Nursing homeActive
Rose Linn Care Center
2330 Debok Road, West Linn, OR 97068503655047471 certified beds · 61 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
14
● 0● 14● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-24
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Oregon Department of Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-24 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-01-31 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Oregon Department of Human Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 385278-20260424-F552
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 385278-20260424-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 385278-20260424-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 385278-20260424-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 385278-20260424-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 385278-20260424-F730
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 385278-20260424-F867
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 385278-20260424-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 385278-20260424-F947
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 385278-20250131-F582
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 385278-20240618-F689
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 385278-20230908-F685
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 385278-20230908-F756
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 385278-20230908-F887
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.26
Facility
Oregon
National
Oregon 0.72 · National 0.69
Total nurse hours per resident day4.04
Facility
Oregon
National
Oregon 5.03 · National 3.86
Weekend total nurse hours3.69
Facility
Oregon
National
Oregon 4.51 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Oregon | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.3% | 5.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.9% | 2.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.4% | 13.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 2.0% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.7% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.0% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.9% | 12.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Benicia Senior Living LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Madson, Greg Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Waldroff, Teresa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Benicia Senior Living LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Du Brin Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Du Brin Corporation Organization | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dubrin, Linda Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dubrin, Linda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Geistlinger, Harry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Geistlinger, Harry Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Independence Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| M H Zoller Co LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| M H Zoller Co LLC Organization | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Madson, Greg Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Prudential Huntoon Paige Associates Ltc Isaoa Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Prudential Huntoon Paige Associates Ltc Isaoa Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Waldroff, Teresa Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Waldroff, Teresa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| West Linn Care Center Operating Company LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| West Linn Care Center Operating Company LLC Organization | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zoller, Cheryl Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zoller, Cheryl Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zoller, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zoller, Mark Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Oregon.
No county cost figures on file for Clackamas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Rivercrest Post Acute Oregon City | 3.1 mi | 2026-02-13 | 1270 |
| Avamere Rehabilitation Of Oregon City Oregon City | 3.4 mi | 2025-08-29 | 0412 |
| Fernwood Supportive Living At Madrona Grove Portland | 5.0 mi | 2026-06-04 | 0190 |
| Marquis Oregon City Post Acute Rehab Oregon City | 3.7 mi | 2026-02-27 | 090 |
| Willamette View Health Center Milwaukie | 5.1 mi | 2026-06-17 | 140 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |