Federal inspection record · CMS data as of October 1, 2026
Rose Linn Care Center
2330 Debok Road, West Linn, OR · (503) 655-0474
- Certified beds
- 71
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 3, 2014
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Rose Linn Care Center carries 44 inspection points. That is fewer than 63% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Assist a resident in gaining access to vision and hearing services.
Nursing and Physician Services2E
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights2D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
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.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
2026-04-24
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-31
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2023-09-08
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
4 h 9 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts worse | 94.5% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 86.7% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 4.1% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts better | 2.5% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 2.6% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts worse | 16.3% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14 pts worse | 28.3% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.4 pts better | 10.2% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts better | 3.7% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.7% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.5% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts better | 18.5% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 5.4% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.2 pts worse | 64.6% | 85.8% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 3.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine44.8 pts worse | 36.1% | 80.9% | 80.1% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Benicia Senior Living LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Benicia Senior Living LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Du Brin Corporation | Limited Partnership Interest · Organization | 0% | 1 facilities |
| Du Brin Corporation | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dubrin, Linda | Limited Partnership Interest · Individual | 0% | 1 facilities |
| Dubrin, Linda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Geistlinger, Harry | Limited Partnership Interest · Individual | 0% | 1 facilities |
| Geistlinger, Harry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Independence Rehab LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| M H Zoller Co LLC | Limited Partnership Interest · Organization | 0% | 1 facilities |
| M H Zoller Co LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Madson, Greg | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Madson, Greg | Adp Of The SNF · Individual | 0% | 1 facilities |
| Prudential Huntoon Paige Associates Ltc Isaoa | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Prudential Huntoon Paige Associates Ltc Isaoa | Adp Of The SNF · Organization | 0% | 2 facilities |
| Waldroff, Teresa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Waldroff, Teresa | Limited Partnership Interest · Individual | 0% | 1 facilities |
| Waldroff, Teresa | Adp Of The SNF · Individual | 0% | 1 facilities |
| West Linn Care Center Operating Company LLC | Limited Partnership Interest · Organization | 0% | 1 facilities |
| West Linn Care Center Operating Company LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Zoller, Cheryl | Limited Partnership Interest · Individual | 0% | 1 facilities |
| Zoller, Cheryl | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zoller, Mark | Limited Partnership Interest · Individual | 0% | 1 facilities |
| Zoller, Mark | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- D
Provide properly protected cooking facilities.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3D
- D
Have proper medical gas storage and administration areas.
- D
Have power receptacles that are properly grounded.
- D
Ensure proper usage of power strips and extension cords.
Egress1E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Rivercrest Post Acute
Oregon City, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 50 min
- Fines
- $18,075
-
Avamere Rehabilitation Of Oregon City
Oregon City, OR · Avamere
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 20 min
- Fines
- $85,768
-
Marquis Oregon City Post Acute Rehab
Oregon City, OR · Marquis Companies
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 54 min
- Fines
- $0