CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3852782026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Rose Linn Care Center

2330 Debok Road · West Linn, OR 97068 · Clackamas County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds71CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-04-2492026-04-243
Cycle 22025-01-3112025-01-313
Cycle 32023-09-0842023-09-082
02 / CITATION DETAIL

22 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-24 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-04-24 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-27
2026-04-24 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-04-24 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-27
2026-04-24 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2026-05-27
2026-04-24 · HEALTHF0730Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Correction field: Deficient, Provider has date of correction · 2026-06-13
2026-04-24 · HEALTHF0867Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-04-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-04-24 · HEALTHF0947Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Correction field: Deficient, Provider has date of correction · 2026-06-13
2026-04-24 · FIREK0225Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-04-24 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-05-27
2026-04-24 · FIREK0342Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2025-01-31 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-31 · FIREK0355Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-31 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-31 · FIREK0923Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2024-06-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-03 · complaint
2023-09-08 · HEALTHF0685Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-10-27
2023-09-08 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2023-10-27
2023-09-08 · HEALTHF0887Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-10-27
2023-09-08 · FIREK0912Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Correction field: Deficient, Provider has date of correction · 2023-10-27
2023-09-08 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2023-10-27
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • PRUDENTIAL HUNTOON PAIGE ASSOCIATES LTC ISAOAOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 07/01/2012
  • BENICIA SENIOR LIVING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2012
  • MADSON, GREGIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/27/2025
  • WALDROFF, TERESAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2012
  • DU BRIN CORPORATIONOrganization · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • M H ZOLLER CO LLCOrganization · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • WEST LINN CARE CENTER OPERATING COMPANY LLCOrganization · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • DUBRIN, LINDAIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • GEISTLINGER, HARRYIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • WALDROFF, TERESAIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • ZOLLER, CHERYLIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • ZOLLER, MARKIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/01/2012
  • BENICIA SENIOR LIVING LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/13/2025
  • DU BRIN CORPORATIONOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2012
  • INDEPENDENCE REHAB LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/05/2022
  • M H ZOLLER CO LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2012
  • PRUDENTIAL HUNTOON PAIGE ASSOCIATES LTC ISAOAOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2012
  • WEST LINN CARE CENTER OPERATING COMPANY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2012

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.04per resident day
RN hours0.26per resident day
Weekend nurse hours3.69per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Oregon ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.