Independence Health and Rehabilitation
A nursing home in Independence, Oregon 97351
1525 Monmouth Street, Independence, Oregon 97351. (503) 838-0001.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 16 health citations at the latest inspection cycle Oregon average: 9.2
- 5.40 nurse hours per resident per day Oregon average: 5.13
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
16 health citations at the latest inspection cycle
The Oregon average is 9.2.
Last standard inspection May 11, 2026.
Most serious in three years: actual harm (G), at a standard and complaint inspection on Feb 18, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
25 citations in 3 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 31, 2026: complaint inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 11, 2026: standard inspection13 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Assess the resident when there is a significant change in condition
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
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Keep all essential equipment working safely.
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Post nurse staffing information every day.
May 11, 2026: standard and complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Feb 18, 2025: standard inspection6 citations
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Feb 18, 2025: standard and complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate pain management for a resident who requires such services.
Nov 17, 2023: standard inspection6 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 13, 1989.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 80 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $69,876 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 18, 2025 | Fine | $45,819 |
| Jan 17, 2024 | Fine | $16,039 |
| Jan 17, 2024 | Fine | $8,018 |
Who does the caring?
5.40 nurse hours per resident per day
The Oregon average is 5.13.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Oregon average |
|---|---|---|
| Nurse hours per resident per day | 5.40 | 5.13 |
| Of which registered nurses | 0.60 | 0.76 |
| At weekends | 4.80 | 4.56 |
| Nursing staff turnover | 58.3% | 43.5% |
| Registered nurse turnover | Not given | 49.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Pacific Northwest SNF Operations Holdings (Or) LLC owns 100% directly since Aug 31, 2023.
- Independence SNF Operations LLC and Couve Healthcare Consulting LLC and Couve Financial Services LLC and Pacific Northwest Opco Management LLC and Oregon SNF Consulting LLC (De) run it.
- 21 owners or officers are people: Yisroel E Herzka (owns a share through other companies, 66.5%); Yitzchok Yenowitz (owns a share through other companies, 25%); A person CMS lists without a name (owns a share through other companies, 3%); A person CMS lists without a name (owns a share through other companies, 1%); Jacob Heiman (runs it (operational or managerial control)); Jacob Heiman (additional disclosable party (controls, leases property to, or provides services to the home)); Mylene Cepeda (on the governing body (managing control)); Mylene Cepeda (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (runs it (operational or managerial control)); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher R Morris (runs it (operational or managerial control)); Christopher R Morris (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)); Jason Odenthal (corporate officer); Jason Odenthal (runs it (operational or managerial control)); Jason Odenthal (on the governing body (managing control)); Jason Odenthal (additional disclosable party (controls, leases property to, or provides services to the home)); Julie Ann Durst (runs it (operational or managerial control)); Julie Ann Durst (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Evergreen Healthcare Group (43 homes in CMS’s data).
- A private-equity firm is among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings LLC | Owns a share through other companies | 100% | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Or) LLC | Owns a share directly | 100% | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Owns 5% or more through other companies | 66.5% | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Owns a share through other companies | 66.5% | Aug 31, 2023 |
| Witzcorp Global LLC | Owns 5% or more through other companies | 25% | Aug 31, 2023 |
| Witzcorp Global LLC | Owns a share through other companies | 25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 3% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 1% | Aug 31, 2023 |
| Independence SNF Operations LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Independence SNF Operations LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 12, 2025 | |
| Independence SNF Operations LLC | Owns a share through other companies | 0% | Aug 31, 2023 |
| Witzcorp Global LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Couve Financial Services LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Financial Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 20, 2025 | |
| Couve Financial Services LLC | Owns a share through other companies | 0% | Aug 31, 2023 |
| Pacific Northwest Opco Management LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Pacific Northwest Opco Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 28, 2025 | |
| Oregon SNF Consulting LLC (De) | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Oregon SNF Consulting LLC (De) | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 28, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 | |
| Ch Pacific Northwest Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Oregon average 3.7).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 19.0 miles, this one had the 2nd most health citations at the latest inspection cycle (16; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Independence Health and Rehabilitation This nursing home | 16 | |
| Dallas Retirement Village Health Center | 7.7 | 6 |
| Avamere Transitional Care at Sunnyside | 8.7 | 8 |
| Salem Transitional Care | 11.0 | 11 |
| Windsor Health and Rehabilitation | 11.0 | 25 |
| Tierra Rose Care Center | 13.0 | 2 |
| Keizer Nursing and Rehabilitation | 13.1 | 8 |
| Avamere Court at Keizer | 13.6 | 1 |
| Timberline Post Acute | 15.8 | 6 |
| Regency Albany | 16.5 | 10 |
| Corvallis Manor Nursing & Rehabilitation Center | 17.7 | 16 |
| Mennonite Home | 19.0 | 5 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.