The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2022 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Rose Linn Care Center
WEST LINN, OR · Medicare-certified · 71 beds
In good standing
For-profit
4 of 5 overall
Rose Linn Care Center has an overall rating of 4 out of 5 stars, with strong health inspection and quality scores but a very low staffing rating of 1 out of 5 stars. It had no fines in the last 24 months, but recent inspection citations included accident hazards, professional standards of care, and having enough nursing staff each day with a licensed nurse on each shift.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: January 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
32.6%26.2%Improving
Residents with a fall causing major injury
5.1%3.6%Improving
Residents with pressure ulcers (bedsores)
4.3%3%Improving
Residents with a urinary tract infection
6.8%1.8%Improving
Residents who lost too much weight
3.8%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%0%Improving
Residents whose ability to walk got worse
8.4%12.7%Worsening
Long-stay residents on antianxiety or sleep medication
9.6%16%Worsening
Short-stay residents newly given an antipsychotic
—2.4%—
Residents with a long-term catheter
3.1%1.4%Improving
Residents with new or worsening incontinence
18.3%26.1%Worsening
Residents with depressive symptoms
0%2%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
—95.5%—
Long-stay residents given the pneumonia vaccine
84.7%94.5%Improving
Short-stay residents given the seasonal flu vaccine
—25.8%—
Short-stay residents given the pneumonia vaccine
60%68.9%Improving
What the inspectors found
The nursing home failed to provide services that met professional standards of quality. Cited August 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2022 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: E
Recent history
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 61.6 residents on an average day (87% of 71 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 12 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.