Tierra Rose Care Center
Nursing Home, Assisted Living, Memory Care, Residential Care & Skilled Nursing · Salem, OR
CMS overall rating Info 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 Info 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

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 33.3% Below OR avg. ▼ 33.3% Below OR avg.OR average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 27.6% Below OR avg. ▼ 27.6% Below OR avg.OR average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 7.7% Above OR avg. ▲ 7.7% Above OR avg.OR average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 41.9% Below OR avg. ▼ 41.9% Below OR avg.OR average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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

Rank #27 / 79Nurse hours — State benchmarkedThis home is ranked 27th out of 79 homes we track in Oregon for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Oregon average, with a ranking across 79 Oregon facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.

Total nursing care Info 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 avg
Staff type
Hours / day / resident
vs state avg
Weekend Total Nursing Info 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
−3% State avg: 4h 51m per day · National avg: 3h 30m per day

All 1 underlying metrics fall below the state average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 76 Rank #48 / 94Bed count — State benchmarkedThis home is ranked 48th out of 94 homes we track in Oregon for bed count. Shows this facility's certified or reported bed count compared to other Oregon facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #11 / 85Years in operation — State benchmarkedThis home is ranked 11th out of 85 homes we track in Oregon for years in operation. Shows how long this facility has been in operation compared to other Oregon facilities. Longer operating histories may 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.
32 years
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #71 / 100Walk Score — State benchmarkedThis home is ranked 71st out of 100 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.
50 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
72

About this community

License Details

Facility TypeNursing Facility
StatusActive
IssuanceDecember 6, 1993
CountyMarion

Ownership & Operating Entity

Tierra Rose Care Center is administered by Colleen Rees.

Owner NameCml, Inc

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Intermediate Care (Nursing) Facility

Contact Information

Fax(503) 585-7304

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Cable Tv
Pond
Walking Paths
Dining
Salon
Park-Like Setting With Fountains

Contact Tierra Rose Care Center

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 These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
94 deficiencies 10 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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
Overall vs. OR average 2 Worse Metrics worse than Oregon average:
• Total deficiencies (194% above)
• Deficiencies per inspection (95% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility OR Average vs. OR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 94 32 This facility has 194% more total deficiencies than a typical Oregon nursing home (94 vs. OR avg 32).↑ 194% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.4 4.81 This facility has 95% more deficiencies per inspection than a typical Oregon nursing home (9.4 vs. OR avg 4.81).↑ 95% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This Facility OR Average vs. OR Avg
Total inspections Info Combined count of all inspections conducted at this facility. 10 7 This facility has had 43% more total inspections than the Oregon average (10 vs. OR avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 43% more

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

Address 2.0 miles from city center Info 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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Address

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-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
2 71 -
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 3 on this page. See how we rank facilities

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.

Get Financial aid guidance

Oregon Project Independence (OPI)

OPI

Age 60+
General Oregon resident, at risk of nursing home but not Medicaid-eligible.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OR

Cost-sharing required; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled
General Oregon resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OR

High demand in urban areas (e.g., Portland).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+
General OR resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OR

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled
General OR resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OR

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
OR

15 regions; rural priority; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OR resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OR

High veteran demand; Oregon Veterans’ Homes option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+
General OR resident, homeowner 5+ years, low-income.
Income Limits (2025) ~$58,000/year household, adjusted annually
Asset Limits Home value < county median; equity > 15%.
OR

Deferred taxes accrue 6% interest; repaid upon sale/death.

Benefits
Tax deferral (~$1,000-$3,000/year avg., varies by county)

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+
General OR resident (or spouse of any age); no income limit.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
OR

Includes Meals on Wheels; prioritizes homebound/low-income.

Benefits
Home-delivered or congregate meals (~$5-$7/meal value, 5 meals/week avg.)

Frequently Asked Questions about Tierra Rose Care Center

Who is the owner of Tierra Rose Care Center?

Tierra Rose Care Center is legally operated by Cml, Inc., and administered by Colleen Rees.

Is Tierra Rose Care Center in a walkable area?

Tierra Rose Care Center has a walk score of 50. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

How long has Tierra Rose Care Center been in business?

Tierra Rose Care Center has been operating for approximately 32 years, based on available licensing and registration records.

Are pets allowed at Tierra Rose Care Center?

No, Tierra Rose Care Center has a no-pet policy.

What is the best email address for Tierra Rose Care Center?

The team at Tierra Rose Care Center can be reached at crees@tierrarose.com.

Who is the administrator of Tierra Rose Care Center?

Colleen Rees is the administrator of Tierra Rose Care Center.

What is the overall rating for Tierra Rose Care Center?

Tierra Rose Care Center received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

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