14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Portland, OR
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
6040 Se Belmont Street, Portland, OR
(503) 231-7166
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1978-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
40 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.87
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.05
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.52
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.42
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
97%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
3,200
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9988
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.72
Baseline 20.63% · Performance 18.78% · Measure score 5.72 · Achievement 5.72 · Improvement 4.64
Healthcare-associated infections
4.68
Baseline 7.86% · Performance 6.44% · Measure score 4.68 · Achievement 4.68 · Improvement 4.48
Total nurse turnover
0.50
Baseline 59.43% · Performance 61.62% · Measure score 0.50 · Achievement 0.50 · Improvement 0
Adjusted total nurse staffing
7.31
Baseline 5.37 hours · Performance 5.16 hours · Measure score 7.31 · Achievement 7.31 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.09% |
10.72%
2.6 pts better
|
No Different than the National Rate · Eligible stays 130 · Observed rate 2.31% · Lower 95% interval 5.09% |
| Discharge to community | 71.58% |
50.57%
21 pts better
|
Better than the National Rate · Eligible stays 139 · Observed rate 71.94% · Lower 95% interval 62.3% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 85% |
95.27%
10.3 pts worse
|
Numerator 102 · Denominator 120 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 120 |
| Discharge self-care score | 59.04% |
53.69%
5.4 pts better
|
Numerator 49 · Denominator 83 |
| Discharge mobility score | 54.22% |
50.94%
3.3 pts better
|
Numerator 45 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0.83% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 120 · Adjusted rate 1.38% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 4.21% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 33.67% |
8.2%
25.5 pts better
|
Numerator 33 · Denominator 98 |
| Staff flu vaccination coverage | 43.22% |
42%
1.2 pts better
|
Numerator 51 · Denominator 118 |
| Discharge function score | 54.22% |
56.45%
2.2 pts worse
|
Numerator 45 · Denominator 83 |
| Transfer of health information to provider | 90% |
95.95%
6 pts worse
|
Numerator 27 · Denominator 30 |
| Transfer of health information to patient | 95.06% |
96.28%
1.2 pts worse
|
Numerator 77 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 40.68% |
25.2%
15.5 pts better
|
Numerator 24 · Denominator 59 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.7% |
95.5%
20.8 pts worse
|
93.4%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 84.8% · Q3 80.5% · Q4 48.8% · 4Q avg 74.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.5% |
95.2%
4.7 pts worse
|
95.5%
5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
2.4%
3.9 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.0% · Q3 9.8% · Q4 9.3% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
4.7%
0.4 pts worse
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.7% · Q3 5.7% · Q4 5.1% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
5.0%
1.8 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 9.1% · Q3 5.3% · Q4 5.4% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
12.5%
3 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.1% · Q3 7.9% · Q4 8.1% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
14.7%
1.7 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 12.0% · Q3 15.6% · Q4 12.1% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.8% |
24.1%
1.7 pts worse
|
16.3%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
15.8%
0.3 pts worse
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 16.1% · Q3 25.0% · Q4 12.1% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.7%
0.6 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 5.3% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.0%
1.2 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 4.9% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
22.2%
0.3 pts worse
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 14.3% · Q3 25.4% · Q4 22.0% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 9.7% |
6.5%
3.2 pts worse
|
5.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 7.7% · Q3 6.4% · Q4 14.4% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.9% |
85.4%
14.5 pts worse
|
81.7%
10.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.4% · Q2 72.6% · Q3 73.0% · Q4 55.9% · 4Q avg 70.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.6% |
15.1%
4.5 pts worse
|
12.0%
7.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 18.8% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
1.7%
1.3 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.1% · Q3 3.2% · Q4 2.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.8% |
81.2%
7.4 pts worse
|
79.7%
5.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.9% |
21.6%
10.3 pts worse
|
23.9%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 27.1% · Expected 20.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Establish emergency prep training and testing.
Corrected 2026-01-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-16
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-07-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-21
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-07-07
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-04-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-13
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2024-04-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-07
Fire Safety
Install noncombustible or limited-combustible interior walls.
Corrected 2023-01-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-07
Inspection history
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-01-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-02
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2026-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-07-21
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-07-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-21
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-21
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-07-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-19
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-13
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-04-13
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-04-13
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-04-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-04-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-13
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-04-13
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-04-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-07
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-07
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-07
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-01-07
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-01-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-07
Health
Provide appropriate foot care.
Corrected 2023-01-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Nearby options
Portland, OR
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Portland, OR
5-star overall rating with 5-star inspections with $13,286 in total fines with 1 fire-safety deficiencies in the latest cycle
Portland, OR
3-star overall rating with 2-star inspections with abuse icon flag with $33,319 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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