Provider Details - Tierra Rose Care Center | Licensed Long-Term Care Settings Search

Tierra Rose Care Center

4254 WEATHERS STREET NE
Salem, OR 97301

Administrator name: COLLEEN REES

ID: 38E075
Status: Open
Type: Nursing Facility
Licensed beds: 76
Accepts Medicaid: Yes
Memory Care: No

Owner: CML, Inc.

4254 WEATHERS ST NE
Salem, OR 97301

(503) 585-4602

Owner since: 12/6/1993

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

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

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

Provider Details - Tierra Rose Care Center
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
1/29/2026	1E200F	Complaint, Re-Licensure	0
11/13/2025	1DB34F	Complaint, Re-Licensure	0
10/17/2025	1D8FC0	Complaint, Re-Licensure, Recertification	3
4/16/2025	646E	Complaint, Licensure Complaint, State Licensure	0
12/20/2024	IR41	Complaint, Licensure Complaint, State Licensure	0
6/28/2024	3IM7	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	7
4/21/2023	QHVY	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	14
1/11/2023	KID5	Complaint, Licensure Complaint, State Licensure	22
5/3/2022	3GOS	Federal Monitoring Survey	2
3/28/2022	YCVC	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	30

12 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.

Provider Details - Tierra Rose Care Center
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to assist with toileting Failed to assure a qualified caregiver was present Failed to assure resident rights Failed to follow care plan Failed to intervene when resident's condition changed Failed to notify family Failed to properly plan care Failed to protect resident from physical abuse Failed to protect resident from verbal abuse Failed to provide appropriate pain control Failed to provide appropriate skin care Failed to provide medical treatment as ordered Failed to provide proper food/nutrition Failed to provide service	Level Level Between And	Type Type Abuse: Neglect Abuse: Physical Abuse Abuse: Verbal Abuse
12/27/2022	OR0003944800	Failed to follow care plan	4	Abuse: Neglect
5/6/2022	OR0003608400	Failed to intervene when resident's condition changed	4	Abuse: Neglect
3/11/2022	OR0003499300	Failed to assure resident rights	3	Abuse: Neglect
3/7/2022	OR0003499301	Failed to assure a qualified caregiver was present	3	Abuse: Neglect
2/23/2022	OR0003482401	Failed to properly plan care	3	Abuse: Neglect
2/23/2022	OR0003482402	Failed to properly plan care	3	Abuse: Neglect
12/29/2021	OR0003387001	Failed to provide medical treatment as ordered	3	Abuse: Neglect
9/20/2021	OR0003222200	Failed to properly plan care	4	Abuse: Neglect
3/23/2021	OR0002919900	Failed to protect resident from physical abuse	2	Abuse: Physical Abuse
11/5/2020	OR0002713504	Failed to protect resident from verbal abuse	2	Abuse: Verbal Abuse

22 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.

Provider Details - Tierra Rose Care Center
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assist with toileting Failed to assure adequate food supply Failed to assure food safety Failed to assure resident was safe Failed to assure timely medical treatment Failed to communicate necessary information Failed to follow care plan Failed to intervene when resident's condition changed Failed to keep medication record current or accurate Failed to notify family Failed to properly plan care Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide a therapeutic diet 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 proper food/nutrition Failed to provide rehabilitative services Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Licensing Violation
6/10/2024	OR0004885300	Failed to properly plan care	2	Licensing Violation
4/17/2023	OR0004076703	Failed to assure adequate food supply	2	Licensing Violation
4/17/2023	OR0004111701	Failed to follow care plan	2	Licensing Violation
2/28/2023	OR0004076702	Failed to administer medication as ordered	2	Licensing Violation
12/28/2022	OR0003757503	Failed to provide proper food/nutrition	2	Licensing Violation
12/15/2022	OR0003839601	Failed to provide a homelike environment	2	Licensing Violation
12/12/2022	OR0003923800	Failed to properly plan care	4	Licensing Violation
11/21/2022	OR0004076700	Failed to provide medical treatment as ordered	2	Licensing Violation
11/15/2022	OR0003757500	Failed to provide appropriate staffing	2	Licensing Violation
8/12/2022	OR0003496606	Failed to provide appropriate skin care	3	Licensing Violation

54 records found | Page 1 of 6

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.

Provider Details - Tierra Rose Care Center
Sanction Sanction	Allegation Allegation Failed to assure resident was safe Failed to provide oversight and monitoring of change of condition Failed to provide safe environment	Type Type Condition License Condition	Effective date Effective date From To	End date End date From To
NFCD22-00170	Failed to provide oversight and monitoring of change of condition	License Condition	1/3/2023	4/28/2023
NFCD22-00116	Failed to provide safe environment	License Condition	3/16/2022	5/9/2022
NFCD19-012	Failed to assure resident was safe	Condition	7/30/2019	9/5/2019

3 records found

Provider Details - Tierra Rose Care Center

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