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Rose Linn Care Center
2330 Debok Road, West Linn, OR 97068 (opens Google Maps) · Clackamas County · (503) 655-0474· 71 certified beds · avg 61 residents/day · certified since May 3, 2014 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Apr 24, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.45
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. F-0867
The facility did not observe each nurse aide's job performance or provide regular training as required. F-0730
The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. F-0947
View all 14 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2026 | F · Potential for more than minimal harm, widespread | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Apr 24, 2026 | E · Potential for more than minimal harm, pattern | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Apr 24, 2026 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Jun 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Sep 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Sep 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Sep 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 9).
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 1 | 0 | D |
| 2025 | 1 | 0 | D |
| 2026 | 9 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOregon averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.45
Oregon average: 5.42
U.S. average: 3.95
Registered Nurse hours
This facility: 0.29
Oregon average: 0.78
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.07
Oregon average: 4.85
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Oregon avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.45 | 5.42 | 3.95 | bottom 7% in Oregon; top 24% in the U.S. |
| Registered Nurse hours | 0.29 | 0.78 | 0.69 | bottom 2% in Oregon; bottom 8% in the U.S. |
| Weekend total nurse staffing | 4.07 | 4.85 | 3.50 | bottom 11% in Oregon; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.48 | 0.48 | bottom 2% in Oregon; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | — | 47.4 | 45.8 | — |
| RN turnover (%) | — | 51.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.04, RN 0.26, weekend 3.69.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.04 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Rose Linn Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benicia Senior Living LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| Benicia Senior Living LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/13/2025 |
| Du Brin Corporation | Organization | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| Du Brin Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Dubrin, Linda | Individual | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| Dubrin, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Geistlinger, Harry | Individual | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| Geistlinger, Harry | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Independence Rehab LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/05/2022 |
| M H Zoller Co LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| M H Zoller Co LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Madson, Greg | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/27/2025 |
| Madson, Greg | Individual | ADP of the SNF | NOT APPLICABLE | 10/10/2025 |
| Prudential Huntoon Paige Associates LTC Isaoa | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2012 |
| Prudential Huntoon Paige Associates LTC Isaoa | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Waldroff, Teresa | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| Waldroff, Teresa | Individual | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| Waldroff, Teresa | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| West Linn Care Center Operating Company LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 07/01/2012 |
| West Linn Care Center Operating Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Oregon midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 58 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rivercrest Post Acute | 3.1 mi | Oregon City, OR | ★★☆☆☆ | 2/5 | |
| Avamere Rehabilitation of Oregon City | 3.4 mi | Oregon City, OR | ★★☆☆☆ | 2/5 | |
| Marquis Oregon City Post Acute Rehab | 3.7 mi | Oregon City, OR | ★★★★★ | 4/5 | |
| Avamere Rehabilitation of Clackamas | 4.0 mi | Gladstone, OR | ★★★★☆ | 3/5 | |
| Fernwood Supportive Living at Madrona Grove | 5.0 mi | Portland, OR | ★★★★☆ | 3/5 | |
| Willamette View Health Center | 5.2 mi | Milwaukie, OR | ★★★★★ | 5/5 | |
| The Pearl at Kruse Way | 5.4 mi | Lake Oswego, OR | ★★★★☆ | 4/5 | |
| Marquis Tualatin Post Acute Rehab | 5.5 mi | Tualatin, OR | ★★★★★ | 4/5 | |
| Stanley Post Acute | 6.5 mi | Milwaukie, OR | ★★★☆☆ | 3/5 | |
| Marquis Wilsonville Post Acute Rehab | 6.6 mi | Wilsonville, OR | ★★★★★ | 5/5 | |
| Marquis Hope Village | 7.3 mi | Canby, OR | ★★★★☆ | 4/5 | |
| Avamere Rehabilitation of King City | 7.5 mi | Tigard, OR | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Clackamas, OR — 13 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Woodside Post Acute — Molalla, OR · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 385278.
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