Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marquis Hope Village during CMS and state inspections, most recent first.
Annual performance reviews were not completed for three CNAs, as confirmed by record review and staff interview. This deficiency was identified when personnel files showed missing or incomplete evaluations for staff hired in previous years.
Kitchen staff, including the Dietary Manager with facial hair, were observed preparing and handling food without wearing required beard restraints, despite facility expectations and available supplies. This failure to follow hygiene protocols was confirmed by both the Dietary Manager and the Administrator.
A resident with a history of falls experienced a decline in cognitive and functional status, including new behavioral symptoms and care refusals, following an unwitnessed fall and fracture. Despite these changes, staff did not complete a significant change of condition assessment or document alert charting, and facility leadership acknowledged the assessment should have been done.
A resident with a history of falls and a recent fracture did not have required fall prevention interventions implemented, including visual cues to use the call light and frequent checks. Staff were unaware of the specific care plan requirements, and the resident was observed unsupervised and without the necessary reminders in the room. Facility leadership acknowledged that the care plan was not followed.
A resident with upper and lower dentures did not receive necessary dental services or proper denture care, as required by their care plan. Staff were unaware of the resident's dental concerns, and although pain and poor fit were reported, no dental referral was made and the dentures were found uncleaned and unused for an extended period.
A resident with diabetic foot ulcers did not have enhanced barrier precautions implemented during wound care, as required by infection control protocols. An LPN performed wound care without wearing a PPE gown, and this lapse was confirmed by both the LPN and the infection preventionist. The resident's medical record also lacked documentation of enhanced barrier precautions for the diabetic ulcers.
Failure to Complete Annual CNA Performance Reviews
Penalty
Summary
The facility failed to complete annual performance reviews for three certified nurse aides (CNAs) as required. Personnel records reviewed on 5/22/25 showed that one CNA hired in February 2019 and another hired in January 2019 did not have any completed performance reviews. A third CNA, hired in April 2020, had a performance review started in April 2025, but it was not completed. This was confirmed by the Director of Nursing Services (DNS) during an interview on 5/23/25. The lack of completed annual performance evaluations was identified through both record review and staff interview.
Failure to Ensure Use of Hair Restraints by Kitchen Staff
Penalty
Summary
The facility failed to ensure that kitchen staff wore appropriate hair restraints during food preparation and tray line service. Observations revealed that the Dietary Manager, who had facial hair, was seen on multiple occasions preparing and handling food, cleaning kitchen counters, and taking food temperatures without wearing a beard restraint. The Dietary Manager acknowledged that while beard restraints had been offered in the past, he had never worn one himself. The Administrator also confirmed the expectation that dietary staff should follow hygiene procedures, including the use of beard restraints, but the deficiency persisted as observed.
Failure to Identify and Assess Significant Change in Resident Condition
Penalty
Summary
The facility failed to timely identify and assess a significant change in condition for a resident who was admitted with a history of falls and was initially cognitively intact, independent in upper body tasks, and without behavioral symptoms. After an unwitnessed fall resulting in a left arm fracture, the resident was supposed to be monitored and placed on alert charting for 14 days to determine if a significant change in condition had occurred. However, there was no documentation indicating that alert charting was implemented or that the resident refused care. Staff interviews revealed that the resident became resistant to care, exhibited verbal aggression, and began wandering, which were changes from the resident's baseline status at admission. Further observations and staff interviews indicated a decline in the resident's functional and cognitive status, including moderate impairment in decision-making, new behavioral symptoms such as suicidal ideation and threats, and increased care refusals. Despite these changes, no significant change of condition assessment was completed, and there was a lack of progress notes documenting the resident's altered status. Staff involved were unsure of the criteria for completing a significant change assessment, and facility leadership acknowledged that such an assessment should have been performed.
Failure to Implement Fall Prevention Interventions for Resident with History of Falls
Penalty
Summary
A deficiency occurred when the facility failed to implement care plan interventions to prevent falls for a resident with a history of falls and a recent humerus fracture. The resident's care plan included specific interventions such as being seated in a high visibility area, having a visual cue in the room to remind the resident to use the call light, frequent checks, and not being left alone in the room while up in a wheelchair. However, observations revealed that the resident did not have the required visual cues in the room and was left unsupervised in the room and in the hallway. The resident was also observed in another resident's room without staff supervision. Interviews with multiple CNAs and an LPN indicated a lack of awareness regarding the resident's care plan interventions, including the frequency of checks and the need for visual cues. Staff members were unsure about the resident's fall history and the specific precautions required. The Director of Nursing Services acknowledged that the care plan was not followed, and the required visual cues were not present in the resident's room.
Failure to Provide Dental Services and Denture Care
Penalty
Summary
The facility failed to ensure that dental services were provided for a resident who was admitted with major depressive disorder and had both upper and lower dentures. The resident's care plan required staff to provide oral hygiene supplies, assist with oral hygiene if the resident was too weak, and assist with proper storage and daily cleaning of dentures. Despite these requirements, staff interviews and observations revealed that the resident had not worn dentures for several months to a year due to poor fit and pain. The dentures were found stored in a case with clear fluid and covered in black debris, indicating a lack of proper cleaning and maintenance. Multiple staff members, including CNAs and the Social Services Director, were unaware of the resident's dental concerns or the fact that the dentures were no longer being worn. Although a CNA reported the issue of pain with the dentures to a nurse approximately two months prior, no follow-up or referral for dental services was initiated. The Social Services Director, responsible for arranging dental services, was not informed of the problem, and no dental appointment was scheduled for the resident, despite the care plan's requirements.
Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident with diabetic ulcers, as required by infection prevention and control protocols. The resident, who was admitted with diabetic foot ulcers, had physician orders for daily wound care that included the application of idosorb, gauze, and a foam dressing. However, there was no documentation in the resident's medical record indicating that enhanced barrier precautions were in place for the diabetic ulcers. During an observation of wound care, an LPN did not wear a PPE gown or utilize enhanced barrier precautions while treating the resident's three diabetic foot ulcers. The LPN later confirmed not wearing the required PPE gown during the procedure. The DNS/Infection Preventionist also acknowledged that enhanced barrier precautions were not followed during the wound care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 459 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Canby
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marquis Wilsonville Post Acute Rehab | 5.1 mi | ★★★★★ | 3 | 0 |
| Rose Linn Care Center | 7.3 mi | ★★★★★ | 12 | 0 |
| Marquis Oregon City Post Acute Rehab | 7.6 mi | ★★★★★ | 5 | 0 |
| Rivercrest Post Acute | 7.6 mi | ★★★★★ | 20 | 0 |
| Woodside Post Acute | 8.4 mi | ★★★★★ | 3 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Marquis Hope Village.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.