Windsor Health And Rehabilitation

Name: Windsor Health And Rehabilitation: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Salem, Marion County, Oregon · CCN 385224 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Windsor Health And Rehabilitation 3 of 5 overall as of August 2026. 100 certified beds, 48 residents a day on average. 20 citations on record from the current inspection cycles; 1 fine totalling $20,910.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★☆☆ 3 of 5
Health inspections	★★★☆☆ 3 of 5
Staffing	★★★☆☆ 3 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	2 / 3 of 5

Staffing

Total nurse staffing	5.07262 hours per resident per day
Registered nurses	0.39194 hours per resident per day
Weekend total	4.50555 hours per resident per day
Nursing staff turnover	51.4% (registered nurses 85.7%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-03-17 complaint survey	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-15
2026-03-17 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-15
2026-02-24 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-31
2026-02-24 complaint survey	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-31
2026-02-24 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-31
2026-02-24 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-31
2025-07-03 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-01
2025-03-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2025-03-14	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-03
2023-11-16	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-12-08
2023-06-02	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-06-21
2023-06-02	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-06-21
2023-06-02	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-06-21

Fines and payment denials

Date	Penalty	Amount
2026-07-13	Fine	$20,910

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Ch Pacific Northwest Holdings LLC Organization	adp of the snf	—	2023-08-31
Couve Financial Services LLC Organization	adp of the snf	—	2025-06-13
Couve Healthcare Consulting LLC Organization	adp of the snf	—	2025-04-04
Oregon Snf Consulting LLC (De) Organization	adp of the snf	—	2025-04-04
Pacific Northwest Opco Management LLC Organization	adp of the snf	—	2025-04-04
Windsor Snf Operations LLC Organization	adp of the snf	—	2025-06-13
Witzcorp Global LLC Organization	adp of the snf	—	2023-08-31
Pacific Northwest Snf Operations Holdings (Or) LLC Organization	direct ownership interest	—	2023-08-31
Ch Pacific Northwest Holdings LLC Organization	indirect ownership interest	—	2023-08-31
Pacific Northwest Snf Operations Holdings LLC Organization	indirect ownership interest	—	2023-08-31
Windsor Snf Operations LLC Organization	indirect ownership interest	—	2023-08-31
Witzcorp Global LLC Organization	indirect ownership interest	—	2023-08-31
Couve Financial Services LLC Organization	operational/managerial control	—	2023-08-31
Couve Healthcare Consulting LLC Organization	operational/managerial control	—	2023-08-31
Oregon Snf Consulting LLC (De) Organization	operational/managerial control	—	2023-08-31
Pacific Northwest Opco Management LLC Organization	operational/managerial control	—	2023-08-31
Windsor Snf Operations LLC Organization	operational/managerial control	—	2023-08-31
Cabaneros, Cecille Individual	adp of the snf	—	2023-08-31
Cepeda, Mylene Individual	adp of the snf	—	2023-08-31
Henning, Tracey Individual	adp of the snf	—	2023-08-31
Herzka, Yisroel Individual	adp of the snf	—	2023-08-31
Morris, Christopher Individual	adp of the snf	—	2023-08-31
Odenthal, Jason Individual	adp of the snf	—	2023-08-31
Spielman, Shimon Individual	adp of the snf	—	2023-08-31
Yenowitz, Yitzchok Individual	adp of the snf	—	2023-08-31
Herzka, Yisroel Individual	indirect ownership interest	—	2023-08-31
Yenowitz, Yitzchok Individual	indirect ownership interest	—	2023-08-31
Cepeda, Mylene Individual	managing control - governing body	—	2023-08-31
Odenthal, Jason Individual	managing control - governing body	—	2023-08-31
Cabaneros, Cecille Individual	operational/managerial control	—	2023-08-31
Cepeda, Mylene Individual	operational/managerial control	—	2023-08-31
Henning, Tracey Individual	operational/managerial control	—	2023-08-31
Morris, Christopher Individual	operational/managerial control	—	2023-08-31
Odenthal, Jason Individual	operational/managerial control	—	2023-08-31
Spielman, Shimon Individual	operational/managerial control	—	2023-08-31
Yenowitz, Yitzchok Individual	operational/managerial control	—	2023-08-31

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Health And Rehabilitation.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marion County.