8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Salem, OR
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
4515 Sunnyside Road Se, Salem, OR
(503) 370-8284
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1989-01-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.53
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.59
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.28
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.75
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
5.68
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,033
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.84
Composite VBP score used to determine payment impact.
Payment multiplier
1.0160
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.39
Baseline 60.21% · Performance 45.75% · Measure score 4.39 · Achievement 4.39 · Improvement 3.59
Adjusted total nurse staffing
7.78
Baseline 4.64 hours · Performance 5.29 hours · Measure score 7.78 · Achievement 7.78 · Improvement 5.21
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 6.98% |
| Discharge to community | 57.81% |
50.57%
7.2 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 51.52% · Lower 95% interval 42.85% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.06% |
95.27%
1.8 pts better
|
Numerator 33 · Denominator 34 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 34 |
| Discharge self-care score | 47.83% |
53.69%
5.9 pts worse
|
Numerator 11 · Denominator 23 |
| Discharge mobility score | 73.91% |
50.94%
23 pts better
|
Numerator 17 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 33 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 4.59% |
8.2%
3.6 pts worse
|
Numerator 5 · Denominator 109 |
| Staff flu vaccination coverage | 19.83% |
42%
22.2 pts worse
|
Numerator 23 · Denominator 116 |
| Discharge function score | 73.91% |
56.45%
17.5 pts better
|
Numerator 17 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
95.5%
1.5 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 98.3% · Q3 100.0% · Q4 100.0% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
95.2%
3.3 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
2.4%
1.1 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
4.7%
1.5 pts worse
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.5% · Q3 7.1% · Q4 7.7% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
5.0%
0.9 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.5% · Q3 1.9% · Q4 3.5% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.7% |
12.5%
3.2 pts worse
|
19.6%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 15.1% · Q3 13.0% · Q4 21.1% · 4Q avg 15.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
14.7%
0.6 pts worse
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 14.6% · Q3 12.2% · Q4 13.0% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.1% |
24.1%
7 pts worse
|
16.3%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 26.1% · 4Q avg 31.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.8% |
15.8%
2 pts better
|
14.9%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 13.7% · Q3 24.5% · Q4 9.1% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
1.7%
About the same
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.3% · Q3 0.0% · Q4 3.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
2.0%
1.1 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
22.2%
0.4 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 29.8% · Q3 17.4% · Q4 21.0% · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 9.7% |
6.5%
3.2 pts worse
|
5.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 12.3% · Q3 1.8% · Q4 10.4% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.8% |
85.4%
7.6 pts worse
|
81.7%
3.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.8% · Q2 74.5% · Q3 76.5% · Q4 84.1% · 4Q avg 77.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
15.1%
1.5 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 19.2% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.7%
0.1 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 4.0% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.2% |
81.2%
18 pts worse
|
79.7%
16.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.1% |
21.6%
8.5 pts better
|
23.9%
10.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 15.4% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-07-01
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-07-01
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-07-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-01
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-01
Fire Safety
Meet other general requirements.
Corrected 2025-07-01
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-07-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-12
Fire Safety
Install noncombustible or limited-combustible interior walls.
Corrected 2022-12-06
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-12-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-09
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-12-06
Inspection history
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-07-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-01
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-01
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-07-01
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-01
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-01
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-11
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-02-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-12
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-03-12
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-12
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-12
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-03-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-12
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2023-10-19
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-10-19
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-10-19
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-10-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-19
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-19
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-10-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-19
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-10-19
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-10-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-19
Health
Keep all essential equipment working safely.
Corrected 2023-10-19
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-12-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-06
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-12-06
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-12-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-06
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-12-06
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-12-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-06
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-12-06
Health
Provide or obtain dental services for each resident.
Corrected 2022-12-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Salem, OR
2-star overall rating with 2-star inspections with $22,523 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Salem, OR
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Salem, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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