Salem Transitional Care

Name: Salem Transitional Care
Address: 3445 BOONE ROAD SE, Salem, OR, 97317, US
Telephone: 5035763000

3445 Boone Road SE, Salem, OR 97317 · Marion County · 80 certified beds · avg 71 residents/day · certified since Apr 1, 1993

Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

$22,523

Fines, last 3 years

4.34

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 · Apr 15, 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: Nov 23, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Feb 16, 2024 · F-0686 · triggered by a complaint

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Feb 28, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (30)

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
Jan 29, 2026	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
Jan 29, 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. · from a complaint
Apr 15, 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
Apr 15, 2025	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Apr 15, 2025	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
Apr 15, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Apr 15, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 15, 2025	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.
Apr 15, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 15, 2025	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
Apr 15, 2025	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
Apr 15, 2025	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.
Apr 15, 2025	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
Apr 15, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Oct 17, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Oct 17, 2024	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
May 17, 2024	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. · from a complaint
May 17, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 16, 2024	▲ G · Actual 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
Jan 12, 2024	E · Potential for harm, repeated	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.
Jan 12, 2024	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.
Jan 12, 2024	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
Jan 12, 2024	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 12, 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.
Jan 12, 2024	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
Sep 12, 2023	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint
Nov 4, 2022	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.
Nov 4, 2022	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 4, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 4, 2022	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2022	4	0	E
2023	1	0	D
2024	11	1	G ▲
2025	12	1	G ▲
2026	2	0	D

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)

1 fine totaling $22,523.

Date	Type	Amount / length
Jan 12, 2024	Fine	$22,523

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)	4.34	5.42	3.95	bottom 2% in Oregon; top 28% in the U.S.
Registered Nurse hours	0.52	0.78	0.69	bottom 25% in Oregon; bottom 41% in the U.S.
Weekend total nurse staffing	3.90	4.85	3.50	bottom 4% in Oregon; top 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.48	0.48	bottom 14% in Oregon; bottom 20% in the U.S.
Total nursing staff turnover (%)	44.8	47.4	45.8	top 47% in Oregon; top 50% in the U.S.
RN turnover (%)	63.6	51.6	42.9	bottom 32% in Oregon; bottom 17% 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 4.81, RN 0.58, weekend 4.32. Staffing rating: 3/5.

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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation · changed ownership in the last 12 months

Owner / manager	Type	Role	Stake	Since
Cascadia HC Group LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2025
Cascadia Healthcare LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2025
Cascadia Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2025
Cascadia Oregon Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2025
Laforte, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2025
Cascadia Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2025
Cascadia Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/06/2025
Hammond, Owen	Individual	Corporate Officer	NOT APPLICABLE	12/01/2025
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2025
Harbert, Shawn	Individual	Operational/Managerial Control	NOT APPLICABLE	03/23/2026
Harbert, Shawn	Individual	ADP of the SNF	NOT APPLICABLE	04/27/2026
James, Patrick	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2025
James, Patrick	Individual	ADP of the SNF	NOT APPLICABLE	11/21/2025
Ruden, Nathan	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2025
Ruden, Nathan	Individual	ADP of the SNF	NOT APPLICABLE	11/21/2025
Salem 3445 Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2025
White Oak Healthcare Finance LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	12/01/2025

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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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 Transitional Care at Sunnyside	2.5 mi	Salem, OR	★★☆☆☆	2/5
Tierra Rose Care Center	4.4 mi	Salem, OR	★★★★★	5/5
Windsor Health and Rehabilitation	4.8 mi	Salem, OR	★★★☆☆	3/5
Keizer Nursing and Rehabilitation	7.2 mi	Keizer, OR	★★★☆☆	3/5
Avamere Court at Keizer	8.4 mi	Keizer, OR	★★★★☆	4/5
Independence Health and Rehabilitation	11.0 mi	Independence, OR	★★☆☆☆	2/5
Mt Angel Health and Rehabilitation	15.6 mi	Mount Angel, OR	★★★★☆	4/5
Dallas Retirement Village Health Center	16.5 mi	Dallas, OR	★★★★☆	4/5
Timberline Post Acute	18.4 mi	Albany, OR	★★★★★	4/5
Regency Albany	18.9 mi	Albany, OR	★★☆☆☆	2/5	abuse
French Prairie Nursing & Rehabilitation Center	19.1 mi	Woodburn, OR	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Salem →

Facility data as of CMS processing date 2026-08-01. CCN 385234.

The Care File

Visit checklist — Salem Transitional Care

3445 Boone Road SE, Salem, OR 97317 · 5035763000

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $22,523

Most serious findings on record:

▲ Apr 15, 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.
▲ Feb 16, 2024 (F-0686, Actual 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.

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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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 385234 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)