Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rose Linn Care Center during CMS and state inspections, most recent first.
The facility failed to provide complete and accurate Notice of Medicare Non-Coverage (NOMNC) forms to two residents, resulting in a lack of information regarding their Medicare coverage and potential financial liabilities. One resident received an incomplete NOMNC form, while another did not receive any form at all, as confirmed by the Social Services Director.
A resident with dementia, requiring a Hoyer lift and two-person assistance for transfers, was improperly transferred by a CNA using a Sara lift, leading to a fall and injury. The CNA acted alone, contrary to the care plan, and was terminated following the incident.
Failure to Provide Complete Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to provide accurate and complete Notice of Medicare Non-Coverage (NOMNC) forms to two residents, which is a requirement for informing them of their Medicare coverage and potential financial liabilities. Resident 114, who was admitted with diagnoses including diabetes and schizophrenia, had Medicare Part A coverage. The facility sent an incomplete NOMNC form to the resident's Power of Attorney, lacking essential information such as the effective date of coverage, the date when coverage was to end, and contact information for the Quality Improvement Organization for appeal purposes. This form was not signed and returned, and the Social Services Director later acknowledged the form's invalidity due to missing information. Similarly, Resident 115, admitted with dementia and a thoracic vertebrae fracture, also had Medicare Part A coverage. Upon completion of therapy services and clearance for discharge, the facility failed to provide any NOMNC form to this resident. The Social Services Director confirmed that a NOMNC form was necessary but was not provided. These deficiencies indicate a failure in the facility's process to ensure residents are informed of their Medicare coverage details and potential financial responsibilities.
Failure to Follow Care Plan Leads to Resident Fall
Penalty
Summary
The facility failed to adhere to the care plan for a resident with dementia, who was at risk for falls due to cognitive impairment and required assistance with mobility. The care plan specified the use of a Hoyer lift for transfers and a two-person assistance approach. However, during an incident, a CNA used a Sara lift instead of the Hoyer lift, resulting in the resident's foot slipping and the resident losing balance, which led to a cut on the lower lip and bruising. The CNA admitted to being scared to use the Hoyer sling due to the resident's aggression and acknowledged that the facility was out of Hoyer slings at the time. The CNA attempted to transfer the resident alone using the Sara lift, despite the care plan's requirement for a two-person transfer. The CNA claimed that another staff member was present, but this was contradicted by other staff members who stated they were not in the room during the incident. The facility's administrator confirmed that the CNA did not follow the care plan, which resulted in the resident's fall. The CNA was subsequently terminated as a result of the incident.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near West Linn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rivercrest Post Acute | 3.1 mi | — | 20 | 0 |
| Avamere Rehabilitation Of Oregon City | 3.4 mi | — | 0 | 0 |
| Marquis Oregon City Post Acute Rehab | 3.7 mi | — | 5 | 0 |
| Avamere Rehabilitation Of Clackamas | 4 mi | — | 6 | 0 |
| Fernwood Supportive Living At Madrona Grove | 5 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.