history, both figures above Oregon averages of 27 and 31 respectively. No CMS fines and no severe citations appear in the record. The inspection record reflects a pattern of compliance challenges alongside a notably strong staffing profile, warranting direct conversation with facility leadership.
Tierra Rose provides 24-hour skilled nursing care with a doctor on staff and rehabilitation services. The facility is licensed as an Intermediate Care (Nursing) Facility, appropriate for residents whose needs exceed assisted living but do not require acute hospital-level care. The physical environment includes private and semi-private rooms, cable television in common areas, a beauty and barber shop, private dining rooms for family gatherings, and landscaped grounds with walking paths. Three daily meals and lifestyle programming are provided.
Tierra Rose Care Center suits seniors requiring consistent skilled nursing support in a non-profit, church-affiliated, community-focused setting. The above-average staffing level is a meaningful differentiator. However, the below-average ratings in health inspection and quality measures, combined with inspection deficiencies above state averages, warrant careful verification. Families should ask administrators directly about the nature and scope of cited deficiencies in health inspection and quality measure areas, and should verify staffing continuity and staff training protocols before placement.
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 breakdown
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.
Total nursing care / resident
This home is ranked 25th out of 79 homes in Oregon.
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.
This home is ranked 25th out of 79 homes in Oregon.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 per day
Rank #25 / 79Nurse hours — State benchmarkedThis home is ranked 25th out of 79 homes in Oregon.Shows adjusted nurse hours per resident per day benchmarked to the Oregon average, with a ranking across 79 Oregon SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Oregon avg
+4%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 31m per day |
76-bed community Rank #45 / 82Bed count — State benchmarkedThis home is ranked 45th out of 82 homes in Oregon.Shows this facility's certified or reported bed count compared to other Oregon SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
32 years in operation Rank #6 / 70Years in operation — State benchmarkedThis home is ranked 6th out of 70 homes in Oregon.Shows how long this facility has been in operation compared to other Oregon SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 50 / 100 Rank #57 / 79Walk Score — State benchmarkedThis home is ranked 57th out of 79 homes in Oregon.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Oregon SNFs. Higher scores benefit residents, families, and staff.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.
About this community
Facility TypeNf Only
StatusActive
IssuanceDecember 6, 1993
CountyMarion
Tierra Rose Care Center is administrated by Colleen Rees.
Owner NameCml, Inc.
Rehabilitation Services
Doctor on Staff
24-Hour Staffing
Intermediate Care (Nursing) Facility
Email
[email protected]
Fax(503) 585-7304
Beautifully Decorated And Spacious Building
Private And Semi-Private Rooms
Cable Tv In Common Areas
Park-Like Setting With Fountains
Pond
And Walking Paths
Private Dining Rooms For Family Events
Beauty/Barber Shop
Specific ProgramsCare Settings, News
Food DescriptionThree meals a day provided.
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.
Since 2021 · 5 years of data
73 deficiencies
10 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2021 vs. Oregon state average
Latest Inspection
November 13, 2025
Deficiencies
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 73 | 31 | This facility has 135% more total deficiencies than a typical Oregon nursing home (73 vs. OR avg 31). Click this badge to view the full Oregon ranking.↑ 135% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 14.6 | 6.2 | This facility has 135% more deficiencies per year than a typical Oregon nursing home (14.6 vs. OR avg 6.2). Click this badge to view the full Oregon ranking.↑ 135% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 7.3 | 4.4 | This facility has 66% more deficiencies per inspection than a typical Oregon nursing home (7.3 vs. OR avg 4.4). Click this badge to view the full Oregon ranking.↑ 66% worse |
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Oregon nursing home (10 vs. OR avg 7). Click this badge to view the full Oregon ranking.↑ 43% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 13, 2025, found no deficiencies during the complaint and re-licensure survey. Earlier inspections showed a pattern of deficiencies related mainly to pressure ulcer treatment, infection prevention and control, medication storage, and resident care issues such as accident hazard supervision and comprehensive care planning. Complaint investigations were generally unsubstantiated or resulted in deficiencies that were corrected promptly; no fines, license suspensions, or enforcement actions were listed in the available reports. Prior reports included an immediate jeopardy finding in March 2022 related to resident safety concerns, which was abated. The inspection history indicates improvement over time, with recent surveys showing no deficiencies after earlier periods of multiple citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
Financial Assistance for
Nursing Home in Oregon
Tierra Rose Care Center is located in Salem, Oregon.
Here are the financial assistance programs available to residents in Oregon.
Places of interest near Tierra Rose Care Center
2.0 miles from city center
Estimated distance in miles from Salem's city center to Tierra Rose Care Center's address, calculated via Google Maps.
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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.
Compare Nursing Home around Salem
The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
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Frequently Asked Questions about Tierra Rose Care Center
Who is the owner of Tierra Rose Care Center?
The legal owner and operator of Tierra Rose Care Center is Cml, Inc..
Is Tierra Rose Care Center in a walkable area?
Tierra Rose Care Center has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the best email address for Tierra Rose Care Center?
The team at Tierra Rose Care Center can be reached at [email protected].
Who is the administrator of Tierra Rose Care Center?
Colleen Rees is the administrator of Tierra Rose Care Center.
How many beds does Tierra Rose Care Center have?
Tierra Rose Care Center has 76 beds.
Has Tierra Rose Care Center had any recent deficiencies or citations?
Tierra Rose Care Center has had 73 recently reported deficiencies.
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.
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