Portland, OR

Marquis Piedmont Post Acute Rehab

4-star overall rating with 5-star inspections with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

319 Ne Russet, Portland, OR

(503) 289-5571

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Companies

Operator or chain grouping

Approved since

1989-09-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

2.14

Nurse aide staffing

Weekend hours

3.31

Weekend nurse staffing

RN turnover

75%

Annual RN turnover

Total nurse turnover

68%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
95.5%
2.8 pts better
93.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
2.4%
0.1 pts worse
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.4%
4.7%
2.7 pts worse
11.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 13.4%
5.0%
8.4 pts worse
5.4%
8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.7%
12.5%
5.2 pts worse
19.6%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.8%
14.7%
9.1 pts worse
16.7%
7.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 21.5%
15.8%
5.7 pts worse
14.9%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.4%
1.7%
1.7 pts worse
1.0%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.4%
2.0%
1.4 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.4%
22.2%
5.2 pts worse
19.8%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 12.7%
6.5%
6.2 pts worse
5.1%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.0%
85.4%
2.6 pts better
81.7%
6.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.8%
15.1%
1.7 pts worse
12.0%
4.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.7%
1.4 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.7%
81.2%
7.5 pts better
79.7%
9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.7%
21.6%
1.1 pts worse
23.9%
1.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-06 · Fire 2024-12-06

2 health deficiencies

Top issue: Infection Control (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2020-03-02 · Fire 2020-03-02

8 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2018-07-11 · Fire 2018-07-11

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-06

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-01-24

F · Potential for more than minimal harm 2024-12-06

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-01-24

F · Potential for more than minimal harm 2024-12-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-24

F · Potential for more than minimal harm 2024-12-06

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-01-24

F · Potential for more than minimal harm 2024-12-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-06

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-06

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 2025-01-24

D · Potential for more than minimal harm 2024-12-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-24

F · Potential for more than minimal harm 2020-03-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-04-06

D · Potential for more than minimal harm 2020-03-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-04-06

F · Potential for more than minimal harm 2018-07-11

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2018-07-31

F · Potential for more than minimal harm 2018-07-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2018-07-31

D · Potential for more than minimal harm 2018-07-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-07-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-24

F · Potential for more than minimal harm 2024-09-30

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-11-19

E · Potential for more than minimal harm 2024-09-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-09-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-02-20

D · Potential for more than minimal harm 2024-09-30

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-19

F · Potential for more than minimal harm 2020-03-02

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 2020-04-17

D · Potential for more than minimal harm 2020-03-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-04-17

D · Potential for more than minimal harm 2020-03-02

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-04-17

D · Potential for more than minimal harm 2020-03-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-04-17

G · Actual harm 2018-07-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2018-08-21

D · Potential for more than minimal harm 2018-07-11

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2018-08-21

D · Potential for more than minimal harm 2018-07-11

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 2018-08-21

D · Potential for more than minimal harm 2018-07-11

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2018-10-04

D · Potential for more than minimal harm 2018-07-11

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2018-08-21

Penalties and ownership

What sits behind the stars

Ownership

Fogg, Phillip

5% Or Greater Indirect Ownership Interest · Individual

100% 15 facilities 2012-06-22
Marquis Companies I, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 15 facilities 2013-04-01
English, Meagan

Operational/Managerial Control · Individual

0% 3 facilities 2013-04-01
English, Meagan

Contracted Managing Employee · Individual

0% 3 facilities 2013-04-01
Fogg, Phillip

Corporate Officer · Individual

0% 15 facilities 2012-06-22
Fogg, Steven

Operational/Managerial Control · Individual

0% 15 facilities 2013-04-01
Fogg, Steven

Corporate Officer · Individual

0% 15 facilities 2012-06-22
Fogg, Steven

Contracted Managing Employee · Individual

0% 15 facilities 2013-04-01
Levee, Kathleen

Operational/Managerial Control · Individual

0% 7 facilities 2013-04-01
Levee, Kathleen

Contracted Managing Employee · Individual

0% 7 facilities 2013-04-01
Marquis Companies I, Inc

Operational/Managerial Control · Organization

0% 15 facilities 2013-04-01
Ohmart, Teresa

Operational/Managerial Control · Individual

0% 1 facilities 2013-04-01
Tone, Staci

Operational/Managerial Control · Individual

0% 15 facilities 2013-04-01
Tone, Staci

Contracted Managing Employee · Individual

0% 15 facilities 2013-04-01

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