ROSE LINN CARE CENTER

Nursing Home Inspector

2330 DEBOK ROAD
WEST LINN, OR 97068
Clackamas County
Phone: 503-655-0474
Provider Number: 385278
Last Inspection: 06/30/2017

About the Nursing Home

Number of Beds: 71
Number of Residents: 65
Beds Available: 6
Percent Occupancy: 92%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

24

Facility
21

County
24

OR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

24

2017
14

2016
39

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/30/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 8/19/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 8/19/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/19/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/19/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/19/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/19/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 8/19/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Isolated : Minimal 3 8/19/2017
 

6/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 8/6/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/6/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/6/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 8/6/2016
 

5/15/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 7/4/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 7/4/2015
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 7/4/2015
 
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 7/4/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 7/4/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 7/4/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/4/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/4/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 7/4/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/4/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/4/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 7/4/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 7/4/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OR State Avg
Number of Residents 65 41.27 53.13
Registered Nurses 0.47 0.83 0.86
Licensed Practical / Vocational Nurses 0.53 0.66 0.75
Certified Nursing Assistants 3.16 2.68 3.13
Total Staff Hours 4.16 4.17 4.75

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OR State Avg%
of high risk long-stay residents with pressure ulcers 4 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 91 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 87 92
of long-stay residents experiencing one or more falls with major injury 5 2 3
of long-stay residents who have depressive symptoms 0 2 3
of long-stay residents who lose too much weight 10 7 7
of long-stay residents who received an antianxiety or hypnotic medication 13 11 15
of long-stay residents who received an antipsychotic medication 37 15 14
of long-stay residents who self-report moderate to severe pain 4 10 11
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 18 18
of long-stay residents whose need for help with daily activities has increased 16 12 12
of long-stay residents with a catheter inserted and left in their bladder 4 4 3
of long-stay residents with a urinary tract infection 1 2 4
of low risk long-stay residents who lose control of their bowels or bladder 78 54 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 75 80
of short-stay residents who self-report moderate to severe pain 3 14 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77 63 70
of short-stay residents with pressure ulcers that are new or worsened 0 1 1