MARQUIS PLUM RIDGE

Nursing Home Inspector

1401 BRYANT WILLIAMS DR.
KLAMATH FALLS, OR 97601
Klamath County
Phone: 541-882-6691
Provider Number: 385137
Last Inspection: 11/18/2016

About the Nursing Home

Number of Beds: 95
Number of Residents: 74
Beds Available: 21
Percent Occupancy: 78%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
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

 

7

Facility
7

County
24

OR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2016
17

2015
10

2014

Medicare Ratings

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

 

Details by Inspection Date

11/18/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Isolated : Minimal 3 1/3/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/3/2017
 

10/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/7/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/7/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/7/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/7/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 12/7/2015
 

9/25/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 10/27/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/27/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/27/2014
 

Complaint Investigation Deficiencies

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

4/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/11/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OR State Avg
Number of Residents 74 74.00 53.13
Registered Nurses 0.82 0.82 0.86
Licensed Practical / Vocational Nurses 1.19 1.19 0.75
Certified Nursing Assistants 3.11 3.11 3.13
Total Staff Hours 5.12 5.12 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 9 9 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 92 92 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82 82 92
of long-stay residents experiencing one or more falls with major injury 5 5 3
of long-stay residents who have depressive symptoms 1 1 3
of long-stay residents who lose too much weight 6 6 7
of long-stay residents who received an antianxiety or hypnotic medication 8 8 15
of long-stay residents who received an antipsychotic medication 4 4 14
of long-stay residents who self-report moderate to severe pain 30 30 11
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 26 26 18
of long-stay residents whose need for help with daily activities has increased 9 9 12
of long-stay residents with a catheter inserted and left in their bladder 1 1 3
of long-stay residents with a urinary tract infection 3 3 4
of low risk long-stay residents who lose control of their bowels or bladder 45 45 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 74 74 80
of short-stay residents who had an outpatient emergency department visit 9 9 14
of short-stay residents who made improvements in function 81 81 70
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 31 31 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67 67 78
of short-stay residents who were rehospitalized after a nursing home admission 16 16 19
of short-stay residents who were successfully discharged to the community 71 71 67
of short-stay residents with pressure ulcers that are new or worsened 1 1 0