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Nursing HomeMedicaid Top Rated

Tierra Rose Care Center

Strong Medicare quality ratings; families often praise attentive nursing staff. Still worth an in-person visit.

4254 Weathers Street Ne, East Lancaster · Salem, OR 9730176 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 16 Google reviews

5
4
3
2
1
Tierra Rose Care Center Nursing Home in Salem, OR — Street View
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What this means for your family

While some families report positive experiences with the facility's cleanliness and staff, there is a concerning trend of reports regarding a lack of empathy and poor communication during sensitive times. We strongly recommend that families considering this facility maintain a high level of personal involvement and advocacy to ensure their loved one's needs are consistently met.

Google Reviews

Google Reviews

16 reviews on Google
Tierra Rose Care Center receives highly polarized feedback, with some families praising the attentive staff and quality of care, while others report significant concerns regarding staff empathy and administrative conduct. Recurring themes include complaints about food quality and a lack of compassion during sensitive moments, such as end-of-life care. Families should be aware that the quality of care may fluctuate based on the level of personal advocacy and presence provided by the resident's family.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Attentive nursing staff
  • Clean, odor-free environment
  • Nutritious meal options
  • Responsive to family requests when present

Concerns

  • Poor quality of food (mentioned by 2 reviewers)
  • Lack of empathy and rude staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(2)'22(1)'25(4)'26(1)

Distribution · 16 analyzed

5
7
4
4
3
1
2
1
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With 76 residents here, how does your team ensure consistent, personalized communication with families regarding daily updates and care changes?
  • 2I noticed some feedback regarding the dining experience; could you walk me through how you incorporate resident preferences into your meal planning and if there are options for those who find the standard menu less appealing?
  • 3Given that your staffing and health inspection ratings are strong, how do you foster a culture of empathy and warmth among your staff to ensure every resident feels truly cared for?
  • 4Could you share how your team handles medical emergencies or sudden changes in health status, especially during evening or weekend hours?
  • 5What kind of daily activities or social programs do you offer to keep residents engaged, and how do you encourage those who might be more hesitant to participate?
  • 6How do you address and resolve concerns when a family member feels that communication or staff interactions haven't met the high standards you strive for?

Personalized based on this facility's data


Key Review Excerpts

The staff are so caring and the food is so good, if I could afford it I would live there. The home does not have an odor problem and the staff seem very happy to be there.

Memory care family member · 2025★★★★★

I learned quickly that the more I showed my presence the better they cared for her. I also learned to be patient and realize that my mother wasn't the only resident there and the aids had to split their time among several people.

Long-term resident's family · 2017★★★★

When my grandma passed away, all I remember them doing is telling my mom to cry quieter. Not a good experience. You don’t want that memory being prominent after losing a loved one.

Memory care family member · 2025☆☆☆☆
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
4.93hrs
OK
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.5%
Mixed vs Avgs
Here
6.5%
US
12.1%
OR
4.9%
Marion
22.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
19.5%
OR
12.5%
Marion
21.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.8%
Mixed vs Avgs
Here
12.8%
US
15.3%
OR
22.5%
Marion
12.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.4%
OR
14.0%
Marion
11.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
OR
95.2%
Marion
93.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
OR
95.3%
Marion
93.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
81.8%
OR
85.5%
Marion
81.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (10.4)
8 complaint-triggered

This facility shows concerning patterns with 33 deficiencies across multiple surveys, including 8 complaint-triggered issues where families reported problems. The most recurring problems involve fire safety systems, medication management, resident care quality, and food service. While the facility has reportedly corrected individual deficiencies, similar issues persist across different surveys, particularly with safety systems and care standards, suggesting ongoing operational challenges that families should carefully evaluate.

Oct 17, 2025Routine
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 28, 2024Routine
14
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 28, 2024Complaint
2
0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 21, 2023Routine
9
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0932Potential for harm · IsolatedCorrected

Smoke Deficiencies

Meet other general requirements.

Apr 21, 2023Complaint
6
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Tierra Rose Care Center

Organization Type

for profit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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