Marquis Vermont Hills - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385218
Provider Name
MARQUIS VERMONT HILLS
Provider Address
6010 SW SHATTUCK ROAD
PORTLAND, OR 97221
PORTLAND, OR 97221
Provider Phone Number
(503) 246-8811
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
53
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
1990-04-19
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
2.95000
Reported LPN Staffing Hours per Resident per Day
0.10283
Reported RN Staffing Hours per Resident per Day
1.67736
Reported Licensed Staffing Hours per Resident per Day
1.78019
Reported Total Nurse Staffing Hours per Resident per Day
4.73019
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21604
Expected CNA Staffing Hours per Resident per Day
2.55314
Expected LPN Staffing Hours per Resident per Day
0.71496
Expected RN Staffing Hours per Resident per Day
1.32248
Expected Total Nurse Staffing Hours per Resident per Day
4.59057
Adjusted CNA Staffing Hours per Resident per Day
2.83510
Adjusted LPN Staffing Hours per Resident per Day
0.11938
Adjusted RN Staffing Hours per Resident per Day
0.94771
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15349
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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