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
Data as of July 1, 2026
3 of 5 overall
Rose Haven Nursing Center has an overall 3-star rating, with stronger staffing (4 stars) and quality measures (5 stars) but a lower health inspection rating (2 stars). It also has recent federal penalties, $33,716 in fines over the last 24 months, and reported nurse staffing above the federal benchmark (4.59 vs. 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
4.5906 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 4.5906.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.79
- Nurse aides
- 3.07
- Weekend nursing
- 4.09
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 39%
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
15.2%8.9%Improving
Residents with a fall causing major injury
3.7%3.5%No change
Residents with pressure ulcers (bedsores)
4.1%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.5%6.4%Worsening
Residents whose ability to walk got worse
—10.8%—
Long-stay residents on antianxiety or sleep medication
12.2%13.5%Worsening
Short-stay residents newly given an antipsychotic
1.8%1.6%No change
Residents with a long-term catheter
2.1%1.8%No change
Residents with new or worsening incontinence
2.2%12.3%Worsening
Residents with depressive symptoms
10.2%7.7%Improving
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%98.2%Worsening
Short-stay residents given the seasonal flu vaccine
—87.2%—
Short-stay residents given the pneumonia vaccine
92.6%92.5%No change
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 nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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
Recent ownership change · Mar 1, 2023
Now operated by Sweet Briar Nursing Center LLC, previously Avalon Health Care - Rose Haven LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VOLARE HEALTH · 16 homes · 1.7 stars avg
- Occupancy
- 81.1 residents on an average day (42% 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.