Deficiency Index

Village at Hillside

Mcminnville, Oregon · CCN 385269

12 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
73
Surveys
12
Harm or worse
5
Immediate jeopardy
0
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
22
Ownership
For profit - Limited Liability company
Chain
HUMANGOOD
County
Yamhill
Medicare-certified since
2005

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 32 for-profit facilities with fewer than 66 beds in Oregon.

Last survey on record

Jul 19, 2024

843 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.295.00
Registered-nurse hours per resident day1.74—
Annual nurse turnover68.8%48.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.8%H—I—
No harm, potential for more than minimalD1571.4%E314.3%F29.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 73 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7272×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F5531×

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

In the surveyor’s words

From the most serious findings on record at Village at Hillside, in the surveyor’s own words.

  • Actual harm, isolatedF622Mar 24, 2023

    Based on interview and record review it was determined the facility failed to ensure appropriate services and medical equipment were provided at time of discharge for 1 of 3 sampled residents (#11) reviewed for facility discharge. As a result, the unsafe discharge resulted with Resident 11 experiencing unnecessary hardship and pain. Findings include: Resident 11 was admitted to the facility on [DATE] with diagnoses including essential tremors, left hip hemiarthroplasty (partial hip joint replacement). Resident 11's 2/17/23 Admission MDS indicated she/he was cognitively intact. A Notice of Medicare Non-Coverage (NOMNC) which notified the resident of skilled services ending was issued on 2/15/23 and indicated skilled services would end on 2/17/23. […]

  • No harm, potential for more than minimal, widespreadF727Jul 19, 2024

    Based on interview and record review it was determined the facility failed to use the services of a registered nurse for at least eight consecutive hours a day for 19 of 46 days reviewed for staffing. This placed residents at risk for lack of RN oversight including comprehensive assessments. Findings include: A review of the Direct Care Staff Daily Reports for dates from 6/1/24 through 7/16/24 revealed no RN coverage during the 24-hour period on the following dates: - 6/4/24, 6/5/24, 6/6/24, 6/7/24, 6/10/24, 6/11/24, 6/12/24, 6/16/24, 6/18/24, 6/19/24, 6/22/24, 6/23/24, 6/25/24, 6/26/24, 7/2/24, 7/3/24, 7/6/24, 7/7/24, 7/10/24 In a follow up interview on 7/18/24 at 10:00 AM Staff 1 (Administrator) was informed of the identified dates when the staffing sheets indicated there was a lack of… […]

  • No harm, potential for more than minimal, widespreadF812Jul 19, 2024

    Based on observation and interview it was determined the facility failed to provide a sanitary kitchen environment, document food temperatures and ensure staff wore appropriate hair restraints during meal preparation for 1 of 2 kitchens reviewed for sanitation. This placed residents at risk for unsanitary food and cross contamination. Findings include: 1. On 7/15/24 at 9:23 AM and 7/17/24 at 7:21 AM, the inside of the refrigerator in the kitchen was observed to have three small fans circulating air, and each fan had approximately a quarter-inch buildup of dust particles. The ceiling of the refrigerator above the three fans had multiple visible dust particles. Adjacent to the three fans was a black insulated tubing which had visible dust particles on the exterior of the insulated tubing. […]

  • No harm, potential for more than minimal, patternF584Mar 24, 2023

    Based on observation, interview and record review it was determined the facility failed to ensure linens fit residents' beds for 2 of 2 sampled residents (#s 5 and 11) reviewed for linens. This placed residents at risk for uncomfortable sleeping conditions. Findings include: 1. Resident 5 was admitted to the facility in 2019 with diagnoses including diabetes. A 2/23/23 Quarterly MDS indicated the resident had some memory impairment but was able to communicate her/his needs. On 3/20/23 at 10:35 AM Resident 5 stated the fitted bottom sheets did not stay on the mattress. On 3/22/23 at 12:21 PM Resident 5 was observed in bed and the top half of the mattress was exposed. The fitted sheet was only visible to be on at the foot of the mattress. […]

  • No harm, potential for more than minimal, patternF725Mar 24, 2023

    Based on interview and record review it was determined the facility failed to staff a licensed nurse on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans and standards of nursing practice for 36 of 113 days reviewed for staffing: This placed residents at risk for lack of care. Findings include: Review of the facility's Pay Based Journal (PBJ) Staffing Data Report for the fiscal year, Quarter 4 (7/2022, 8/2022 and 9/2022) revealed the facility reported the following dates the facility failed to have licensed nursing coverage, no RN or LPN, for 24 hours a day: 7/2/22, 7/16/22, 7/26/22, 7/27/22, 7/30/22, 7/31/22, 8/1/22, 8/2/22, 8/3/22, 8/4/22, 8/5/22, 8/6/22, 8/7/22, 8/8/22, 8/9/22, 8/10/22, 8/11/22, 8/15/22, 8/16/22, 8/17/22, 8/18/22, 8/22/22,… […]

Read 24 findings in full →The most serious and the most recent: 24 of 73 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 19, 2024Standard6 findings
  • Mar 24, 2023Standard and complaint15 findings · 1 harm
  • Jun 4, 2019Standard and complaint3 findings
  • Sep 28, 2018Complaint2 findings
  • Jan 5, 2018Standard6 findings
  • Jan 6, 2017Complaint3 findings · 2 harm
  • Nov 7, 2016Standard8 findings · 1 harm
  • Jun 2, 2016Complaint1 finding · 1 harm
Show the 4 earlier surveys
  • Sep 18, 2015Standard8 findings
  • Sep 26, 2014Standard7 findings
  • Jun 18, 2013—13 findings
  • Dec 19, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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