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)
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
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
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
0.85
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.56
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.15
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.57
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
2.42
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.73
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
6.06
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,196
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.07
Composite VBP score used to determine payment impact.
Payment multiplier
1.0053
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.09
Baseline 19.30% · Performance 20.00% · Measure score 3.09 · Achievement 3.09 · Improvement 0
Healthcare-associated infections
9.49
Baseline 5.60% · Performance 5.00% · Measure score 9.49 · Achievement 9.49 · Improvement 9
Total nurse turnover
0.74
Baseline 59.70% · Performance 60.66% · Measure score 0.74 · Achievement 0.74 · Improvement 0
Adjusted total nurse staffing
7.10
Baseline 4.92 hours · Performance 5.10 hours · Measure score 7.10 · Achievement 7.10 · Improvement 1.53
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.67% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 302 · Observed rate 5.63% · Lower 95% interval 6.21% |
| Discharge to community | 70.78% |
50.57%
20.2 pts better
|
Better than the National Rate · Eligible stays 330 · Observed rate 68.79% · Lower 95% interval 66.78% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 93.64% |
95.27%
1.6 pts worse
|
Numerator 162 · Denominator 173 |
| Falls with major injury | 0.58% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 173 |
| Discharge self-care score | 40.97% |
53.69%
12.7 pts worse
|
Numerator 59 · Denominator 144 |
| Discharge mobility score | 40.28% |
50.94%
10.7 pts worse
|
Numerator 58 · Denominator 144 |
| Pressure ulcers or injuries, new or worsened | 3.47% |
2.29%
1.2 pts worse
|
Numerator 6 · Denominator 173 · Adjusted rate 4.18% |
| Healthcare-associated infections requiring hospitalization | 5% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 177 · Observed rate 1.69% · Lower 95% interval 2.98% |
| Staff COVID-19 vaccination coverage | 96.77% |
8.2%
88.6 pts better
|
Numerator 60 · Denominator 62 |
| Staff flu vaccination coverage | 62.03% |
42%
20 pts better
|
Numerator 49 · Denominator 79 |
| Discharge function score | 40.28% |
56.45%
16.2 pts worse
|
Numerator 58 · Denominator 144 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 23 · Denominator 23 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 144 · Denominator 144 |
| Resident COVID-19 vaccinations up to date | 33.64% |
25.2%
8.4 pts better
|
Numerator 36 · Denominator 107 |
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 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 · 4Q avg 90.0% |
| 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 · 4Q avg 0.0% · 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 | 15.4% |
5.0%
10.4 pts worse
|
5.4%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.4% |
| 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 · 4Q avg 11.5% |
| 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 · 4Q avg 11.1% · 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 | 25.0% |
15.8%
9.2 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% · Used in QM five-star |
| 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 · 4Q avg 5.8% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| 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 · 4Q avg 19.6% |
| 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 · 4Q avg 5.1% · Used in QM five-star |
| 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 · Q1 96.9% · Q2 97.0% · Q3 96.6% · Q4 90.6% · 4Q avg 95.1% |
| 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 · Adjusted 8.2% · Observed 7.5% · Expected 10.2% · Used in QM five-star |
| 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 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star |
| 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 · 4Q avg 77.6% |
| 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 · Adjusted 18.4% · Observed 15.8% · Expected 20.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Marquis Companies I, Inc
5% Or Greater Direct Ownership Interest · Organization
Bucher, Amy
Operational/Managerial Control · Individual
Bucher, Amy
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
Sprando, Erin
Operational/Managerial Control · Individual
Sprando, Erin
Contracted Managing Employee · Individual
Tone, Staci
Operational/Managerial Control · Individual
Tone, Staci
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Avamere Rehabilitation Of King City
Tigard, OR
4-star overall rating with 3-star inspections with $49,348 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Tigard Rehabilitation And Care
Tigard, OR
1-star overall rating with 2-star inspections with abuse icon flag with $35,714 in total fines with 11 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
PEARL AT KRUSE WAY, The
Lake Oswego, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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