Keizer Nursing and Rehabilitation
4062 Arleta Avenue NE, Keizer, OR 97303 · Marion County · 49 certified beds · avg 45 residents/day · certified since Apr 1, 1994
Part of chain: VOLARE HEALTH (16 facilities, chain avg rating 1.8★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
4.53
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 28, 2023 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 |
|---|---|---|
| Dec 17, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint |
| Dec 17, 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 |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| May 9, 2025 | 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 9, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 27, 2024 | F · Potential for harm, 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. · from a complaint |
| Feb 27, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Feb 27, 2024 | 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. · from a complaint |
| Feb 27, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| Feb 27, 2024 | 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 27, 2024 | 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. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint |
| Sep 14, 2023 | 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. · from a complaint |
| Feb 28, 2023 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 28, 2023 | 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 28, 2023 | E · Potential for harm, repeated | 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 28, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 28, 2023 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Feb 28, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 28, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 28, 2023 | 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. |
| Feb 28, 2023 | D · Potential for harm, one-off | 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 28, 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. |
| Feb 28, 2023 | D · Potential for harm, one-off | 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. |
| Feb 28, 2023 | D · Potential for harm, one-off | The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 1 | G ▲ |
| 2024 | 12 | 0 | F |
| 2025 | 8 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 22, 2024 | Payment Denial | 8 days from Apr 8, 2024 |
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) | 4.53 | 5.42 | 3.95 | bottom 10% in Oregon; top 22% in the U.S. |
| Registered Nurse hours | 0.44 | 0.78 | 0.69 | bottom 14% in Oregon; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.98 | 4.85 | 3.50 | bottom 7% in Oregon; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.48 | 0.48 | bottom 25% in Oregon; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 54.8 | 47.4 | 45.8 | bottom 29% in Oregon; bottom 25% in the U.S. |
| RN turnover (%) | 90.0 | 51.6 | 42.9 | bottom 3% in Oregon; bottom 2% in the U.S. |
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 4.57, RN 0.44, weekend 4.01. Staffing rating: 2/5.
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: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hagler, Alexander | Individual | 5% or Greater Indirect Ownership Interest | — | 03/01/2023 |
| Knox Healthcare Pac 12 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2023 |
| Knox, Donald | Individual | 5% or Greater Indirect Ownership Interest | — | 03/01/2023 |
| Pac 12 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2023 |
| Pac 12 Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2023 |
| Pac 12 Pinnacle Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2023 |
| Dunham, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Dunham, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Hagar, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Hanson, Kandis | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Hanson, Kandis | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Keizer Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2023 |
| Keizer Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Knox, Donald | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2023 |
| Knox, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Knox, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Pac 12 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Pac 12 Pinnacle Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Schwartz, Eliezer | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Schwartz, Eliezer | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "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 |
|---|---|---|---|---|---|
| Avamere Court at Keizer | 1.2 mi | Keizer, OR | ★★★★☆ | 4/5 | |
| Windsor Health and Rehabilitation | 2.7 mi | Salem, OR | ★★★☆☆ | 3/5 | |
| Tierra Rose Care Center | 3.3 mi | Salem, OR | ★★★★★ | 5/5 | |
| Avamere Transitional Care at Sunnyside | 6.6 mi | Salem, OR | ★★☆☆☆ | 2/5 | |
| Salem Transitional Care | 7.2 mi | Salem, OR | ★★☆☆☆ | 2/5 | |
| Mt Angel Health and Rehabilitation | 12.1 mi | Mount Angel, OR | ★★★★☆ | 4/5 | |
| Independence Health and Rehabilitation | 13.1 mi | Independence, OR | ★★☆☆☆ | 2/5 | |
| French Prairie Nursing & Rehabilitation Center | 13.2 mi | Woodburn, OR | ★☆☆☆☆ | 1/5 | SFF |
| Dallas Retirement Village Health Center | 15.1 mi | Dallas, OR | ★★★★☆ | 4/5 | |
| Evan Terrace Post Acute | 17.7 mi | McMinnville, OR | ★☆☆☆☆ | 1/5 | |
| Village at Hillside | 18.6 mi | McMinnville, OR | ★★★★★ | 5/5 | |
| Life Care Center of McMinnville | 18.8 mi | McMinnville, OR | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385241.