MARQUIS NEWBERG

Nursing Home Inspector

441 WERTH BLVD
NEWBERG, OR 97132
Yamhill County
Phone: 503-538-9436
Provider Number: 385180
Last Inspection: 12/02/2016

About the Nursing Home

Number of Beds: 54
Number of Residents: 42
Beds Available: 12
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

 

21

Facility
47

County
24

OR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

21

2016
27

2015
20

2014

Medicare Ratings

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

 

Details by Inspection Date

12/2/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/21/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/21/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/21/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 1/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/21/2017
 
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 1/21/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 1/21/2017
 

10/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 12/5/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/5/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/5/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/5/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/5/2015
 
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 12/5/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/5/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/5/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/5/2015
 

8/18/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Isolated : Minimal 3 10/7/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 10/7/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 10/7/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/7/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/7/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/7/2014
 

Complaint Investigation Deficiencies

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

3/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/15/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OR State Avg
Number of Residents 42 39.17 53.13
Registered Nurses 1.09 0.78 0.86
Licensed Practical / Vocational Nurses 0.84 0.95 0.75
Certified Nursing Assistants 3.13 2.88 3.13
Total Staff Hours 5.06 4.61 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 5 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 94 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 90 92
of long-stay residents experiencing one or more falls with major injury 0 3 3
of long-stay residents who have depressive symptoms 8 2 3
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 12 16 15
of long-stay residents who received an antipsychotic medication 8 11 14
of long-stay residents who self-report moderate to severe pain 0 4 11
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 17 18
of long-stay residents whose need for help with daily activities has increased 6 7 12
of long-stay residents with a catheter inserted and left in their bladder 0 2 3
of long-stay residents with a urinary tract infection 1 3 4
of low risk long-stay residents who lose control of their bowels or bladder 40 50 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 78 80
of short-stay residents who had an outpatient emergency department visit 9 17 14
of short-stay residents who made improvements in function 70 77 70
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 13 10 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85 78 78
of short-stay residents who were rehospitalized after a nursing home admission 16 23 19
of short-stay residents who were successfully discharged to the community 61 62 67
of short-stay residents with pressure ulcers that are new or worsened 1 0 0