Rivercrest Post Acute
Oregon City · 3.4 mi · 53 beds
Citations0Substantiated0
Rose Linn Care Center
2330 DEBOK ROAD, West Linn, OR, 97068
Nursing home71 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 9 deficiencies against Rose Linn Care Center in West Linn, Oregon at its most recent standard inspection on 2026-04-24. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
71certified beds
9deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.14
Potential for minimal harmThe least serious band.0
Most recentFEEDDDDDDDDDDD
The last 14 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · F0947 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0688 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-24 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2025-01-31 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · F0685 · 2023-09-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2023-09-08 · standard survey · No actual harm, potential for more than minimal harm
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.
Infection Control Deficiencies · F0887 · 2023-09-08 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Ownership
Who owns Rose Linn Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PRUDENTIAL HUNTOON PAIGE ASSOCIATES LTC ISAOA | Organization | NOT APPLICABLE | since 07/01/2012 |
| BENICIA SENIOR LIVING LLC | Organization | NOT APPLICABLE | since 07/01/2012 |
| MADSON, GREG | Individual | NOT APPLICABLE | since 05/27/2025 |
| WALDROFF, TERESA | Individual | NOT APPLICABLE | since 07/01/2012 |
| DU BRIN CORPORATION | Organization | NOT APPLICABLE | since 07/01/2012 |
| M H ZOLLER CO LLC | Organization | NOT APPLICABLE | since 07/01/2012 |
| WEST LINN CARE CENTER OPERATING COMPANY LLC | Organization | NOT APPLICABLE | since 07/01/2012 |
| DUBRIN, LINDA | Individual | NOT APPLICABLE | since 07/01/2012 |
| GEISTLINGER, HARRY | Individual | NOT APPLICABLE | since 07/01/2012 |
| WALDROFF, TERESA | Individual | NOT APPLICABLE | since 07/01/2012 |
| ZOLLER, CHERYL | Individual | NOT APPLICABLE | since 07/01/2012 |
| ZOLLER, MARK | Individual | NOT APPLICABLE | since 07/01/2012 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Avamere Rehabilitation of Oregon City
Oregon City · 4.1 mi · 111 beds
Citations0Substantiated0
Avamere Rehabilitation of Clackamas
Gladstone · 4.3 mi · 87 beds
Citations0Substantiated0
Marquis Oregon City Post Acute Rehab
Oregon City · 4.4 mi · 102 beds
Citations0Substantiated0
Fernwood Supportive Living at Madrona Grove
Portland · 5.0 mi · 16 beds
Citations0Substantiated0
Willamette View Health Center
Milwaukie · 5.2 mi · 6 beds
Citations0Substantiated0
Contact
Ask Rose Linn Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 385278.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction