TIERRA ROSE CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Tierra Rose Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TIERRA ROSE CARE CENTER
4254 WEATHERS STREET NE
SALEM, OR 97301
(503) 585-4602

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 67
  • Certified Beds: 76

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Keizer | Silverton | Mount Angel

Rating Details For Tierra Rose Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours31 Minutes40 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours18 Minutes29 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 45 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours49 Minutes1 Hour and 9 Minutes
Total Nurse Hours4 Hours and 34 Minutes3 Hours and 40 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%83%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%7%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%11%
Percent of Long-Stay Residents Who Lose Too Much Weight9%9%
Percent of Long-Stay Residents Who Were Physically Restrained5%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder57%60%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/25/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/25/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/10/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/25/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Resident Rights

Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For.
  • Inspection Date: 08/16/2010
  • Correction Date: 10/14/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tierra Rose Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/10/2010
  • Correction Date: 04/12/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/02/2011
  • Correction Date: 07/11/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 06/02/2011
  • Correction Date: 07/11/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Tierra Rose Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/11/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/16/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/16/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/03/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010
Portable Fire Extinguishers.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/03/2009
Approved Construction Type or Materials.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/16/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/16/2008
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 08/11/2010
  • Correction Date: 08/06/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/11/2010
  • Correction Date: 10/05/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/16/2008
Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011