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Rose Haven Nursing Center

740 Nw Hill, Roseburg, OR 97471 · Douglas County · (541) 672-1631

193 certified beds, about 81 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385151 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 5, 2026, inspectors cited 7 health deficiencies (the Oregon average is 9.2, the national average 9.2).

Of 33 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $85,105 in the last three years; the largest was $51,389, and the latest is dated February 27, 2025.

Nurses and nurse aides worked 4.59 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

41.5% of nursing staff left within the year CMS measured (Oregon average 47.4%).

CMS links it to Volare Health, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
22D
7E
2F
Potential for minimal harm
0A
0B
0C
June 5, 2026Standard inspection · 7 citations
  1. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure staff adhered to professional standards related to medication administration and non-pressure wound care for 4 of 4 licensed nurses Staff 6 (RN), Staff 7 (RN), Staff 21 (LPN), and Staff 22 (RN) reviewed for medication administration and non-pressure wound care. This placed residents at risk for cross contamination.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow proper infection control techniques for urinary catheter bags containing bodily fluid for 2 of 2 sampled residents (#s 2 and 54), failed to perform proper use of PPE when administering medications for 2 of 31 sampled residents (#s 17 and 27) reviewed for medication administration and ensure proper hand hygiene was completed during a dressing change for 1 of 2 sampled residents (#35). This placed residents at risk for cross-contamination and infection.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure catheter bags and rectal tube bags were covered for 1 of 2 sampled residents (# 2) reviewed for dignity. This placed residents at risk for a loss of dignity.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to accurately complete a comprehensive admission assessment to include dentures for 1 of 1 sampled resident (#34) reviewed for dental. This placed residents at risk for unmet dental needs.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accurately assess 3 of 5 sampled residents (#s 6, 34, and 103) reviewed for unnecessary medications. This placed residents at risk for unassessed needs.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to thoroughly assess a resident after an unwitnessed fall for 1 of 2 sampled residents (#34) reviewed for accidents. This placed residents at risk for unassessed injuries.
  7. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to address behavioral health needs timely for 1 of 1 sampled resident (#69) reviewed for mood and behavior. This placed residents at risk for lack of behavioral health care.
February 27, 2025Standard inspection, Complaint inspection · 11 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents remained free from accident hazards for 2 of 3 sampled residents (#s 25 and 283) reviewed for accidents. Due to Staff 42 (CNA) not following the care plan, Resident 25 fell and broke her/his hip which required surgery.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow infection control standards for 4 of 4 halls observed and 2 of 4 sampled residents (#77 and 43) reviewed for pressure ulcers. This placed residents at risk for exposure and contraction of infectious diseases.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wrote3. Resident 77 was admitted to the facility in 2/2025 with diagnoses including necrotizing fasciitis (flesh eating disease) and utilized a wound vac (vacuum assisted closure for healing of wounds). The 2/2025 MAR indicated for staff to premedicate the resident with diazepam (for anxiety) and percocet (narcotic pain medication) one hour prior to the resident's dressing change. On 2/23/25 Resident 77 was administered percocet and diazepam at 2:00 PM. Resident 77's dressing change was completed at 2:40 PM, less than an hour after the prescribed medication was administered. Resident 77 was observed moaning and making painful expressions during the dressing change. On 2/27/25 at 11:52 AM Staff 2 (DNS) acknowledged Resident 77 was not premedicated one hour prior to the 2/23/25 dressing change and should have been due to the large wound and pain. [...]
  4. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure narcotic drug records were in order, accurate, and maintained for all controlled drugs for 5 of 5 medication carts reviewed for medication administration and failed to provide accurate and timely pharmaceutical services for 2 of 2 sampled residents (#s 77 and 131) reviewed for medications and pressure wounds. This placed residents at risk for drug diversion and unmet pharmaceutical needs.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to develop an individualized plan of care for 1 of 1 sampled resident (#77) reviewed for medications. This placed residents at risk for unmet care planned needs.
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed assess, implement, follow and maintain pressure ulcer treatments and care plans for 1 of 4 sampled residents (# 3) reviewed for pressure ulcers.
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to monitor, assess and document signs and symptoms of dehydration for 1 of 1 sampled resident (#21) reviewed for limited range of motion and depression. This placed residents at risk for dehydration.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide physician-ordered respiratory care for 1 of 1 sampled resident (#6) reviewed for respiratory services. This placed residents at risk for unmet respiratory needs.
  9. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on interview and record review the facility failed to accurately assess pain, develop person centered plans and provide pain medications as ordered for 2 of 3 sampled residents (#s 24 and 55) reviewed for pain management. This placed residents at risk for increased pain.
  10. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on interview, and record review, it was determined the facility failed to provide care and services for dementia for 1 of 5 sampled residents (#35) reviewed for medications. This placed residents at risk for unmet needs.
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide adequate indication for use of medications for 2 of 4 sampled residents (#s 6 and 131) reviewed for pressure ulcers. This placed residents at risk for unnecessary medications.
October 20, 2023Standard inspection, Complaint inspection · 15 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview, and record review the facility failed to ensure resident's pain was managed appropriately for 2 of 6 sampled residents (#s 212 and 262) reviewed for pain management. Resident 212 experienced severe pain.
  2. F
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    F575 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure Ombudsman contact and complaint filing information were posted in the facility for 1 of 1 facility reviewed for required postings. This placed residents at risk for lack of advocacy information.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure nursing assessments were completed after a change in condition, to ensure medications were administered as ordered, and to ensure wheelchair leg rests were applied for 5 of 11 sampled residents (#s 2, 35, 37, 44, and 213) reviewed for pain, change of condition and ADLs. This placed residents at risk for unmet needs.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide sufficient nursing staff to ensure residents achieved or maintained their highest practicable mental, physical and psychosocial well-being for 2 of 10 sampled residents (#s 59 and 212) and 1 of 4 halls (100 hall) reviewed for staffing. This placed residents at risk for unmet needs.
  5. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow the menus for 1 of 1 kitchen and 2 of 5 sampled residents (#s 17 and 22) reviewed for food. This placed residents at risk for meal dissatisfaction.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents were provided a dignified dining experience for 1 of 1 sampled resident (#2) reviewed for dignity and 1 of 2 dining rooms (200 Hall Dining Room) observed for dining. This placed residents at risk for undignified dining.
  7. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and review it was determined the facility failed to provide a homelike environment for 1 of 4 halls (100 hall) reviewed for environment. This placed residents at risk for a non-homelike environment.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident's care plan was updated to reflect the resident's current care needs for 1 of 1 sampled resident (#2) reviewed for dignity. This placed residents at risk for undignified dining.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide ADL care and services for 3 of 5 sampled residents (#s 44, 54, and 213) reviewed for ADLs. This placed residents at risk for decline in hygiene.
  10. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident was provided a meaningful activity program for 1 of 2 sampled residents (#37) reviewed for activities. This placed residents at risk for lack of social engagement.
  11. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident received ROM for 1 of 1 sampled resident (#2) reviewed for ROM. This placed residents at risk for pain.
  12. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview, and record review it was determined the facility failed to maintain bladder continence for 1 of 1 sampled resident (#212) reviewed for incontinent care. This placed residents at risk for incontinence. Resident 212 admitted to the facility in 2021 with diagnoses including anxiety, urinary tract infection, and osteoarthritis of the knee. An 8/17/21 care plan indicated Resident 212 had the potential for impairment to skin integrity due to incontinence, impaired mobility, and pain. Resident 212's goal was to maintain clean, and intact skin. Interventions included to keep body parts from excessive moisture. A 7/22/22 Annual MDS and Urinary Incontinence CAA indicated Resident 212 was frequently incontinent of bowel and bladder and was at risk for the development of UTIs and skin breakdown. [...]
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to administer oxygen to 1 of 1 sampled resident (#57) reviewed for respiratory care. This placed residents at risk for low oxygen levels.
  14. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident who was a trauma survivor received trauma-informed care for 1 of 1 sampled resident (#59) reviewed for PASRR. This placed residents at risk for unmet trauma needs and a decrease in their quality of life.
  15. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure appropriate temperatures were maintained for 2 of 5 sampled residents (#24 and 57) reviewed for food. This placed residents at risk for food that was not appetizing.

Fire safety inspections

12 fire safety citations on file: 4 on June 5, 2026, 8 on October 20, 2023.

Every fire safety citation12 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · June 5, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2026 · Corrected (the home has a date of correction)
  3. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 5, 2026 · Corrected (the home has a date of correction)
  4. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · June 5, 2026 · Corrected (the home has a date of correction)
  5. F
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · October 20, 2023 · Corrected (the home has a date of correction)
  6. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · October 20, 2023 · Corrected (the home has a date of correction)
  7. F
    Install an approved automatic sprinkler system.
    K 351 · October 20, 2023 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 20, 2023 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 20, 2023 · Corrected (the home has a date of correction)
  10. D
    Have exits that are accessible at all times.
    K 271 · October 20, 2023 · Corrected (the home has a date of correction)
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 20, 2023 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · October 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 27, 2025Fine $33,716
October 20, 2023Fine $51,389

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)4.595.033.86
Registered nurses0.730.720.69
All nursing staff on weekends4.094.513.42
Nurse aides3.07
Licensed practical nurses0.79
Nursing staff turnover (share who left in a year)41.5%47.4%45.8%
Registered nurse turnover38.5%51.6%42.9%
Administrators who left0

CMS expects 4.03 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.79 on weekdays and 4.09 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.85 in April to June 2025 to 4.59 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.590.734.794.09 0.0%0 of 9081
Oct to Dec 20254.710.764.894.26 0.0%0 of 9278
Jul to Sep 20254.750.654.924.32 0.0%0 of 9280
Apr to Jun 20254.850.675.114.22 1.1%0 of 9175
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oregon, Jan to Mar 20264.910.645.124.406.2%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOregonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.214.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.41.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.32.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.820.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.65.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.913.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
12.721.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.916.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.41.8

Owners and operators

Legal business name: SWEET BRIAR NURSING CENTER LLC. CMS links this home to Volare Health, a group of 16 nursing homes averaging 1.8 stars overall.

NameRoleTypeShareSince
Pac 12 Opco Holdco LLC5% or greater direct ownership interestOrganization100%03/01/2023
Knox Healthcare Pac 12 Holdings LLC5% or greater indirect ownership interestOrganization03/01/2023
Pac 12 Holdings LLC5% or greater indirect ownership interestOrganization03/01/2023
Pac 12 Pinnacle Holdco LLC5% or greater indirect ownership interestOrganization03/01/2023
Hagler, Alexander5% or greater indirect ownership interestIndividual03/01/2023
Knox, Donald5% or greater indirect ownership interestIndividual03/01/2023
Sweet Briar Propco LLC5% or greater mortgage interestOrganization03/01/2023
Knox, DonaldCorporate officerIndividual03/01/2023
Smith, BrianCorporate officerIndividual03/27/2023
Volare Health LLCOperational/managerial controlOrganization03/01/2023
Fisher, JoshuaOperational/managerial controlIndividual01/01/2025
Knox, DonaldOperational/managerial controlIndividual03/01/2023
Rust, KiraOperational/managerial controlIndividual03/01/2023
Schwartz, EliezerOperational/managerial controlIndividual03/01/2023
Pac 12 Holdings LLCAdp of the SNFOrganization03/01/2023
Pac 12 Pinnacle Holdco LLCAdp of the SNFOrganization03/01/2023
Sweet Briar Propco LLCAdp of the SNFOrganization03/01/2023
Volare Health LLCAdp of the SNFOrganization08/20/2025
Fisher, JoshuaAdp of the SNFIndividual01/01/2025
Hagar, ChaimAdp of the SNFIndividual03/01/2023
Knox, DonaldAdp of the SNFIndividual03/01/2023
Rust, KiraAdp of the SNFIndividual03/01/2023
Schwartz, EliezerAdp of the SNFIndividual03/01/2023
Smith, BrianAdp of the SNFIndividual03/27/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on June 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 5, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 5, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 5, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.09 hours per resident per day, below the Oregon average of 4.51.

Other nursing homes nearby

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Common questions

What is Rose Haven Nursing Center's Medicare star rating?
CMS rates Rose Haven Nursing Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rose Haven Nursing Center get at its last inspection?
7 health deficiencies at the standard inspection on June 5, 2026. The Oregon average is 9.2.
Has Rose Haven Nursing Center been fined?
Yes. CMS lists 2 fines totaling $85,105 in the last three years.
Does Rose Haven Nursing Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Rose Haven Nursing Center?
CMS lists 24 owners and managers, and links the home to Volare Health. Legal business name: SWEET BRIAR NURSING CENTER LLC.

Sources

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