Marquis Hope Village - Canby Nursing Home
General Information
UPDATEFederal Provider Number
385260
Provider Name
MARQUIS HOPE VILLAGE
Provider Address
1577 S IVY
CANBY, OR 97013
CANBY, OR 97013
Provider Phone Number
(503) 266-5541
Provider SSA County
20
Provider County Name
Clackamas
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
50
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARQUIS COMPANIES I, INC
Date First Approved to Provide Medicare and Medicaid services
1998-09-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.87209
Reported LPN Staffing Hours per Resident per Day
0.36977
Reported RN Staffing Hours per Resident per Day
1.46744
Reported Licensed Staffing Hours per Resident per Day
1.83721
Reported Total Nurse Staffing Hours per Resident per Day
4.70930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26628
Expected CNA Staffing Hours per Resident per Day
2.66353
Expected LPN Staffing Hours per Resident per Day
0.64967
Expected RN Staffing Hours per Resident per Day
1.09770
Expected Total Nurse Staffing Hours per Resident per Day
4.41090
Adjusted CNA Staffing Hours per Resident per Day
2.64583
Adjusted LPN Staffing Hours per Resident per Day
0.47241
Adjusted RN Staffing Hours per Resident per Day
0.99888
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30359
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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