Marquis Mt Tabor - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385141
Provider Name
MARQUIS MT TABOR
Provider Address
6040 SE BELMONT STREET
PORTLAND, OR 97215
Provider Phone Number
(503) 231-7166
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
89
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
1978-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.44045
Reported LPN Staffing Hours per Resident per Day
0.21180
Reported RN Staffing Hours per Resident per Day
1.68315
Reported Licensed Staffing Hours per Resident per Day
1.89494
Reported Total Nurse Staffing Hours per Resident per Day
5.33540
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22865
Expected CNA Staffing Hours per Resident per Day
2.54132
Expected LPN Staffing Hours per Resident per Day
0.73171
Expected RN Staffing Hours per Resident per Day
1.17899
Expected Total Nurse Staffing Hours per Resident per Day
4.45202
Adjusted CNA Staffing Hours per Resident per Day
3.32183
Adjusted LPN Staffing Hours per Resident per Day
0.24025
Adjusted RN Staffing Hours per Resident per Day
1.06672
Adjusted Total Nurse Staffing Hours per Resident per Day
4.83072
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
281
Cycle 1 Standard Survey Health Date
2014-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
281
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
157.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
4550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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