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Marian Estates
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390 Se Church Street
Sublimity, OR 97385
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 214 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 04/20/2012
| Date of last standard health inspection: | 04/20/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in OR: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in OR: | 0 - 4 |
Inspection, 00/07/2010
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 00/07/2010 | 02/06/2011 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/07/2010 | 02/06/2011 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/07/2010 | 02/06/2011 | 2 | Some |
Inspection, 00/03/2009
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 00/03/2009 | 02/03/2010 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/03/2009 | 02/03/2010 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/03/2009 | 02/03/2010 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 00/03/2009 | 02/03/2010 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/03/2009 | 02/03/2010 | 2 | Few |
Inspection, 01/02/2005
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/02/2005 | 01/05/2006 | 2 | Few |
Inspection, 02/00/2004
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/00/2004 | 00/09/2006 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/00/2004 | 00/09/2006 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/00/2004 | 00/09/2006 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/00/2004 | 00/09/2006 | 2 | Few |
Inspection, 02/08/2001
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/08/2001 | 01/09/2003 | 3 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/08/2001 | 01/09/2003 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs | 02/08/2001 | 01/09/2003 | Few | with timetables and actions that can be measured. |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in OR | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 86 | 53 | 91 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 12 hours 21 minutes | 1 hour 27 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 11 hours 48 minutes | 57 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 11 hours 32 minutes | 30 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 13 hours 58 minutes | 2 hours 52 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 04/17/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 04/17/2012 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in OR: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in OR: | 0 - 0 |
Inspection, 01/04/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/04/2010 | 02/03/2012 | 2 | Many |
| Portable fire extinguishers. | 01/04/2010 | 02/06/2011 | 2 | Many |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/04/2010 | 02/06/2011 | 2 | Many |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 01/04/2010 | 02/06/2011 | 2 | Some |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/04/2010 | 02/06/2011 | 2 | Many |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 01/04/2010 | 02/06/2011 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/04/2010 | 02/03/2012 | 2 | Many |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | 01/04/2010 | 02/03/2012 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 01/04/2010 | 02/06/2011 | 2 | Many |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/04/2010 | 02/03/2012 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 01/04/2010 | 02/06/2011 | 2 | Many |
| Restrictions on the use of highly flammable decorations. | 01/04/2010 | 02/06/2011 | 2 | Few |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper backup exit lighting. | 01/04/2010 | 02/06/2011 | 2 | Many |
| Emergency lighting that can last at least 1 1/2 hours. | 01/04/2010 | 02/06/2011 | 2 | Few |
| Properly located and lighted Exit" signs." | 01/04/2010 | 02/06/2011 | 2 | Many |
Laboratories Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper facilities for the use and storage of combustible liquids. | 01/04/2010 | 02/03/2012 | 2 | Many |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/04/2010 | 02/06/2011 | 2 | Few |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 01/04/2010 | 02/06/2011 | 2 | Few |
Inspection, 00/08/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/08/2009 | 02/03/2010 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 00/08/2009 | 02/03/2010 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly sized and located linen or trash receptacles. | 00/08/2009 | 02/03/2010 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/08/2009 | 02/03/2010 | 2 | Some |
Inspection, 01/07/2004
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/07/2004 | 01/09/2007 | 2 | Many |
| Portable fire extinguishers. | 01/07/2004 | 01/09/2007 | 2 | Few |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 01/07/2004 | 00/09/2006 | 2 | Many |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 01/07/2004 | 00/09/2006 | 2 | Few |
| Corridor and hallway doors that block smoke. | 01/07/2004 | 00/09/2006 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 01/07/2004 | 01/09/2007 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/07/2004 | 01/09/2007 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 01/07/2004 | 01/09/2007 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 01/07/2004 | 01/09/2007 | 2 | Many |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/07/2004 | 01/09/2007 | 2 | Few |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/07/2004 | 00/09/2006 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 01/07/2004 | 01/09/2007 | 2 | Few |
| Restrictions on the use of highly flammable decorations. | 01/07/2004 | 00/09/2006 | 2 | Few |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 01/07/2004 | 00/09/2006 | 2 | Few |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/07/2004 | 01/09/2007 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 01/07/2004 | 01/09/2007 | 2 | Few |
