Smaller home · May offer a more intimate, personalized care environment.
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.
Community insights.
About this community
Tierra Rose Care Center is administered by Colleen Rees.
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.
Includes all inspection records for this property, which could include management/ownership changes. 94 deficiencies 10 inspections
Inspection Scorecard
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
• Total deficiencies (194% above)
• Deficiencies per inspection (95% above) 0 Better No metrics in this bucket.
Deficiencies
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This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
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Total deficiencies
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94 | 32 | This facility has 194% more total deficiencies than a typical Oregon nursing home (94 vs. OR avg 32).↑ 194% worse |
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Deficiencies per inspection
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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
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This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
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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
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.
Calculate Travel Distance to Tierra Rose Care Center
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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.
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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
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.
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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