Skilled nursing · Salem, OR

Tierra Rose Care Center

4254 WEATHERS STREET NE, Salem, OR 97301

5 / 5CMS 76 bedsCapacity May 2026Inspected

PALMELLE

Top 15%

Federal · State

Strong

The Palmelle read

Strong. Tierra Rose Care Center carries a Palmelle Clarity Score of 85 out of 100, derived from federal CMS Care Compare data plus Oregon state records. Health inspection rating sits at 5-star, staffing at 4-star, quality measures at 3-star. Long-stay antipsychotic prescribing is at 9.2 percent, below the 14 percent national median. Long-stay sedative prescribing is at 7.9 percent, below the 15 percent national median. RN coverage is 0.29 hours per resident per day. Nurse turnover 29 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Oregon DPH

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In their own words

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

No federal fines

Zero fines on record in the last 36 months.

Low rate of falls with major injury

This

1.4%

National

1.6%

Below national median. Suggests careful fall-risk assessment and active monitoring.

Stable nursing staff

This

29.8%

National

53%

Lower turnover than national median — residents see the same caregivers more consistently.

Worth asking about

Tour-day questions

Ask about staff-to-resident ratio by shift, weekend coverage, and how recent inspections went.

Federal CMS + Oregon state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★5 / 5

Staffing★★★★★4 / 5

Quality measures★★★★★3 / 5

Staffing

RN hours per resident, daily

This

0.29

Nat

0.78

Total nurse hours / resident, daily

This

4.93

Nat

3.62

Annual nurse turnover

This

29%

Nat

53%

Annual RN turnover

This

16%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

9.2%

Nat

14%

Sedative / sleep med

This

7.9%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

1.4%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID38E075

OwnershipFor profit - Corporation

ChainIndependent

Beds76

Avg residents72

Citations · last 36 months

Flagged by CMS data
Registered nurse hours are 0.29 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 1.4% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Annual nursing staff turnover is 30% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility earned the highest possible health-inspection rating from CMS. That means the inspectors who showed up unannounced, walked the halls, talked to residents, and reviewed records found a clean operation. Worth weighing heavily — inspection ratings are the hardest data point to game.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Oregon DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for Tierra Rose Care Center?

Tierra Rose Care Center has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 5 of 5 on health inspection, 4 of 5 on staffing, and 3 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Tierra Rose Care Center been cited for resident harm?

CMS data flagged 4 concerns on the latest reconcile. The full record for Tierra Rose Care Center appears in the record section above.

Does Tierra Rose Care Center use antipsychotic medications?

9.2 percent of long-stay residents at Tierra Rose Care Center are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 7.9 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Tierra Rose Care Center's Palmelle Clarity Score?

Tierra Rose Care Center has a Palmelle Clarity Score of 85 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and Oregon state inspection data. Higher is better.

How can I tour or contact Tierra Rose Care Center?

Tierra Rose Care Center is located at 4254 WEATHERS STREET NE, Salem, OR 97301. Phone: (503) 585-4602. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Tierra Rose Care Center a special focus facility?

Tierra Rose Care Center is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Tierra Rose Care Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Tierra Rose Care Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Tierra Rose Care Center compare to other Salem skilled nursing facilities?

Tierra Rose Care Center holds a Palmelle Clarity Score of 85. Browse the full Salem directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Tierra Rose Care Center?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Tierra Rose Care Center and two other facilities on your shortlist.

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