Rose City Nursing And Rehabilitation

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 55 beds and averages 51.4 residents a day — about 93% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.30 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.79 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.95 hrs/resident/day on weekends vs 5.45 on weekdays — 9% thinner on weekends. RN hours go from 0.79 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

32 citations, most serious first. The 11 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · Gcited before2024-03-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure bowel status was assessed and a bowel care medication regimen was administered as ordered for 1 of 3 sampled residents (#1) reviewed for bowel care. Resident 1 developed abdominal pain, was admitted to the hospital and required surgery to remove part of the large intestine due to impaction (hardened stool stuck in the rectum or lower colon due to chronic constipation-occurs when constipated for a long time) and a colostomy (surgical procedure used to bring the healthy end of the large intestine through the abdominal wall for feces to leave the body) was placed. Findings include: Resident 1 was admitted to the facility 10/4/23 with diagnoses including developmental delay and stroke. An 10/3/23 hospital physician Progress Note revealed Resident 1 had a diagnosis of severe constipation, chronic-improved and had a history of chronic constipation with past frequent admissions. The resident was to continue senna (laxative) and Miralax (Miralax) at a high frequency in the hopes of getting more doses in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-26 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure an RN was available for at least eight consecutive hours per day, seven days per week for 33 of 61 days reviewed for staffing. This placed residents at risk for lack of timely RN assessments and care. Findings include: The facility's Staffing, Sufficient and Competent Nursing Policy, last revised 8/2022, indicated the following: -A registered nurse provided services at least eight consecutive hours every 24 hours, seven days a week. A review of the facility's DCSDRs (Direct Care Staff Daily Reports) revealed the following: In 7/2024, nine days were reviewed and revealed four days without appropriate RN coverage on 7/16/24, 7/20/24, 7/22/24 and 7/23/24. In 8/2024, 22 days were reviewed and revealed 12 days without appropriate RN coverage on 8/4/24, 8/5/24, 8/6/24, 8/10/24, 8/11/24, 8/12/24, 8/13/24, 8/17/24, 8/18/24, 8/19/24, 8/20/24 and 8/24/24. In 9/2024, 30 days were reviewed and revealed 17 days without appropriate RN coverage on 9/1/24, 9/3/24, 9/8/24, 9/9/24, 9/10/24, 9/11/24, 9/14/24, 9/15/24,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure food and beverages were labeled and stored in a manner to minimize spoilage and cross contamination for 4 of 4 kitchen refrigerators and 1 of 1 unit refrigerator reviewed for sanitary conditions. This placed residents at risk for foodborne illness. Findings include: Review of the US FDA 2022 Food Code indicated the following: -Food prepared and held cold must be clearly marked with date prepared or by day which the food shall be consumed or discarded. -Food must be labeled with a use-by-date if stored for at least 24 hours. -Food could be stored up to seven days. The facility's Food Receiving and Storage Policy, last revised 10/2017, revealed the following: -Foods shall be received and stored in a manner that complies with safe food handling practices. -All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date). -All food belonging to residents must be labeled with the resident's name, the item and the use by date. -Beverages must be dated when…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-26 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activity program for 3 of 3 sampled residents (#s 5,10 and 20) reviewed for activities. This placed residents at risk of a decline in psychosocial well-being and diminished quality of life. Findings include: The facility's Activity Programs-Staffing Policy, revised 6/2018, indicated the following: The activity director/coordinator's responsibilities included the following: -completing or delegating the completion of the activities component of the comprehensive assessment; -ensuring activity goals and approaches reflected in the residents' care plans were individualized to match the skills, abilities and interests/preferences of each resident; -monitoring and evaluating the residents' responses to activities and revising the approaches as appropriate; -developing, implementing, supervising and evaluating activity programs at least quarterly; -sufficient activity personnel were on duty to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-26 · tag F0680 — pattern
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review it was determined the facility failed to provide a qualified professional to direct the activities program for 1 of 1 facility reviewed for activities. This placed residents at risk for unmet physical, mental and psychosocial needs. Findings include: On 2/25/25 at 10:17 AM Staff 11 (Activity Director/Social Services Director) stated one of his roles at the facility was to organize and lead activities. Staff 11 stated he was told a certification was not necessary to performed the duties of an Activity Director and confirmed he had not started or completed the necessary training required. On 2/26/25 at 1:11 PM Staff 1 (Administrator) confirmed Staff 11 did not have the necessary Activity Director certification.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-26 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to properly dispose of expired medications for 1 of 1 resident medication storage refrigerators and 1 of 1 medical storage rooms reviewed for medication storage. This placed residents at risk for lack of medication efficacy and adverse reactions from expired medications. Findings include: The facility's Storage of Medications policy with revision date 11/2020 did not address vials of medications but indicated outdated medications were to be destroyed by the facility. The manufacturer insert indicated an open and in use multi-dose vial of Tuberculin should be thrown away after 30 days to avoid oxidation and degradation. During a review of the resident medication storage refrigerator on 2/24/25 at 11:33 AM Staff 12 (LPN) verified the following expired medication was found: - one open and used multi-dose vial of Tuberculin (solution used in testing for Tuberculosis) with an open date of 1/22/25. On 2/24/25 at 11:36 AM Staff 12…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and records review it was determined the facility failed to assess safety with smoking for 1 of 1 resident (#19) reviewed for smoking. This placed residents at risk for unsafe smoking. Findings include: The facilities 8/2022 Smoking Policy for Residents states resident smoking status is evaluated upon admission. If a smoker, the evaluation includes: - current level of tobacco consumption; - method of tobacco consumption; - desire to quit smoking; and - ability to smoke safely with or without supervision (per a completed Safe Smoking Evaluation). Resident 19 was admitted to the facility in 1/2025 which diagnoses including congestive heart failure. A review of Resident 19's clinical record revealed no indication a smoking assessment was completed or if the resident was an independent smoker. On 2/23/25 at 10:07 AM a list of residents who smoke was received from Staff 1 (Administrator) and Resident 19 was not included on the list. On 2/25/25 at 12:15 PM Resident 19 was observed independently entering the smoking area with smoking supplies. On 2/25/25 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure dialysis services were in place including monitoring and communication with the dialysis provider for 1 of 1 sampled resident (# 20) reviewed for dialysis. This placed residents at risk for dialysis complications and delayed treatment. Findings include: Resident 20 was admitted to the facility in 8/2024 with diagnoses including diabetes, end-stage renal disease and dependence on dialysis (a medical treatment that removes waste products from the blood when the kidneys are not working properly). Resident 20's 8/18/24 admission MDS indicated the resident had no cognitive impairments and received dialysis. Resident 20's 1/26/25 Dialysis Care Plan indicated the resident received dialysis on Tuesday, Thursday and Saturday. From 2/1/25 through 2/25/25, Resident 20 had 10 dialysis treatments. A review of Resident 20's Dialysis Communication Forms from 2/1/25 through 2/25/25 revealed the following days when the facility did not have pre-dialysis and post-dialysis information: -2/4/25, 2/6/25 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-08 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure a resident representative was provided written notice of the facility bed hold policy for 1 of 3 sampled residents (#1) reviewed for bowel care. This placed residents and responsible parties at risk for lack of knowledge related to rights to return to the facility. Findings include: Resident 1 was admitted to the facility in 2023 with a diagnosis of a stroke. Resident 1's record revealed she/he had an appointed guardian. A Bed-Holds and Returns policy last revised 3/2022 revealed residents were to receive written information in the admission packet about the bed-hold policy and within 24 hours of an emergency transfer. Progress Notes revealed Resident 1 was sent to the emergency department on 2/21/24. The notes indicated the guardian was contacted on 2/27/24, the guardian reported she/he wanted the facility to hold the resident's bed and was then was notified by the facility she/he would be financially responsible to place a hold for the resident's bed. The 2/28/24 note indicated the guardian…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-10-20 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review it was determined the facility failed to ensure an RN worked eight consecutive hours per day seven days per week for 46 of 97 days reviewed for RN coverage. This placed residents at risk for lack of RN oversight including resident assessment, care and services. Findings include: Review of the Direct Care Staff Daily Reports from 1/1/23 through 1/25/23, 2/19/23 through 2/28/23, 3/1/23 through 3/31/23 and 9/16/23 through 10/16/23 revealed the following days in 2023 with no RN coverage for eight consecutive hours: -January: 1, 2, 9, 10, 12, 13, 16, 17, 22, 23 and 24. -February: 19, 20, 21, 22, 24, 25, 26, 27 and 28. -March: 3, 4, 5, 6, 7, 12, 13, 14, 16, 18, 19, 20, 22, 23, 24, 25, 26, 27, 28, 29, 30 and 31. -September: 17. -October: 1, 8 and 15. On 10/18/23 at 1:10 PM Staff 1 (Administrator) and Staff 5 (HR/Hiring Specialist) confirmed the facility lacked RN coverage on the identified dates.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-10-20 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure residents were free from medication error rates of five percent or greater for 4 of 6 sampled residents (#s 2, 4, 10 and 15) reviewed for medication administration. The facility's medication error rate was 18.5 percent. This placed residents at risk for adverse medication consequences. Findings include: 1. Resident 10 was admitted to the facility in 2022 with diagnoses including rib fractures. Resident 10's 10/2023 MAR included a physician's order for morphine sulphate (narcotic pain medication) 5 mg TID at 8:00 AM, 2:00 PM and 8:00 PM. On 10/18/23 at 10:15 AM Staff 8 (CMA) administered 5 mg of morphine sulphate to Resident 10. On 10/18/23 at 1:10 PM Staff 8 acknowledged the morphine sulphate was administered late. On 10/18/23 at 1:15 PM Staff 2 (DNS) stated the expectation was for medications to be administered within one hour before or after the scheduled administration times. 2. Resident 2 was readmitted to the facility 2023 with diagnoses including hip pain and palliative care.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in OR