Inspection Reports for
West Hills Village Senior Residence
5711 SW Multnomah Blvd, Portland, OR 97219, OR, 97219
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
99% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 2
Date: Oct 17, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies corrected.
M0000 - Initial Comments — Initial comments noted with no deficiencies corrected.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 2
Date: Oct 8, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies corrected.
M0000 - Initial Comments — Initial comments noted with no deficiencies corrected.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 7
Date: Apr 25, 2025
Visit Reason
The facility failed to assess residents for safe self-administration of medications, obtain and document advance directives, maintain sanitary food procurement and storage practices, and complete criminal background checks for staff. Several deficiencies were corrected by 5/19/2025 but some remained uncorrected at 6/16/2025.
Findings
The facility failed to assess residents for safe self-administration of medications, obtain and document advance directives, maintain sanitary food procurement and storage practices, and complete criminal background checks for staff. Several deficiencies were corrected by 5/19/2025 but some remained uncorrected at 6/16/2025.
Deficiencies (7)
F0000 - INITIAL COMMENTS — Initial comments noted with deficiencies not corrected at follow-up.
F0554 - Resident Self-Admin Meds-Clinically Approp — The facility failed to assess a resident for safe self-administration of medications, placing residents at risk for unsafe medication administration.
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir — The facility failed to obtain and document advance directives for sampled residents, placing residents at risk for unhonored health care decisions.
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary — The facility failed to ensure proper personal hygiene, food storage, and kitchen sanitation, placing residents at risk for cross contamination and foodborne illnesses.
M0000 - Initial Comments — Initial comments noted with deficiencies not corrected at follow-up.
M0143 - Employees: Criminal Record Checks — The facility failed to complete background checks for newly hired staff, placing residents at risk for abuse.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Referenced multiple OARs related to pharmaceutical services, admission of residents, and dietary services.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 2
Date: Feb 26, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies corrected.
M0000 - Initial Comments — Initial comments noted with no deficiencies corrected.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 2
Date: Jan 30, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies corrected.
M0000 - Initial Comments — Initial comments noted with no deficiencies corrected.
Inspection Report
Complaint Investigation
Capacity: 150
Deficiencies: 2
Date: Jan 27, 2025
Visit Reason
Facility failed to have sufficient staff to meet resident needs and failed to adopt an acuity-based staffing tool to determine appropriate staffing levels.
Findings
Facility failed to have sufficient staff to meet resident needs and failed to adopt an acuity-based staffing tool to determine appropriate staffing levels.
Deficiencies (2)
C0360 - Staffing Requirements and Training: Staffing
C0363 - Acuity Based Staffing Tool - Updates & Plan
Inspection Report
Capacity: 150
Deficiencies: 5
Date: Jan 17, 2025
Visit Reason
Multiple deficiencies including failure to document actions for change of condition, failure to update acuity-based staffing tool quarterly, inadequate training within 30 days of hire, fire and life safety issues, and heating and ventilation system violations.
Findings
Multiple deficiencies including failure to document actions for change of condition, failure to update acuity-based staffing tool quarterly, inadequate training within 30 days of hire, fire and life safety issues, and heating and ventilation system violations.
Deficiencies (5)
OAR 411-054-0040 (1-2) Change of Condition and Monitoring
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety
OAR 411-054-0200 (8) Heating and Ventilation
Inspection Report
Capacity: 180
Deficiencies: 1
Date: Dec 11, 2024
Deficiencies (1)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies corrected.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 5
Date: Dec 11, 2024
Visit Reason
The facility failed to provide education and training for self-administration of injectable anticoagulant medication prior to discharge and failed to ensure residents were free from significant medication errors. Some deficiencies were corrected by 1/6/2025 but not corrected at 2/3/2025 follow-up.
Findings
The facility failed to provide education and training for self-administration of injectable anticoagulant medication prior to discharge and failed to ensure residents were free from significant medication errors. Some deficiencies were corrected by 1/6/2025 but not corrected at 2/3/2025 follow-up.
Deficiencies (5)
F0000 - INITIAL COMMENTS — Initial comments noted with deficiencies not corrected at follow-up.
F0624 - Preparation for Safe/Orderly Transfer/Dschrg — The facility failed to provide education and training for self-administration of injectable anticoagulant medication prior to discharge, placing residents at risk for unsafe discharge.
F0760 - Residents are Free of Significant Med Errors — The facility failed to ensure residents were free from significant medication errors, placing residents at risk for adverse medication consequences.
M0000 - Initial Comments — Initial comments noted with deficiencies not corrected at follow-up.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Referenced OARs related to involuntary transfer and nursing services.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 6
Date: May 9, 2024
Visit Reason
The facility failed to implement care plan interventions to prevent accidents, ensure sufficient dietary staff, provide palatable and timely meals, and comply with state administrative rules. Some deficiencies were corrected by 6/5/2024 but not corrected at 7/3/2024 follow-up.
Findings
The facility failed to implement care plan interventions to prevent accidents, ensure sufficient dietary staff, provide palatable and timely meals, and comply with state administrative rules. Some deficiencies were corrected by 6/5/2024 but not corrected at 7/3/2024 follow-up.
Deficiencies (6)
F0000 - INITIAL COMMENTS — Initial comments noted with deficiencies not corrected at follow-up.
F0689 - Free of Accident Hazards/Supervision/Devices — The facility failed to provide adequate supervision to prevent accidents, placing residents at risk for injury.
F0802 - Sufficient Dietary Support Personnel — The facility failed to ensure sufficient dietary staff to deliver timely meals, placing residents at risk for unmet nutritional needs.
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp — The facility failed to ensure meals were served palatable and at appetizing temperatures, placing residents at risk for unmet nutritional needs.
M0000 - Initial Comments — Initial comments noted with deficiencies not corrected at follow-up.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Referenced OARs related to nursing services and dietary services.
Inspection Report
Capacity: 150
Deficiencies: 2
Date: Mar 20, 2024
Visit Reason
Kitchen inspection found food storage and sanitation issues; re-visit found substantial compliance.
Findings
Kitchen inspection found food storage and sanitation issues; re-visit found substantial compliance.
Deficiencies (2)
OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule
C0000 - Comment
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — The facility failed to report complete COVID-19 information to the CDC's NHSN during a required period.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 1
Date: Jan 2, 2024
Visit Reason
The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — The facility failed to report complete COVID-19 information to the CDC's NHSN during a required period.
Inspection Report
Capacity: 150
Deficiencies: 1
Date: Mar 15, 2023
Visit Reason
Kitchen inspection documented; facility found in substantial compliance.
Findings
Kitchen inspection documented; facility found in substantial compliance.
Deficiencies (1)
C0000 - Comment
Inspection Report
Capacity: 150
Deficiencies: 14
Date: Sep 28, 2021
Visit Reason
Multiple deficiencies including resident evaluations, service plans, medication administration, restraints, training, fire and life safety, building maintenance, and call system issues. Some deficiencies corrected on revisit, others not corrected.
Findings
Multiple deficiencies including resident evaluations, service plans, medication administration, restraints, training, fire and life safety, building maintenance, and call system issues. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (14)
C0000 - Comment
OAR 411-054-0034 Resident Move-In and Evaluation
OAR 411-054-0035 Service Plan: General
OAR 411-054-0036 Systems: Treatment Orders
OAR 411-054-0037 Systems: Medication Administration
OAR 411-054-0040 Restraints and Supportive Devices
OAR 411-054-0070 Training Within 30 Days: Direct Care Staff
OAR 411-054-0074 Annual and Biennial Inservice For All Staff
OAR 411-054-0090 Fire and Life Safety: Safety
OAR 411-054-0092 Fire and Life Safety: Training For Residents
OAR 411-054-0455 Inspections and Investigation: Insp Interval
OAR 411-054-0610 General Building Exterior
OAR 411-054-0613 General Building: Doors-Walls, Cleanable
OAR 411-054-0655 Call System
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