Tualatin, OR

Marquis Tualatin 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

19945 Sw Boones Ferry Road, Tualatin, OR

(503) 612-5400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

54

Certified beds

Average residents

39

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Companies

Operator or chain grouping

Approved since

2014-10-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing

LPN hours / resident day

1.56

Licensed practical nurse staffing

Aide hours / resident day

3.15

Nurse aide staffing

Weekend hours

4.73

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

56%

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 100.0%
95.5%
4.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.0%
95.2%
5.2 pts worse
95.5%
5.5 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
2.4%
2.4 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 15.4%
5.0%
10.4 pts worse
5.4%
10 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.5%
12.5%
1 pts better
19.6%
8.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.1%
14.7%
3.6 pts better
16.7%
5.6 pts better
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 25.0%
15.8%
9.2 pts worse
14.9%
10.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.8%
1.7%
4.1 pts worse
1.0%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.0%
2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.6%
22.2%
2.6 pts better
19.8%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.1%
6.5%
1.4 pts better
5.1%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
85.4%
9.7 pts better
81.7%
13.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
15.1%
6.9 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.7%
0.7 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.6%
81.2%
3.6 pts worse
79.7%
2.1 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.4%
21.6%
3.2 pts better
23.9%
5.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-28 · Fire 2025-02-28

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-10-05 · Fire 2023-10-05

3 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-08-12 · Fire 2022-08-12

6 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-18

F · Potential for more than minimal harm 2023-10-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-15

D · Potential for more than minimal harm 2023-10-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-15

F · Potential for more than minimal harm 2022-08-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-28

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 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-18

D · Potential for more than minimal harm 2024-06-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-07

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 2024-07-27

D · Potential for more than minimal harm 2024-06-07

F690 · Quality of Life and Care Deficiencies

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 2024-07-27

F · Potential for more than minimal harm 2022-08-12

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-12

F578 · Resident Rights Deficiencies

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 2022-09-23

E · Potential for more than minimal harm 2022-08-12

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-12

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 2022-09-23

D · Potential for more than minimal harm 2022-08-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-23

D · Potential for more than minimal harm 2022-08-12

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 2022-09-23

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 2014-05-01
Bucher, Amy

Operational/Managerial Control · Individual

0% 6 facilities 2014-05-01
Bucher, Amy

Contracted Managing Employee · Individual

0% 6 facilities 2014-05-01
Fogg, Phillip

Operational/Managerial Control · Individual

0% 15 facilities 2014-05-01
Fogg, Phillip

Corporate Officer · Individual

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

Operational/Managerial Control · Individual

0% 15 facilities 2014-05-01
Fogg, Steven

Corporate Officer · Individual

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

Contracted Managing Employee · Individual

0% 15 facilities 2014-05-01
Levee, Kathleen

Operational/Managerial Control · Individual

0% 7 facilities 2014-05-01
Levee, Kathleen

Contracted Managing Employee · Individual

0% 7 facilities 2014-05-01
Marquis Companies I, Inc

Operational/Managerial Control · Organization

0% 15 facilities 2014-05-01
Sprando, Erin

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Sprando, Erin

Contracted Managing Employee · Individual

0% 4 facilities 2014-05-01
Tone, Staci

Operational/Managerial Control · Individual

0% 15 facilities 2014-05-01
Tone, Staci

Contracted Managing Employee · Individual

0% 15 facilities 2014-05-01

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