ROSE LINN CARE CENTER

πŸ“ 2330 DEBOK ROAD, west-linn, OR 97068 πŸ“ž 5036550474 πŸ›οΈ 71 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

56
Total Violations
10 years of data
$64,402
Total Fines
7 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0582 D Jan 31, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Feb 21, 2025

2024 1 violations

Tag 0689 D Jun 18, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 3, 2024

2023 3 violations

Tag 0685 D Sep 8, 2023

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Oct 27, 2023
Tag 0756 D Sep 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.

βœ“ Corrected: Oct 27, 2023
Tag 0887 D Sep 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.

βœ“ Corrected: Oct 27, 2023

2022 12 violations

Tag 0558 D Aug 1, 2022

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 20, 2022
Tag 0578 E Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0584 D Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0658 G Aug 1, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Sep 20, 2022
Tag 0684 D Aug 1, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 20, 2022
Tag 0688 E Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0689 G Aug 1, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 20, 2022
Tag 0725 F Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0727 E Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0757 D Aug 1, 2022

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Sep 20, 2022
Tag 0758 D Aug 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.

βœ“ Corrected: Sep 20, 2022
Tag 0825 D Aug 1, 2022

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Sep 20, 2022

2021 4 violations

Tag 0880 D Jul 2, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 30, 2021
Tag 0558 D Feb 22, 2021

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 12, 2021
Tag 0609 D Feb 22, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 12, 2021
Tag 0610 D Feb 22, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 12, 2021

2020 1 violations

Tag 0600 D Jan 28, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 21, 2020

2019 7 violations

Tag 0600 D Oct 16, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 15, 2019
Tag 0609 D Oct 16, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Nov 15, 2019
Tag 0689 G Oct 16, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 15, 2019
Tag 0585 D Mar 6, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Mar 31, 2019
Tag 0656 D Mar 6, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 31, 2019
Tag 0805 D Mar 6, 2019

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Mar 31, 2019
Tag 0880 E Mar 6, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 31, 2019

2018 15 violations

Tag 0580 G Oct 16, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Dec 5, 2018
Tag 0604 D Oct 16, 2018

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Dec 5, 2018
Tag 0623 B Oct 16, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Dec 5, 2018
Tag 0641 D Oct 16, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 5, 2018
Tag 0657 D Oct 16, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Dec 5, 2018
Tag 0658 G Oct 16, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Dec 5, 2018
Tag 0684 G Oct 16, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 5, 2018
Tag 0686 D Oct 16, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Dec 5, 2018
Tag 0689 D Oct 16, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 5, 2018
Tag 0692 G Oct 16, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Dec 5, 2018
Tag 0744 D Oct 16, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Dec 5, 2018
Tag 0758 D Oct 16, 2018

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.

βœ“ Corrected: Dec 5, 2018
Tag 0760 G Oct 16, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 5, 2018
Tag 0842 D Oct 16, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Dec 5, 2018
Tag 0883 D Oct 16, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Dec 5, 2018

2017 8 violations

Tag 0154 D Jun 30, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Aug 19, 2017
Tag 0272 D Jun 30, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Aug 19, 2017
Tag 0278 D Jun 30, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Aug 19, 2017
Tag 0280 D Jun 30, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Aug 19, 2017
Tag 0323 D Jun 30, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Aug 19, 2017
Tag 0329 D Jun 30, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Aug 19, 2017
Tag 0332 D Jun 30, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Aug 19, 2017
Tag 0356 D Jun 30, 2017

Post nurse staffing information/data on a daily basis.

βœ“ Corrected: Aug 19, 2017

2016 4 violations

Tag 0248 D Jun 17, 2016

Provide activities to meet the interests and needs of each resident.

βœ“ Corrected: Aug 6, 2016
Tag 0278 D Jun 17, 2016

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Aug 6, 2016
Tag 0371 F Jun 17, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Aug 6, 2016
Tag 0412 D Jun 17, 2016

Provide or obtain dental services for each resident.

βœ“ Corrected: Aug 6, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $20,790

$12,600
Fine
August 1, 2022
$8,190
Fine
August 1, 2022
Average: $10,395 | Range: $8,190 - $12,600

2021 3 penalties totaling $6,630

$5,000
Fine
July 2, 2021
$975
Fine
February 15, 2021
$655
Fine
January 4, 2021
Average: $2,210 | Range: $655 - $5,000

2019 1 penalties totaling $6,633

$6,633
Fine
October 16, 2019
Average: $6,633 | Range: $6,633 - $6,633

2018 1 penalties totaling $30,349

$30,349
Fine
October 16, 2018
Average: $30,349 | Range: $30,349 - $30,349

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 18, 2024
0.00

Health

September 8, 2023
0.00

Health

August 1, 2022
0.00

Health

July 2, 2021
0.00

Health

February 22, 2021
0.00

Health

October 16, 2018
0.00

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
385278
385278
5036550474
Clackamas

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual