Independence Health and Rehabilitation

Name: Independence Health and Rehabilitation
Address: 1525 MONMOUTH STREET, Independence, OR, 97351, US
Telephone: 5038380001

1525 Monmouth Street, Independence, OR 97351 · Polk County · 80 certified beds · avg 35 residents/day · certified since Mar 13, 1989

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

2/5

Health inspection rating (on-site)

Serious findings on record

$69,876

Fines, last 3 years

5.54

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 18, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 21, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (31)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 11, 2026	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
May 11, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 11, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 11, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 11, 2026	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
May 11, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 11, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 11, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
May 11, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 11, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 11, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
May 11, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 11, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 11, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Feb 18, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 18, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 18, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 18, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 18, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 18, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Feb 18, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 18, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 18, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Nov 17, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 17, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Nov 17, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 17, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 17, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 17, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 3, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 14).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2025	9	1	G ▲
2026	14	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

3 fines totaling $69,876.

Date	Type	Amount / length
Feb 18, 2025	Fine	$45,819
Jan 17, 2024	Fine	$8,018
Jan 17, 2024	Fine	$16,039

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oregon avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.54	5.42	3.95	top 35% in Oregon; top 7% in the U.S.
Registered Nurse hours	0.57	0.78	0.69	bottom 34% in Oregon; bottom 48% in the U.S.
Weekend total nurse staffing	4.92	4.85	3.50	top 40% in Oregon; top 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.48	0.48	top 31% in Oregon; top 35% in the U.S.
Total nursing staff turnover (%)	65.1	47.4	45.8	bottom 11% in Oregon; bottom 10% in the U.S.
RN turnover (%)	0.0	51.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.29, RN 0.54, weekend 4.70. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
CH Pacific Northwest Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Independence SNF Operations LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest SNF Operations Holdings (or) LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest SNF Operations Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Witzcorp Global LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Yenowitz, Yitzchok	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Cepeda, Mylene	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Cepeda, Mylene	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
CH Pacific Northwest Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/20/2025
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/27/2025
Durst, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Durst, Julie	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Heiman, Jacob	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Heiman, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"How do you explain health changes and treatment options to residents and their families?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Dallas Retirement Village Health Center	7.7 mi	Dallas, OR	★★★★☆	4/5
Avamere Transitional Care at Sunnyside	8.8 mi	Salem, OR	★★☆☆☆	2/5
Windsor Health and Rehabilitation	11.0 mi	Salem, OR	★★★☆☆	3/5
Salem Transitional Care	11.0 mi	Salem, OR	★★☆☆☆	2/5
Tierra Rose Care Center	13.0 mi	Salem, OR	★★★★★	5/5
Keizer Nursing and Rehabilitation	13.1 mi	Keizer, OR	★★★☆☆	3/5
Avamere Court at Keizer	13.6 mi	Keizer, OR	★★★★☆	4/5
Timberline Post Acute	15.8 mi	Albany, OR	★★★★★	4/5
Regency Albany	16.6 mi	Albany, OR	★★☆☆☆	2/5	abuse
Corvallis Manor Nursing & Rehabilitation Center	17.7 mi	Corvallis, OR		—/5	SFF
Mennonite Home	19.0 mi	Albany, OR	★★★★☆	4/5
Rivers Edge Rehabilitation and Care	19.1 mi	Sheridan, OR	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Independence →

Facility data as of CMS processing date 2026-08-01. CCN 385188.

The Care File

Visit checklist — Independence Health and Rehabilitation

1525 Monmouth Street, Independence, OR 97351 · 5038380001

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $69,876

Most serious findings on record:

▲ Feb 18, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 385188 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)