Provider Details - Windsor Health And Rehabilitation | Licensed Long-Term Care Settings Search

Windsor Health And Rehabilitation

820 COTTAGE STREET NE
Salem, OR 97301

(503) 399-1135

Administrator name: Mary Ann Lagazon

ID: 385224
Status: Open
Type: Nursing Facility
Licensed beds: 100
Accepts Medicaid: Yes
Memory Care: No

Owner: Pacific Northwest SNF Operations Holdings (OR) LLC

1777 Avenue of the States
Lakewood, 08701

(503) 838-0001

Owner since: 8/31/2023

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

Review Consumer Statements

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
7/13/2026	25C89E	Complaint, Re-Licensure, Recertification	20
3/17/2026	1F3239	Complaint, Re-Licensure	4
2/24/2026	1E4228	Complaint, Re-Licensure	5
11/25/2025	1DC7CC	Complaint, Re-Licensure	0
11/13/2025	1DB5D5	Complaint, Re-Licensure	0
7/3/2025	UXK1	Complaint, Licensure Complaint, State Licensure	2
3/14/2025	VZZZ	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	11
7/18/2024	HFHT	Complaint, Licensure Complaint, State Licensure	0
7/3/2024	RF0G	Complaint, Licensure Complaint, State Licensure	0
11/16/2023	WV6P	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	2

14 records found | Page 1 of 2

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to assist with eating Failed to assist with toileting Failed to assure resident rights Failed to assure resident was safe Failed to intervene when resident's condition changed Failed to perform adequate screening or assessment Failed to protect resident from financial exploitation Failed to protect resident from mental or emotional abuse Failed to protect resident from rough treatment Failed to provide a therapeutic diet Failed to provide medical treatment as ordered Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Involuntary Seclusion Abuse: Neglect Abuse: Physical Abuse Abuse: Verbal/Mental abuse
2/17/2026	2692168 - 4433807	Failed to assure resident rights	2	Abuse: Involuntary Seclusion
2/17/2026	2692168 - 4433806	Failed to administer medication as ordered	2	Abuse: Neglect
3/15/2019	OR0001803700	Failed to assist with eating	3	Abuse: Neglect
3/5/2019	OR0001786500	Failed to administer medication as ordered	3	Abuse: Neglect
12/17/2018	OR0001676300	Failed to assist with toileting	3	Abuse: Neglect
10/23/2018	OR0001612000	Failed to provide service	3	Abuse: Neglect
4/27/2018	OR0001492900	Failed to provide service	2	Abuse: Neglect
2/1/2018	MV185966	Failed to assist with toileting	2	Abuse: Neglect
1/18/2018	MV186428	Failed to administer medication as ordered	3	Abuse: Neglect
11/15/2017	MV174569	Failed to protect resident from rough treatment	2	Abuse: Physical Abuse

24 records found | Page 1 of 3

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to adequately plan discharge Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assure proper hydration Failed to assure resident rights Failed to assure resident was safe Failed to communicate necessary information Failed to investigate injury of unknown origin to rule out abuse Failed to keep resident record current or accurate Failed to maintain a safe physical environment Failed to notify family Failed to obtain medical order Failed to perform adequate screening or assessment Failed to properly admit or re-admit Failed to properly plan care Failed to provide a therapeutic diet Failed to provide appropriate housekeeping services Failed to provide appropriate pain control Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide or assist with hygiene Failed to provide proper food/nutrition Failed to provide safe environment Failed to provide service Failed to provide social services Failed to report potential or suspected abuse	Level Level Between And	Type Type Licensing Violation
2/17/2026	2692168 - 4433812	Failed to communicate necessary information	2	Licensing Violation
10/27/2025	CALMS - 00090778	Failed to provide appropriate staffing	2	Licensing Violation
11/3/2024	OR0005476500	Failed to provide appropriate staffing	2	Licensing Violation
10/14/2024	958704 - 1412403	Failed to provide service	2	Licensing Violation
10/14/2024	958704 - 1412405	Failed to provide appropriate pain control	2	Licensing Violation
10/21/2022	OR0003838701	Failed to answer call light in a timely manner	2	Licensing Violation
9/1/2021	OR0002897800	Failed to perform adequate screening or assessment	2	Licensing Violation
5/27/2021	OR0003025601	Failed to administer medication as ordered	2	Licensing Violation
12/30/2020	OR0002785401	Failed to provide appropriate skin care	2	Licensing Violation
12/30/2020	OR0002785400	Failed to provide appropriate skin care	2	Licensing Violation

74 records found | Page 1 of 8

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Regulatory actions
Sanction Sanction	Allegation Allegation Failed to provide service	Type Type Condition License Condition	Effective date Effective date From To	End date End date From To
NFCD22-00168	Failed to provide service	License Condition	12/2/2022	2/6/2023
NFCD19-009	Failed to provide service	Condition	7/18/2019	10/7/2019
NFCD19-006	Failed to provide service	Condition	3/25/2019	6/6/2019

3 records found

Provider Details - Windsor Health And Rehabilitation

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