Cycle 1
Health 2024-12-20 · Fire 2024-12-20
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Wilsonville, OR
Marquis Wilsonville Post Acute Rehab
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
30900 Sw Parkway Avenue, Wilsonville, OR
(503) 682-2840
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
39
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Companies
Operator or chain grouping
Approved since
2002-11-01
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
0.64
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.39
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.31
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.80
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
5.46
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
672
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0197
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.05
Baseline 20.34% · Performance 19.55% · Measure score 4.05 · Achievement 4.05 · Improvement 1.87
Healthcare-associated infections
8.29
Baseline 4.97% · Performance 5.36% · Measure score 8.29 · Achievement 8.29 · Improvement 0
Total nurse turnover
3.89
Baseline 68.42% · Performance 49.30% · Measure score 3.89 · Achievement 3.52 · Improvement 3.89
Adjusted total nurse staffing
10
Baseline 5.15 hours · Performance 5.81 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.02% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 5.82% · Lower 95% interval 6.03% |
| Discharge to community | 75.96% |
50.57%
25.4 pts better
|
Better than the National Rate · Eligible stays 187 · Observed rate 74.87% · Lower 95% interval 69.41% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.64% |
95.27%
2.4 pts better
|
Numerator 124 · Denominator 127 |
| Falls with major injury | 3.15% |
0.77%
2.4 pts worse
|
Numerator 4 · Denominator 127 |
| Discharge self-care score | 67.29% |
53.69%
13.6 pts better
|
Numerator 72 · Denominator 107 |
| Discharge mobility score | 57.01% |
50.94%
6.1 pts better
|
Numerator 61 · Denominator 107 |
| Pressure ulcers or injuries, new or worsened | 4.72% |
2.29%
2.4 pts worse
|
Numerator 6 · Denominator 127 · Adjusted rate 6.17% |
| Healthcare-associated infections requiring hospitalization | 5.36% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 1.69% · Lower 95% interval 3.31% |
| Staff COVID-19 vaccination coverage | 3.77% |
8.2%
4.4 pts worse
|
Numerator 2 · Denominator 53 |
| Staff flu vaccination coverage | 40.71% |
42%
1.3 pts worse
|
Numerator 57 · Denominator 140 |
| Discharge function score | 66.36% |
56.45%
9.9 pts better
|
Numerator 71 · Denominator 107 |
| 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 95 · Denominator 95 |
| Resident COVID-19 vaccinations up to date | 53.13% |
25.2%
27.9 pts better
|
Numerator 34 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
95.5%
2.3 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 95.7% · Q3 100.0% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
95.2%
0.5 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.4%
1 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 4.3% · Q4 0.0% · 4Q avg 3.4% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.0%
1.2 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 4.5% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
12.5%
6.1 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 4.5% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
14.7%
4.4 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.1% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.9% |
15.8%
1.1 pts worse
|
14.9%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 19.0% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.9% |
1.7%
5.2 pts worse
|
1.0%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 7.1% · Q3 2.7% · Q4 6.1% · 4Q avg 6.9% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.1% |
22.2%
0.1 pts better
|
19.8%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 25.0% · Q4 15.5% · 4Q avg 22.1% |
| 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 · Q2 10.1% · Q3 7.0% · Q4 6.4% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
85.4%
10.4 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 96.9% · Q3 95.5% · Q4 91.7% · 4Q avg 95.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
15.1%
3 pts better
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 11.2% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.7%
0.4 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 1.1% · Q4 3.4% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.8% |
81.2%
14.6 pts better
|
79.7%
16.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
21.6%
4.5 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 22.4% · Expected 20.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-07-15 · Fire 2022-07-15
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-20
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-02-08
F · Potential for more than minimal harm
2024-12-20
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-02-08
F · Potential for more than minimal harm
2024-12-20
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-02-08
D · Potential for more than minimal harm
2023-08-24
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 2023-09-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-20
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 2025-02-08
D · Potential for more than minimal harm
2024-12-20
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-08
D · Potential for more than minimal harm
2024-12-20
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 2025-02-08
D · Potential for more than minimal harm
2024-12-20
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-02-08
D · Potential for more than minimal harm
2024-12-20
F756 · Pharmacy Service Deficiencies
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 2025-02-08
D · Potential for more than minimal harm
2024-08-07
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-26
D · Potential for more than minimal harm
2023-08-24
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 2023-09-22
E · Potential for more than minimal harm
2022-07-15
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 2022-09-03
D · Potential for more than minimal harm
2022-07-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-03
D · Potential for more than minimal harm
2022-07-15
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 2022-09-03
D · Potential for more than minimal harm
2022-07-15
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2022-09-03
Penalties and ownership
What sits behind the stars
Ownership
Fogg, Phillip
5% Or Greater Direct Ownership Interest · Individual
Fogg, Phillip
Corporate Director · Individual
Fogg, Phillip
Corporate Officer · Individual
Fogg, Steven
Operational/Managerial Control · Individual
Fogg, Steven
Corporate Director · Individual
Fogg, Steven
Corporate Officer · Individual
Fogg, Steven
Contracted Managing Employee · Individual
Fogg, Zachary
Operational/Managerial Control · Individual
Fogg, Zachary
W-2 Managing Employee · Individual
Lagazon, Mary Ann
Operational/Managerial Control · Individual
Lagazon, Mary Ann
W-2 Managing Employee · Individual
Marquis Companies I, Inc
5% Or Greater Direct Ownership Interest · Organization
Marquis Companies I, Inc
Operational/Managerial Control · Organization
Tone, Staci
Operational/Managerial Control · Individual
Tone, Staci
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Marquis Hope Village
Canby, OR
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Marquis Tualatin Post Acute Rehab
Tualatin, OR
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Rose Linn Care Center
West Linn, OR
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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