Marquis Centennial Post Acute Rehab - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385183
Provider Name
MARQUIS CENTENNIAL POST ACUTE REHAB
Provider Address
725 SE 202ND AVENUE
PORTLAND, OR 97233
PORTLAND, OR 97233
Provider Phone Number
(503) 665-3118
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1988-07-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.28733
Reported LPN Staffing Hours per Resident per Day
0.45267
Reported RN Staffing Hours per Resident per Day
1.00467
Reported Licensed Staffing Hours per Resident per Day
1.45733
Reported Total Nurse Staffing Hours per Resident per Day
4.74467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12667
Expected CNA Staffing Hours per Resident per Day
2.52456
Expected LPN Staffing Hours per Resident per Day
0.59185
Expected RN Staffing Hours per Resident per Day
0.94873
Expected Total Nurse Staffing Hours per Resident per Day
4.06514
Adjusted CNA Staffing Hours per Resident per Day
3.19506
Adjusted LPN Staffing Hours per Resident per Day
0.63482
Adjusted RN Staffing Hours per Resident per Day
0.79126
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70470
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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