Cycle 1
Health 2025-02-03 · Fire 2025-02-03
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Portland, OR
Marquis Mill Park
2-star overall rating with 2-star inspections with $17,345 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1475 Se 100th Avenue, Portland, OR
(503) 262-6000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
77
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Companies
Operator or chain grouping
Approved since
1990-03-01
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
1.22
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
2.66
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.10
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
2.44
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.47
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.19
CMS adjusted RN staffing hours
Adjusted total hours
4.96
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
429
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.17
Composite VBP score used to determine payment impact.
Payment multiplier
1.0225
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.95
Baseline 14.97% · Performance 17.28% · Measure score 8.95 · Achievement 8.95 · Improvement 0
Healthcare-associated infections
8.38
Baseline 4.37% · Performance 5.33% · Measure score 8.38 · Achievement 8.38 · Improvement 0
Total nurse turnover
4.29
Baseline 64.81% · Performance 46.15% · Measure score 4.29 · Achievement 4.29 · Improvement 4.17
Adjusted total nurse staffing
6.45
Baseline 5.16 hours · Performance 4.91 hours · Measure score 6.45 · Achievement 6.45 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.82% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 534 · Observed rate 6.74% · Lower 95% interval 6.76% |
| Discharge to community | 76.87% |
50.57%
26.3 pts better
|
Better than the National Rate · Eligible stays 571 · Observed rate 74.43% · Lower 95% interval 72.63% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.86% |
95.27%
3.6 pts better
|
Numerator 348 · Denominator 352 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 352 |
| Discharge self-care score | 37.68% |
53.69%
16 pts worse
|
Numerator 104 · Denominator 276 |
| Discharge mobility score | 39.13% |
50.94%
11.8 pts worse
|
Numerator 108 · Denominator 276 |
| Pressure ulcers or injuries, new or worsened | 4.26% |
2.29%
2 pts worse
|
Numerator 15 · Denominator 352 · Adjusted rate 6.14% |
| Healthcare-associated infections requiring hospitalization | 5.33% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 339 · Observed rate 3.54% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 6.35% |
8.2%
1.8 pts worse
|
Numerator 8 · Denominator 126 |
| Staff flu vaccination coverage | 35.38% |
42%
6.6 pts worse
|
Numerator 75 · Denominator 212 |
| Discharge function score | 43.48% |
56.45%
13 pts worse
|
Numerator 120 · Denominator 276 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 119 · Denominator 119 |
| Transfer of health information to patient | 99.09% |
96.28%
2.8 pts better
|
Numerator 218 · Denominator 220 |
| Resident COVID-19 vaccinations up to date | 57.89% |
25.2%
32.7 pts better
|
Numerator 99 · Denominator 171 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.5%
4.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
2.4%
0.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.7%
4.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.0%
0.8 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.1% |
12.5%
8.4 pts better
|
19.6%
15.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.7% |
14.7%
12 pts better
|
16.7%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.5% |
15.8%
8.7 pts worse
|
14.9%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.7%
0.1 pts better
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
2.0%
2 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
22.2%
0.7 pts better
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 29.2% |
6.5%
22.7 pts worse
|
5.1%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.5% |
85.4%
8.1 pts better
|
81.7%
11.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 95.5% · Q3 91.1% · Q4 92.3% · 4Q avg 93.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
15.1%
0.1 pts better
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 13.2% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.7%
1 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 0.8% · Q4 0.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
81.2%
5.8 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
21.6%
1.5 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 17.1% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-25 · Fire 2023-08-25
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-07-07 · Fire 2022-07-07
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-02-03
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-18
F · Potential for more than minimal harm
2023-08-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-13
F · Potential for more than minimal harm
2023-08-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-13
F · Potential for more than minimal harm
2023-08-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-13
D · Potential for more than minimal harm
2023-08-25
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-10-13
F · Potential for more than minimal harm
2022-07-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-31
D · Potential for more than minimal harm
2022-07-07
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-07-31
Inspection history
Recent health citations
K · Immediate jeopardy
2025-02-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-02-03
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-02-18
E · Potential for more than minimal harm
2023-08-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-13
E · Potential for more than minimal harm
2022-07-07
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-26
Penalties and ownership
What sits behind the stars
$17,345
2025-02-03
Fine
Fine · fine $17,345
Fine
Ownership
Bucher, Amy
Operational/Managerial Control · Individual
Bucher, Amy
W-2 Managing Employee · Individual
Fogg, Phillip
5% Or Greater Direct Ownership Interest · Individual
Fogg, Phillip
Corporate Director · Individual
Fogg, Phillip
Corporate Officer · Individual
Fogg, Steven
Corporate Director · Individual
Fogg, Steven
Corporate Officer · Individual
Fogg, Steven
W-2 Managing Employee · Individual
Hagen, Jennifer
Operational/Managerial Control · Individual
Hagen, Jennifer
W-2 Managing Employee · Individual
Marquis Companies I, Inc
5% Or Greater Direct Ownership Interest · Organization
Tone, Staci
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Gateway Care And Retirement
Portland, OR
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Glisan Post Acute
Portland, OR
2-star overall rating with 2-star inspections with $111,212 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Portland Health & Rehabilitation Center
Portland, OR
2-star overall rating with 2-star inspections with $24,827 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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