Cycle 1
Health 2024-11-22 · Fire 2024-11-22
3 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Forest Grove, OR
Marquis Forest Grove Post Acute Rehab
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3300 19th Avenue, Forest Grove, OR
(503) 357-7119
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
63
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Companies
Operator or chain grouping
Approved since
1989-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.91
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.48
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.61
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
2.13
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.97
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.78
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,659
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9963
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.98% · Performance 21.29% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.11
Baseline 5.96% · Performance 6.31% · Measure score 5.11 · Achievement 5.11 · Improvement 0
Total nurse turnover
4.66
Baseline 43.66% · Performance 44.62% · Measure score 4.66 · Achievement 4.66 · Improvement 0
Adjusted total nurse staffing
7.53
Baseline 5.25 hours · Performance 5.22 hours · Measure score 7.53 · Achievement 7.53 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.3% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 3.9% · Lower 95% interval 5.99% |
| Discharge to community | 64.96% |
50.57%
14.4 pts better
|
Better than the National Rate · Eligible stays 87 · Observed rate 63.22% · Lower 95% interval 52.18% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.68% |
95.27%
3.4 pts better
|
Numerator 75 · Denominator 76 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 2 · Denominator 76 |
| Discharge self-care score | 55.74% |
53.69%
2.1 pts better
|
Numerator 34 · Denominator 61 |
| Discharge mobility score | 44.26% |
50.94%
6.7 pts worse
|
Numerator 27 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 11.84% |
2.29%
9.6 pts worse
|
Numerator 9 · Denominator 76 · Adjusted rate 13.3% |
| Healthcare-associated infections requiring hospitalization | 6.31% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 3.23% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 5% |
8.2%
3.2 pts worse
|
Numerator 4 · Denominator 80 |
| Staff flu vaccination coverage | 57.28% |
42%
15.3 pts better
|
Numerator 59 · Denominator 103 |
| Discharge function score | 60.66% |
56.45%
4.2 pts better
|
Numerator 37 · Denominator 61 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 55 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 56.76% |
25.2%
31.6 pts better
|
Numerator 21 · Denominator 37 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
95.5%
0.7 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 96.0% · Q3 96.3% · Q4 96.3% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
95.2%
1.5 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
2.4%
0.5 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.1% |
4.7%
6.4 pts worse
|
11.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 15.0% · Q3 13.0% · Q4 11.5% · 4Q avg 11.1% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.0%
1.8 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.2% · Q4 4.2% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
12.5%
2.9 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 17.4% · Q3 8.3% · Q4 4.2% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
14.7%
13.9 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.0% |
0.1%
0.9 pts worse
|
0.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.0% |
24.1%
0.9 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3% |
15.8%
7.5 pts worse
|
14.9%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 22.7% · Q3 26.1% · Q4 29.2% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.7%
1.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.8% |
2.0%
3.8 pts worse
|
1.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q3 11.1% · Q4 3.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.7% |
22.2%
5.5 pts worse
|
19.8%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q3 44.8% · Q4 30.0% · 4Q avg 27.7% |
| Percentage of long-stay residents with pressure ulcers | 16.8% |
6.5%
10.3 pts worse
|
5.1%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 9.1% · Q3 20.0% · Q4 19.2% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
85.4%
11.8 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 96.8% · Q3 99.0% · Q4 100.0% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
15.1%
9.2 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.7%
0.9 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.6% |
81.2%
6.4 pts better
|
79.7%
7.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
21.6%
4 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.1% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-09-27 · Fire 2019-09-27
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-02-16 · Fire 2018-02-16
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-11
F · Potential for more than minimal harm
2019-09-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-15
F · Potential for more than minimal harm
2019-09-27
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2019-11-15
D · Potential for more than minimal harm
2019-09-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-15
F · Potential for more than minimal harm
2018-02-16
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-03-28
F · Potential for more than minimal harm
2018-02-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-03-28
E · Potential for more than minimal harm
2018-02-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-03-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-11-22
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-01-11
E · Potential for more than minimal harm
2024-11-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-11
D · Potential for more than minimal harm
2024-11-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-11
D · Potential for more than minimal harm
2019-09-27
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2019-11-15
E · Potential for more than minimal harm
2018-02-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-03-28
D · Potential for more than minimal harm
2018-02-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-03-28
D · Potential for more than minimal harm
2018-02-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-03-28
Penalties and ownership
What sits behind the stars
Ownership
Fogg, Phillip
5% Or Greater Indirect Ownership Interest · Individual
Marquis Companies I, Inc
5% Or Greater Direct Ownership Interest · Organization
Dooley, Deborah
Operational/Managerial Control · Individual
English, Meagan
Operational/Managerial Control · Individual
English, Meagan
Contracted Managing Employee · Individual
Fogg, Phillip
Operational/Managerial Control · Individual
Fogg, Phillip
Corporate Officer · Individual
Fogg, Steven
Operational/Managerial Control · Individual
Fogg, Steven
Corporate Officer · Individual
Fogg, Steven
Contracted Managing Employee · Individual
Levee, Kathleen
Operational/Managerial Control · Individual
Levee, Kathleen
Contracted Managing Employee · Individual
Marquis Companies I, Inc
Operational/Managerial Control · Organization
Tone, Staci
Operational/Managerial Control · Individual
Tone, Staci
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Forest Grove Post Acute
Forest Grove, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Avamere Rehabilitation Of Hillsboro
Hillsboro, OR
2-star overall rating with 2-star inspections with $23,465 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Hillsboro Health & Rehabilitation Center
Hillsboro, OR
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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