MARIAN ESTATES

The information listed below provides an in-depth look into the type and quality of care offered at Marian Estates. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MARIAN ESTATES
390 SE CHURCH STREET
SUBLIMITY, OR 97385
(503) 769-3499

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

53%

Number of Residents and Certified Beds

  • Residents: 113
  • Certified Beds: 214

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Salem | Silverton | Keizer

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Marian Estates. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-107.4%
Total Percent:7.4%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-168.2%
ADL Index Range: 6-1020.6%
ADL Index Range: 0-530.3%
Total Percent:59.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.7%
ADL Index Range: 6-102.1%
ADL Index Range: 0-513.7%
Total Percent:22.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.5%
ADL Index Range: 6-102.9%
Total Percent:5.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
Total Percent:1.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.6%
ADL Index Range: 11-14
- No Signs of depression
0.6%
Total Percent:1.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:0.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
2.5%
Total Percent:2.5%
 

Rating Details For Marian Estates

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours42 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 56 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 39 Minutes
Total Nurse Hours4 Hours and 10 Minutes4 Hours and 5 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%83%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%83%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder64%60%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%10%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%11%
Percent of Long-Stay Residents Who Were Physically Restrained11%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%76%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season86%75%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain36%30%
Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Have Delirium4%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/07/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008

Mistreatment

1) Hire Only People Who Have 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.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
1) Hire Only People Who Have 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.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/23/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/23/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/23/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/07/2010
  • Correction Date: 11/26/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/23/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/23/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/07/2010
  • Correction Date: 11/26/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 09/17/2008
  • Correction Date: 11/06/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/07/2010
  • Correction Date: 11/26/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)01/28/2010$975
Civil Money Penalty (CMP)09/17/2008$1,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Marian Estates, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/28/2010
  • Correction Date: 03/19/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/12/2010
  • Correction Date: 06/15/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 09/17/2008
  • Correction Date: 11/06/2008

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/17/2008
  • Correction Date: 11/06/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/28/2010
  • Correction Date: 03/19/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 01/28/2010
  • Correction Date: 03/19/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Marian Estates had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/14/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/12/2008
  • Correction Date: 11/06/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/08/2009
  • Correction Date: 10/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/14/2010
  • Correction Date: 12/23/2010
Portable Fire Extinguishers.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/14/2010
  • Correction Date: 12/23/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 09/08/2009
  • Correction Date: 10/23/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/12/2008
  • Correction Date: 11/06/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 10/14/2010
  • Correction Date: 12/23/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/14/2010
  • Correction Date: 12/23/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 09/08/2009
  • Correction Date: 10/23/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids.
  • Inspection Date: 10/14/2010
  • Correction Date: 12/23/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/08/2009
  • Correction Date: 10/23/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 09/12/2008
  • Correction Date: 11/06/2008
Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011