Inspection Reports for West Hills Village Senior Residence
5711 SW Multnomah Blvd, Portland, OR 97219, OR, 97219
Back to Facility Profile
Inspection Report
Complaint Investigation
Capacity: 150
Deficiencies: 23
Jan 27, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2021 to 2025 with deficiency history and licensing violations.
Findings
Across multiple inspections, the facility exhibited deficiencies in staffing adequacy, acuity-based staffing tool updates, training of direct care staff, fire and life safety compliance, medication administration accuracy, resident evaluations, and building maintenance. Some deficiencies were corrected over time, while others remained uncorrected as of the latest inspection.
Complaint Details
Complaint investigation conducted on 2025-01-27 related to licensure complaint with 2 deficiencies noted.
Deficiencies (23)
| Description |
|---|
| C0360 - Staffing Requirements and Training: Staffing - Failure to have sufficient staff to meet scheduled and unscheduled resident needs. |
| C0363 - Acuity Based Staffing Tool - Updates & Plan - Failure to adopt and update acuity-based staffing tool appropriately. |
| C0270 - Change of Condition and Monitoring - Failure to document actions or interventions needed for residents after short-term change of condition. |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan - Failure to update and maintain posted staffing plan using ABST results. |
| C0372 - Training Within 30 Days of Hire – Direct Care Staff - Failure to ensure newly hired direct care staff demonstrated competency within 30 days. |
| C0420 - Fire and Life Safety: Safety - Failure to conduct fire drills per Oregon Fire Code and provide fire and life safety instruction on alternate months. |
| C0540 - Heating and Ventilation - Heater surface temperature exceeded 120 degrees Fahrenheit in resident areas. |
| C0000 - Comment - Kitchen inspection findings documented; facility found in substantial compliance on re-visit. |
| C0240 - Resident Services Meals, Food Sanitation Rule - Failure to ensure kitchen practices complied with food sanitation rules. |
| C0000 - Comment - Kitchen inspection findings documented; facility in substantial compliance. |
| C0252 - Resident Move-In and Eval: Res Evaluation - Failure to ensure move-in and quarterly evaluations addressed all required elements. |
| C0260 - Service Plan: General - Service plans not reflective of residents' needs and lacked clear instructions for staff. |
| C0303 - Systems: Treatment Orders - Failure to ensure medication orders were carried out as prescribed. |
| C0310 - Systems: Medication Administration - MARs inaccurate and lacked clear parameters for medication administration. |
| C0340 - Restraints and Supportive Devices - Failure to ensure supportive devices were properly assessed prior to use. |
| C0372 - Training Within 30 Days: Direct Care Staff - Newly hired caregiving staff failed to demonstrate satisfactory performance within 30 days. |
| C0374 - Annual and Biennial Inservice For All Staff - Lack of documented evidence of required annual in-service training for some staff. |
| C0420 - Fire and Life Safety: Safety - Fire drills not conducted per code and fire safety instruction not provided on alternate months. |
| C0422 - Fire and Life Safety: Training For Residents - Failure to provide annual fire and life safety instruction to residents. |
| C0455 - Inspections and Investigation: Insp Interval - Failure to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
| C0610 - General Building Exterior - Courtyard surfaces not maintained in good repair; tripping hazards present. |
| C0613 - General Building: Doors-Walls, Cleanable - Environment not maintained in clean and good repair; carpet stains and wear. |
| C0655 - Call System - Exit doors lacked adequate alarming devices to alert staff when residents exited. |
Report Facts
Inspections on page: 5
Total deficiencies: 21
Total surveys: 5
Licensing violations: 18
Abuse violations: 0
Notices: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including staffing, training, fire safety, and medication administration |
| Staff 2 | Director of Nursing | Named in findings related to change of condition monitoring, resident evaluations, and medication administration |
| Staff 3 | Regional RN | Named in findings related to resident evaluations and medication administration |
| Staff 4 | Quality Coordinator | Named in findings related to acuity-based staffing tool and resident evaluations |
| Staff 5 | Maintenance Director | Named in findings related to fire and life safety and building maintenance |
| Staff 6 | Maintenance Director | Named in heating and ventilation deficiency |
| Staff 11 | Med Tech/MT | Named in training deficiency for direct care staff |
| Staff 10 | CG/Resident Assistant | Named in training deficiency for direct care staff |
| Staff 15 | CG/Resident Assistant | Named in training deficiency for direct care staff |
| Staff 12 | CG/Resident Assistant | Named in annual in-service training deficiency |
| Staff 16 | CG/Resident Assistant | Named in annual in-service training deficiency |
| Staff 17 | CG/RA | Named in medication administration deficiency |
Loading inspection reports...
