The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROSE HAVEN NURSING CENTER
ROSEBURG, OR · Medicare-certified · 193 beds
Needs attention
For-profitChain member
4 of 5 overall
Rose Haven Nursing Center has an overall 4-star rating, with strong staffing and quality ratings (both 5 stars) but a weaker 2-star health inspection rating. It reports 4.71 nursing hours per resident per day, above the federal benchmark of 4.1, and had $33,716 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.7102 hrs/resident/day
Quality measures
Last inspection: February 27, 2025Penalties, last 24 months: $33,716recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7102.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.84
- Nurse aides
- 3.11
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 17%
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
11.1%6.1%Improving
Residents with a fall causing major injury
5.3%1.9%Improving
Residents with pressure ulcers (bedsores)
1.4%1.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%4.7%Improving
Residents whose ability to walk got worse
—11.4%—
Long-stay residents on antianxiety or sleep medication
14%14.6%Worsening
Short-stay residents newly given an antipsychotic
2.8%0%Improving
Residents with a long-term catheter
2.9%1.8%Improving
Residents with new or worsening incontinence
12.4%19.7%Worsening
Residents with depressive symptoms
7.1%8.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%96.3%Worsening
Short-stay residents given the seasonal flu vaccine
—87.2%—
Short-stay residents given the pneumonia vaccine
89.3%87.8%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to post the required contact information for state agencies and advocacy groups, and the notice that residents can file complaints. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 575 — 42 CFR §483.10 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $33,716 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $85,105 in total fines.
- $33,716
Federal fine
Feb 27, 2025
- $51,389
Federal fine
Oct 20, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VOLARE HEALTH · 16 homes · 1.9 stars avg
- Occupancy
- 78.2 residents on an average day (41% of 193 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.