MARQUIS OREGON CITY POST ACUTE REHAB

Nursing Home Inspector

1680 MOLALLA AVENUE
OREGON CITY, OR 97045
Clackamas County
Phone: 503-655-2588
Provider Number: 385221
Last Inspection: 12/21/2016

About the Nursing Home

Number of Beds: 102
Number of Residents: 57
Beds Available: 45
Percent Occupancy: 56%
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

 

9

Facility
21

County
24

OR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2016
19

2015
6

2014

Medicare Ratings

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

 

Details by Inspection Date

12/21/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 2/9/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/9/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/9/2017
 

11/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 1/9/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 1/9/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 1/9/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/9/2016
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 1/9/2016
 

9/26/2014 Inspection

 
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 11/15/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/15/2014
 

Complaint Investigation Deficiencies

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

4/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 5/17/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 5/17/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OR State Avg
Number of Residents 57 41.27 53.13
Registered Nurses 0.99 0.83 0.86
Licensed Practical / Vocational Nurses 0.45 0.66 0.75
Certified Nursing Assistants 2.91 2.68 3.13
Total Staff Hours 4.36 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 2 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 84 91 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91 87 92
of long-stay residents experiencing one or more falls with major injury 6 2 3
of long-stay residents who have depressive symptoms 4 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 13 11 15
of long-stay residents who received an antipsychotic medication 25 15 14
of long-stay residents who self-report moderate to severe pain 3 10 11
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 18 18
of long-stay residents whose need for help with daily activities has increased 18 12 12
of long-stay residents with a catheter inserted and left in their bladder 2 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 67 54 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 57 75 80
of short-stay residents who had an outpatient emergency department visit 17 14 14
of short-stay residents who made improvements in function 65 63 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 5 18 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 50 72 78
of short-stay residents who were rehospitalized after a nursing home admission 25 19 19
of short-stay residents who were successfully discharged to the community 59 70 67
of short-stay residents with pressure ulcers that are new or worsened 0 0 0