Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Vermont Hills during CMS and state inspections, most recent first.
A resident with vascular dementia and moderate cognitive impairment was kissed by a non-family visitor after the visitor was alone with the resident in the room and asked for permission. The resident later said the contact was unwanted and caught him/her by surprise. Staff reported the visitor had a pattern of boundary-crossing behavior, including staring at staff, asking for a phone number, focusing on female residents and staff, and making residents and staff uncomfortable, but those concerns were not formally escalated before the incident.
The facility's kitchen failed to label and date food items, risking food spoilage and potential infections. Undated salad items and other foodstuffs were found in the walk-in refrigerator, including bins of various ingredients and trays of juice glasses and condiment ramekins. The Dietary Manager and Administrator acknowledged the issue, noting the importance of labeling and dating to track preparation and discard times.
A resident with dementia and a hip fracture required one-on-one supervision during meals, as per their care plan. However, observations showed the resident was left unsupervised during meal times. Staff interviews confirmed the expectation for supervision due to the resident's cognitive impairment, but staff only provided intermittent checks. This discrepancy between the care plan and actual care was acknowledged by the DNS.
A facility failed to obtain a physician order and ensure maintenance for a CPAP machine used by a resident with obstructive sleep apnea. The resident's Care Plan and TAR lacked instructions for the CPAP machine's maintenance, and staff confirmed its use without proper documentation. A nurse practitioner noted that an order should have been in place prior to its use.
The facility failed to keep the garbage area dumpsters covered and free from debris, as required by their policy. The dumpster was observed open with waste scattered around it, and staff members, including CNAs, were seen throwing garbage bags into the open dumpster from a walkway above. Despite the facility's policy to keep the dumpster closed, it remained open to facilitate waste disposal, posing a risk of attracting vermin.
Unwanted Sexual Contact by Visitor
Penalty
Summary
The facility failed to ensure a resident with vascular dementia and moderate cognitive impairment was free from unwanted sexual contact by a non-family visitor. The resident was admitted in 1/2025 and, during the period reviewed, shared a room with another resident and was observed moving about the facility with a walker and participating in common-area activities. On 5/18/26, the resident stated not remembering being kissed by a male visitor but said the contact would not have been welcomed. The non-family visitor stated he regularly visited the resident’s roommate and had developed an affection for the resident over time. He reported being alone with the resident in the room, asking if he could kiss the resident, receiving a response of, “I suppose so,” and then kissing the resident. The visitor acknowledged the resident had dementia and cognitive impairment but said he did not believe the kiss was inappropriate because he asked permission. The resident later told a family member the kiss caught him/her by surprise and stated, “I don't know why he did that,” and expressed not wanting it to happen. Staff interviews showed multiple concerns about the visitor’s behavior before the incident, including that he made staff uncomfortable, stared at a CNA, asked for her phone number, focused heavily on female residents and female staff, made off-putting comments, and had repeated boundary violations such as asking medical questions of residents and offering food and drinks. Staff also stated concerns about the visitor had been informally mentioned but not formally reported to leadership, and leadership was not fully aware of the widespread staff discomfort or monitoring of his behavior until after the incident with the resident.
Improper Food Labeling and Storage in Kitchen
Penalty
Summary
The facility failed to ensure proper labeling and storage of food items in the kitchen, which could lead to food spoilage and potential infections from foodborne pathogens. During an inspection of the facility's kitchen, surveyors observed multiple undated salad items stored under large sheets of plastic cling film in the walk-in refrigerator. These included partially-filled multi-use plastic bins containing red beans, cottage cheese, diced hard-boiled eggs, carrots, shredded cheese, chopped beets, chopped bacon, garbanzo beans, salad dressings, and chopped greens. Additionally, trays of individually covered juice glasses and covered disposable plastic condiment ramekins were found without labels or dates. The Dietary Manager acknowledged the lack of labeling and dating, and the Administrator was aware of the issue, expecting items to be labeled and dated to track preparation and discard times.
Failure to Revise Care Plan for Supervision During Meals
Penalty
Summary
The facility failed to revise the care plan for a resident who was admitted with dementia and a hip fracture. The resident's care plan, dated 10/15/24, indicated a need for one-on-one supervision, setup, and eating assistance for all meals. However, observations on 12/17/24 and 12/18/24 revealed that the resident was left unsupervised during meal times, with meal trays placed directly in front of them without the required supervision. Interviews with staff confirmed the expectation for one-on-one supervision during meals due to the resident's cognitive impairment and tendency to sleep through meals. Despite this, staff admitted to only providing frequent checks and assisting after meal tray pass if the resident had not finished eating. The Director of Nursing Services confirmed the expectation for continuous supervision, highlighting a discrepancy between the care plan and the actual care provided.
Failure to Obtain Physician Order and Maintain CPAP Machine
Penalty
Summary
The facility failed to obtain a physician order for a CPAP machine and ensure its maintenance for a resident with obstructive sleep apnea. The resident was admitted with diagnoses including Alzheimer's disease and obstructive sleep apnea, but there were no physician orders for the use of a CPAP machine. The resident's Care Plan and Treatment Administration Record (TAR) also lacked instructions for the maintenance of the CPAP machine. Staff confirmed that the resident used the CPAP machine at night and that it had been cleaned with distilled water at least twice, but there was no documentation of this maintenance. A nurse practitioner stated that an order should have been in place before the CPAP machine was used.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to ensure that the garbage area dumpsters were covered and free from debris, as observed during a survey. The dumpster, located adjacent to the kitchen's side doorway, was found open with used examination gloves, sweetener packets, paper towels, and plastic spoons scattered on the ground. Staff members, including CNAs, were observed throwing garbage bags over a railing into the open dumpster, which was never closed. This practice was confirmed by multiple staff members, including the Dietary Manager and CNAs, who stated that the dumpster was always left open to facilitate waste disposal from the E hallway above. The facility's Food/Waste Disposal policy specified that dumpster lids should be closed at all times and the area kept clean and free of debris. Despite this policy, the dumpster remained open, and garbage was observed on the ground around it. The Dietary Manager acknowledged the issue and mentioned cleaning the area every morning, while the facility Administrator also acknowledged the problem and expected the dumpster to be kept closed to minimize the risk of attracting vermin. However, the practice of leaving the dumpster open continued, as observed over several days during the survey.
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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.
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Nursing homes near Portland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Robison Jewish Health Center | 0.3 mi | ★★★★★ | 23 | 0 |
| Marquis Autumn Hills Memory Care | 0.4 mi | ★★★★★ | 7 | 0 |
| West Hills Health & Rehabilitation | 1 mi | ★★★★★ | 0 | 0 |
| Avamere Crestview Of Portland | 1.5 mi | ★★★★★ | 11 | 0 |
| Beaverton Post Acute Care Of Cascadia | 2.9 mi | ★★★★★ | 1 | 0 |
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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.