Cycle 1
Health 2025-04-15 · Fire 2025-04-15
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Salem, OR
Salem Transitional Care
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
3445 Boone Road Se, Salem, OR
(503) 576-3000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1993-04-01
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
Hours and turnover
RN hours / resident day
0.62
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.23
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.24
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
2.01
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.64
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
4.82
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
590
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.92
Composite VBP score used to determine payment impact.
Payment multiplier
1.0206
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.58
Baseline 15.74% · Performance 17.92% · Measure score 7.58 · Achievement 7.58 · Improvement 0
Healthcare-associated infections
8.31
Baseline 5.48% · Performance 5.35% · Measure score 8.31 · Achievement 8.31 · Improvement 2.06
Total nurse turnover
4.71
Baseline 50.51% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 1.86
Adjusted total nurse staffing
6.18
Baseline 4.88 hours · Performance 4.84 hours · Measure score 6.18 · Achievement 6.18 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.69% |
10.72%
3 pts better
|
Better than the National Rate · Eligible stays 325 · Observed rate 4.92% · Lower 95% interval 5.86% |
| Discharge to community | 74.01% |
50.57%
23.4 pts better
|
Better than the National Rate · Eligible stays 357 · Observed rate 71.99% · Lower 95% interval 69.82% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.59% |
95.27%
4.3 pts better
|
Numerator 244 · Denominator 245 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 245 |
| Discharge self-care score | 50.81% |
53.69%
2.9 pts worse
|
Numerator 94 · Denominator 185 |
| Discharge mobility score | 31.89% |
50.94%
19 pts worse
|
Numerator 59 · Denominator 185 |
| Pressure ulcers or injuries, new or worsened | 3.67% |
2.29%
1.4 pts worse
|
Numerator 9 · Denominator 245 · Adjusted rate 4.45% |
| Healthcare-associated infections requiring hospitalization | 5.35% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 220 · Observed rate 3.64% · Lower 95% interval 3.13% |
| Staff COVID-19 vaccination coverage | 7.14% |
8.2%
1.1 pts worse
|
Numerator 11 · Denominator 154 |
| Staff flu vaccination coverage | 19.35% |
42%
22.6 pts worse
|
Numerator 30 · Denominator 155 |
| Discharge function score | 40.54% |
56.45%
15.9 pts worse
|
Numerator 75 · Denominator 185 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 89 · Denominator 89 |
| Transfer of health information to patient | 98.01% |
96.28%
1.7 pts better
|
Numerator 148 · Denominator 151 |
| Resident COVID-19 vaccinations up to date | 39.84% |
25.2%
14.6 pts better
|
Numerator 49 · Denominator 123 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% |
85.4%
2.4 pts worse
|
81.7%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 83.7% · Q3 83.0% · Q4 81.5% · 4Q avg 83.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
15.1%
2.7 pts better
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 11.6% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.7%
0.8 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.6% · Q3 0.8% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.9% |
81.2%
1.3 pts worse
|
79.7%
0.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
21.6%
0.8 pts worse
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 19.6% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-12 · Fire 2024-01-12
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-04 · Fire 2022-11-04
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-15
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-05-26
F · Potential for more than minimal harm
2025-04-15
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-05-26
F · Potential for more than minimal harm
2025-04-15
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-05-26
F · Potential for more than minimal harm
2025-04-15
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-05-26
F · Potential for more than minimal harm
2025-04-15
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-26
F · Potential for more than minimal harm
2025-04-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-29
D · Potential for more than minimal harm
2025-04-15
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-26
D · Potential for more than minimal harm
2022-11-04
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-29
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-02-26
D · Potential for more than minimal harm
2026-01-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-26
G · Actual harm
2025-04-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-23
E · Potential for more than minimal harm
2025-04-15
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-05-26
E · Potential for more than minimal harm
2025-04-15
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-26
D · Potential for more than minimal harm
2025-04-15
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-26
D · Potential for more than minimal harm
2024-10-17
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-21
D · Potential for more than minimal harm
2024-10-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-21
D · Potential for more than minimal harm
2024-05-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-05-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-11
G · Actual harm
2024-02-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-28
E · Potential for more than minimal harm
2024-01-12
F761 · Pharmacy Service Deficiencies
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 2024-02-21
D · Potential for more than minimal harm
2024-01-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-21
D · Potential for more than minimal harm
2024-01-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-21
D · Potential for more than minimal harm
2024-01-12
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-02-21
D · Potential for more than minimal harm
2024-01-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-21
D · Potential for more than minimal harm
2024-01-12
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-21
D · Potential for more than minimal harm
2023-09-12
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-10-10
E · Potential for more than minimal harm
2022-11-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-04
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-04
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-12-13
D · Potential for more than minimal harm
2022-11-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-13
Penalties and ownership
What sits behind the stars
$22,523
2024-01-12
Fine
Fine · fine $22,523
Fine
Ownership
Nearby options
Other facilities in reach
#1
Avamere Transitional Care At Sunnyside
Salem, OR
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Tierra Rose Care Center
Salem, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Windsor Health & Rehabilitation Center
Salem, OR
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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