Marquis Mill Park: Respiratory Care Failure Cited - OR
The citation, issued April 24, 2026, found that the facility failed to provide safe and appropriate respiratory care to a resident who needed it. Inspectors classified the violation as isolated, meaning they identified it in connection with a specific resident rather than as a pattern running through the facility. They documented no actual harm. But they also concluded the situation carried potential for more than minimal harm, which is the threshold that triggers a formal deficiency citation under federal health standards.
Respiratory care in a nursing home setting covers a wide range of interventions, from oxygen delivery and ventilator management to the use of inhalers, nebulizers, and airway suctioning for residents who cannot clear their own airways. When that care is not delivered safely and correctly, the consequences can move fast. A resident who is not getting adequate oxygen, or whose breathing equipment is not functioning or monitored properly, can deteriorate in ways that are difficult to reverse.
The inspection report does not describe what specific respiratory care was missed or mishandled, which resident was affected, or what the gap between what was needed and what was provided actually looked like in practice. What it records is that inspectors found the care deficient, that the potential for harm was real, and that the facility was put on notice.
Marquis Mill Park has since submitted a plan of correction and reported the deficiency corrected as of June 13, 2026, nearly seven weeks after the inspection.
Nine deficiencies in a single inspection is not a number that disappears into the background. Each one represents something inspectors found wrong, something a resident needed that was not being delivered safely or at all. The respiratory care citation was one piece of that picture.
For residents who depend on breathing support, the margin for error is narrow. A missed treatment, an improperly set device, a delay in recognizing that something has changed in how a resident is breathing — any of those can become a medical emergency in a setting where response time and staffing levels determine what happens next. Inspectors did not document that any of those things occurred here. But the standard for a citation does not require that harm already happened. It requires only that the conditions were such that harm could have.
The facility's correction plan, submitted after the April inspection, was accepted. Whether the corrective steps taken between late April and mid-June actually addressed the underlying conditions that led inspectors to cite the deficiency in the first place is not something the inspection report can answer.
What the report does establish is that on a single day in April, federal inspectors walked through Marquis Mill Park and found nine things wrong. One of them involved a resident who needed respiratory care and did not receive it safely. That resident's name does not appear in the report. What they were breathing through, or struggling to breathe through, is not described. The gap between what they needed and what they got is recorded only in the language of regulatory categories and severity levels.
The correction was reported complete on June 13. The resident was there before that date.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquis Mill Park from 2026-04-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 15, 2026 · Our methodology
MARQUIS MILL PARK in PORTLAND, OR was cited for violations during a health inspection on April 24, 2026.
The citation, issued April 24, 2026, found that the facility failed to provide safe and appropriate respiratory care to a resident who needed it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.