Inspection Reports for Marquis Tualatin Assisted Living
19945 SW BOONES FERRY ROAD, OR, 97062
Back to Facility ProfileDeficiencies per Year
16
12
8
4
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Inspection Report
Renewal
Capacity: 87
Deficiencies: 14
Jan 24, 2024
Visit Reason
State-compiled facility profile showing 3 inspections from 2023-01 to 2024-01 with deficiency history and enforcement/licensing violations.
Findings
Across all inspections, the facility demonstrated multiple deficiencies primarily related to resident care documentation, medication storage, staff training, fire and life safety, and change of condition monitoring. Some deficiencies were corrected during follow-up visits, but several remained uncorrected at the time of the latest inspection.
Deficiencies (14)
| Description |
|---|
| C0000 - Comment: The findings of the kitchen inspection, conducted 01/24/24, are documented in this report. Facility was in substantial compliance with applicable OARs. |
| C0000 - Comment: The findings of the kitchen inspection, conducted 01/25/23, are documented in this report. Facility was in substantial compliance with applicable OARs. |
| C0231 - Reporting & Investigating Abuse-Other Action: Facility failed to immediately investigate an injury of unknown cause and report to local SPD for 1 sampled resident. |
| C0270 - Change of Condition and Monitoring: Facility failed to consistently determine, document, communicate, and monitor actions for residents following changes of condition for multiple sampled residents. |
| C0320 - Systems: Medication & Treatment-General: Facility failed to ensure medications were stored in locked containers in a secure environment. |
| C0330 - Systems: Psychotropic Medication: Facility failed to document non-pharmacological interventions prior to administering PRN psychotropic medication for 1 sampled resident. |
| C0361 - Acuity-Based Staffing Tool: Facility failed to update ABST following significant changes and at least quarterly for 3 sampled residents. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Facility failed to ensure newly hired direct care staff completed required pre-service orientation and dementia training and long term staff completed infectious disease prevention training. |
| C0372 - Training Within 30 Days: Direct Care Staff: Facility failed to ensure newly hired direct care staff demonstrated competencies in required training within 30 days of hire. |
| C0374 - Annual and Biennial Inservice For All Staff: Facility failed to ensure documented evidence of required annual in-service training including dementia care for long term staff. |
| C0420 - Fire and Life Safety: Safety: Facility failed to ensure fire drills were conducted and documented every other month and fire and life safety instruction was provided on alternate months. |
| C0422 - Fire and Life Safety: Training For Residents: Facility failed to ensure residents received fire and life safety training within 24 hours of admission and annually thereafter. |
| C0455 - Inspections and Investigation: Insp Interval: Facility failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department. |
| C0640 - Heating and Ventilation: Facility failed to ensure wall heater covers did not exceed 120 degrees Fahrenheit where incidental contact possible. |
Report Facts
Inspections on page: 3
Total deficiencies: 12
Licensing violations: 5
Notices: 1
Licensed beds: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple deficiency findings and acknowledgments |
| Staff 2 | RN | Named in multiple deficiency findings and acknowledgments |
| Staff 3 | Maintenance Director | Named in fire and life safety and heating/ventilation findings |
| Staff 6 | Caregiver | Mentioned in medication cart observation |
| Staff 8 | Caregiver | Named in staffing and training deficiencies |
| Staff 9 | Caregiver | Named in staffing and training deficiencies |
| Staff 10 | Medication Aide | Named in staffing and training deficiencies |
| Staff 11 | Medication Aide | Named in annual in-service training deficiency |
| Staff 12 | Caregiver | Named in annual in-service training deficiency |
| Staff 13 | Caregiver | Named in annual in-service training deficiency |
| Staff 14 | Cook | Named in infectious disease prevention training deficiency |
| Staff 17 | Medication Aide | Named in training within 30 days deficiency |
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