Deficiency Index

Marquis Hope Village

Canby, Oregon · CCN 385260

20 surveys since 2011. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
61
Surveys
20
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file17/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
For profit - Corporation
Chain
MARQUIS COMPANIES
County
Clackamas
Medicare-certified since
1998

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 32 for-profit facilities with fewer than 66 beds in Oregon.

Last survey on record

May 23, 2025

535 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.855.00
Registered-nurse hours per resident day0.66—
Annual nurse turnover48.4%48.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1178.6%E321.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 61 citations on record.

In the surveyor’s words

From the most serious findings on record at Marquis Hope Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF730May 23, 2025

    Based on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 3 of 3 sampled CNA staff (#s 7, 8 and 9) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of competent staff. Findings include: A review of personnel records on 5/22/25 indicated the following employees had not received their annual performance evaluations: -Staff 7 (CNA), hired date was 2/2019 and a performance review was not completed. -Staff 8 (CNA), hired date was 1/2019 and a performance review was not completed. -Staff 9 (CNA), hired date was 4/2020 and a performance review was started in 4/2025 and not completed. […]

  • No harm, potential for more than minimal, patternF812May 23, 2025

    Based on observation, interview and record review it was determined the facility failed to ensure kitchen staff wore appropriate hair restraints during meal preparation and tray line for 1 of 1 facility kitchen reviewed for sanitation. This placed residents at risk for unsanitary foods and food-borne illness. Findings include: Review of the US FDA Food Code 2022 revealed: -Food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food. […]

  • No harm, potential for more than minimal, patternF732Dec 29, 2023

    Based on interview and record review it was determined the facility failed to ensure the Direct Care Staff Daily Report (DCSDR) postings were accurate for 9 of 30 days reviewed for staffing. This placed residents at risk for incorrect staffing information. Findings include: Review of the 11/25/23 through 12/24/23 DCSDRs indicated the following days when the number of RN staff and hours worked were inaccurate on the daily postings: -11/25/23, 12/2/23, 12/3/23, 12/9/23, 12/10/23, 12/16/23, 12/22/23, 12/23/23, 12/24/23 On 12/28/23 at 1:43 PM Staff 5 (Staffing Coordinator) stated the DCSDRs were incorrect, the facility had RNs who worked on the identified dates and was unsure why the DCSDR weekend sheets were inaccurate. […]

  • No harm, potential for more than minimal, isolatedF684Aug 5, 2026

    Based on interview and record review, it was determined the facility failed to follow physician orders for 1 of 3 sampled residents (# 1) reviewed for change of condition. This placed residents at risk for potential adverse side effects. Findings included:Resident 1 was admitted to the facility in 3/2026 with diagnoses including bipolar disorder and major depressive disorder.The emergency room after visit summary dated 3/13/26 indicated Resident 1 was prescribed the following medications:-Tylenol 650mg four times a day.-Betamethasone lotion (used to reduce inflammation) daily.-Lamotrigine (an anticonvulsant to treat epilepsy or mood stabilization) 100mg daily.-Levothyroxine (a thyroid medication) 100mcg daily.-Lorazepam (an antianxiety medication) 0.5mg as needed.-Metformin (a medication… […]

  • No harm, potential for more than minimal, isolatedF637May 23, 2025

    Based on observation, interview and record review it was determined the facility failed to identify, in a timely manner, a resident who experienced a significant change in status for 1 of 2 sampled residents (#18) reviewed for accidents. This placed residents at risk for injuries and unidentified care needs. Findings include: Resident 18 was admitted to the facility in 3/2025 with diagnoses including falls. Resident 18's 3/26/25 Admission MDS indicated the resident was cognitively intact and had no behavioral symptoms, including wandering. The resident had no functional limitations and was able to use her/his upper extremity freely. […]

Read 21 findings in full →The most serious and the most recent: 21 of 61 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 5, 2026Complaint1 finding
  • May 23, 2025Standard5 findings
  • Apr 10, 2025Complaint1 finding
  • Dec 29, 2023Standard8 findings
  • May 31, 2023Complaint2 findings
  • Aug 30, 2022Complaint2 findings
  • Oct 13, 2021Complaint2 findings
  • Jun 23, 2020Infection control1 finding
Show the 12 earlier surveys
  • Jun 18, 2020Infection control1 finding
  • Oct 30, 2019Complaint2 findings
  • Jun 5, 2019Standard8 findings
  • Apr 5, 2018Complaint2 findings · 1 harm
  • Dec 15, 2017Standard2 findings
  • Nov 18, 2016Standard8 findings
  • Oct 5, 2015Standard6 findings
  • Nov 28, 2014Complaint2 findings
  • Sep 12, 2014Standard2 findings
  • Jul 15, 2013—2 findings
  • Mar 20, 2012—2 findings
  • Aug 12, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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