Marquis Wilsonville Assisted Living

Last inspection

August 7, 2023

Inspections

3, 15 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

1

Regulatory actions

1

Fines assessed

$4,125.00 (3 violations)

Current owner since

April 1, 2013

License conditions and other regulatory actions

• September 6, 2023 to October 4, 2023: License Condition, Failed to use an ABST ALFCD23-00585; incident: OR0003977500
  The facility failed to fully implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037(1).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• August 7, 2023: Complaint Investig., 1 deficiency cited report
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• May 24, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected July 23, 2023
• February 28, 2022: Validation, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 1, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected May 1, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected May 1, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected May 1, 2022
  Show all 14

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected May 1, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected May 1, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected May 1, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected May 1, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected May 1, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected May 1, 2022
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected May 1, 2022
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected May 1, 2022
  • C0655: Call System severity level 2, scope L2 Widespread, corrected May 1, 2022

Substantiated abuse or neglect

• September 24, 2023: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions, appropriately care plan, and provide appropriate supervision to Witness 1 (W1) according to his/her known behaviors and prior altercations. The failure resulted in an unwitnessed physical altercation with the Alleged Victim (AV) causing AV to fall and sustain a fracture, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 19, 2022: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate supervision and services according to the Alleged Victim's (AV) needs. On or about December 19, 2022, AV was sent to a medical appointment unaccompanied, though s/he is care planned for 1-2 person transfers, while at the appointment AV was assisted to the restroom by a patient in the waiting room. While in the bathroom, AV became weak, disoriented and had to call out for help. AV was sent to the hospital for evaluation. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 27, 2022: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate wound care and monitoring to the Alleged Victim. The failure resulted in AV being hospitalized for bilateral leg Lymph edema with maggots in their wounds, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• October 24, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0055 (Medications and Treatments)
  State’s findings

  According to documentation, the Alleged Perpetrator 2 failed to administer medication to the Alleged Victim's as ordered. The failure resulted in AV not receiving his/her medication causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 72 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.