Rose Linn Care Center
2330 Debok Road · West Linn, OR · 97068 · 5036550474
71 certified beds For profit - Limited Liability company
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 76 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · D January 31, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D June 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2024 · Quality of Life and Care
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Potential for harm · D September 8, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected October 27, 2023 · Quality of Life and Care
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Potential for harm · D September 8, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 27, 2023 · Pharmacy Service
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Potential for harm · D September 8, 2023
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.
Corrected October 27, 2023 · Infection Control
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Actual harm · G August 1, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 20, 2022 · Resident Assessment and Care Planning
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Actual harm · G August 1, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2022 · Quality of Life and Care
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Potential for harm · D August 1, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected September 20, 2022 · Resident Rights
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Potential for harm · E August 1, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 20, 2022 · Resident Rights
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Potential for harm · D August 1, 2022
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.
Corrected September 20, 2022 · Resident Rights
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Potential for harm · D August 1, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2022 · Quality of Life and Care
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Potential for harm · E August 1, 2022
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.
Corrected September 20, 2022 · Quality of Life and Care
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Potential for harm · F August 1, 2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 20, 2022 · Nursing and Physician Services
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Potential for harm · E August 1, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 20, 2022 · Nursing and Physician Services
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Potential for harm · D August 1, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 20, 2022 · Pharmacy Service
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Potential for harm · D August 1, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 20, 2022 · Pharmacy Service
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Potential for harm · D August 1, 2022
Provide or get specialized rehabilitative services as required for a resident.
Corrected September 20, 2022 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385278 · certified since May 3, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.