The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
ROSE CITY NURSING AND REHABILITATION
PORTLAND, OR · Medicare-certified · 55 beds
In good standing
For-profit
3 of 5 overall
ROSE CITY NURSING AND REHABILITATION (Portland, OR) has a 3 out of 5 star overall rating, with 3-star health inspection and staffing ratings and a 4-star quality rating. It reports 5.55 nurse staffing hours per resident per day, above the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included treatment and care, RN coverage/leadership, and food handling standards.
Facility ratings
Health inspections
Staffing
5.5539 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.5539.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.82
- Nurse aides
- 4.03
- Weekend nursing
- 5.33
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—19.1%—
Residents with a fall causing major injury
—4.2%—
Residents with pressure ulcers (bedsores)
—6%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—0%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—20%—
Residents whose ability to walk got worse
—25.1%—
Long-stay residents on antianxiety or sleep medication
—5%—
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
—2.8%—
Residents with new or worsening incontinence
—22.5%—
Residents with depressive symptoms
—3.6%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
—95.8%—
Short-stay residents given the pneumonia vaccine
70%72.9%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2025 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide activities that met all residents’ needs. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 679 — 42 CFR §483.24 — S/S: E
The nursing home failed to make sure its activities program was led by a qualified professional. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 680 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 44.3 residents on an average day (81% of 55 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.