Klamath Falls, OR
2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1401 Bryant Williams Dr., Klamath Falls, OR
(541) 882-6691
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
Beds
77
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Companies
Operator or chain grouping
Approved since
1978-06-01
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
RN hours / resident day
0.73
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.22
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.28
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.71
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
5.47
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,984
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0070
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.53
Baseline 15.67% · Performance 19.79% · Measure score 3.53 · Achievement 3.53 · Improvement 0
Healthcare-associated infections
7.64
Baseline 5.07% · Performance 5.55% · Measure score 7.64 · Achievement 7.64 · Improvement 0
Total nurse turnover
3.74
Baseline 32.63% · Performance 48.39% · Measure score 3.74 · Achievement 3.74 · Improvement 0
Adjusted total nurse staffing
6.07
Baseline 5.07 hours · Performance 4.81 hours · Measure score 6.07 · Achievement 6.07 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.21% |
10.72%
2.5 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 4.62% · Lower 95% interval 5.85% |
| Discharge to community | 67.77% |
50.57%
17.2 pts better
|
Better than the National Rate · Eligible stays 197 · Observed rate 65.48% · Lower 95% interval 60.7% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.03% |
95.27%
0.8 pts better
|
Numerator 121 · Denominator 126 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 126 |
| Discharge self-care score | 46.53% |
53.69%
7.2 pts worse
|
Numerator 47 · Denominator 101 |
| Discharge mobility score | 47.52% |
50.94%
3.4 pts worse
|
Numerator 48 · Denominator 101 |
| Pressure ulcers or injuries, new or worsened | 1.59% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 126 · Adjusted rate 2.57% |
| Healthcare-associated infections requiring hospitalization | 5.55% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 2.56% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 3.1% |
8.2%
5.1 pts worse
|
Numerator 4 · Denominator 129 |
| Staff flu vaccination coverage | 40% |
42%
2 pts worse
|
Numerator 52 · Denominator 130 |
| Discharge function score | 62.38% |
56.45%
5.9 pts better
|
Numerator 63 · Denominator 101 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 97 · Denominator 97 |
| Resident COVID-19 vaccinations up to date | 20.97% |
25.2%
4.2 pts worse
|
Numerator 13 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.5
0.9 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
95.5%
1.9 pts worse
|
93.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 92.5% · Q4 85.0% · 4Q avg 93.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5% |
95.2%
2.7 pts worse
|
95.5%
3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.4%
0.2 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 2.5% · Q4 2.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
4.7%
About the same
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.1% · Q3 5.1% · Q4 2.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.0%
1.4 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.7% · Q3 7.7% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.1% |
12.5%
6.4 pts better
|
19.6%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 11.1% · Q3 3.8% · Q4 3.4% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.2% |
14.7%
11.5 pts better
|
16.7%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.5% · Q3 0.0% · Q4 4.3% · 4Q avg 3.2% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.3% |
24.1%
7.2 pts worse
|
16.3%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
15.8%
0.9 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 16.7% · Q3 16.7% · Q4 11.1% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.5% |
1.7%
3.8 pts worse
|
1.0%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.2% · Q3 7.7% · Q4 3.4% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
2.0%
1.3 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 7.5% · Q4 2.5% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
22.2%
2.3 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 21.0% · Q3 34.5% · Q4 25.5% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
6.5%
1.9 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 11.3% · Q3 8.9% · Q4 7.3% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.9% |
85.4%
28.5 pts worse
|
81.7%
24.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.6% · Q2 56.0% · Q3 55.1% · Q4 55.3% · 4Q avg 56.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
15.1%
2.5 pts better
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 11.8% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.7%
0.1 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.5% · Q3 1.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.0% |
81.2%
36.2 pts worse
|
79.7%
34.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
21.6%
3.8 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 14.5% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-17
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-12-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-14
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-10-14
Inspection history
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-17
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-03-17
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-03-17
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-17
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-17
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 2025-03-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-17
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-06-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-24
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-11-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-24
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-11-24
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 2023-11-24
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-11-24
Health
Provide activities to meet all resident's needs.
Corrected 2023-11-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-24
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-11-24
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-11-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-14
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-14
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
Ashland, OR
2-star overall rating with 2-star inspections with $31,369 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Medford, OR
1-star overall rating with 1-star inspections with abuse icon flag with $230,522 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Medford, OR
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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