Mcminnville, OR

Village At Hillside

5-star overall rating with 5-star inspections with $44,909 in total fines with 6 fire-safety deficiencies in the latest cycle

400 Nw Hillside Park Way, Mcminnville, OR

(503) 472-9534

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

20

Certified beds

Average residents

17

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Humangood

Operator or chain grouping

Approved since

2005-07-22

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

17 facilities

Chain averages 4 overall / 4 health / 5 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

Hours and turnover

RN hours / resident day

1.60

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

4.18

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

6.25

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

2.07

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

5.69

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

1.11

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.68

CMS adjusted RN staffing hours

Adjusted total hours

6.55

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,623

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

2.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.43% · Performance 23.45% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.82

Baseline 7.02% · Performance 7.59% · Measure score 0.82 · Achievement 0.82 · Improvement 0

Total nurse turnover

0

Baseline 75.00% · Performance 72.73% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.09%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 87 · Observed rate 9.2% · Lower 95% interval 7.93%
Discharge to community 63.65%
50.57%
13.1 pts better
Better than the National Rate · Eligible stays 81 · Observed rate 69.14% · Lower 95% interval 53.11%
Medicare spending per beneficiary 0.81
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 40 · Denominator 40
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 40
Discharge self-care score 35.71%
53.69%
18 pts worse
Numerator 10 · Denominator 28
Discharge mobility score 28.57%
50.94%
22.4 pts worse
Numerator 8 · Denominator 28
Pressure ulcers or injuries, new or worsened 2.5%
2.29%
0.2 pts worse
Numerator 1 · Denominator 40 · Adjusted rate 2.98%
Healthcare-associated infections requiring hospitalization 7.59%
7.12%
0.5 pts worse
No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 14
Staff flu vaccination coverage 33.33%
42%
8.7 pts worse
Numerator 22 · Denominator 66
Discharge function score 35.71%
56.45%
20.7 pts worse
Numerator 10 · Denominator 28
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.5%
4.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
2.4%
2.4 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.0%
4.7%
0.7 pts better
11.4%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight 0.0%
5.0%
5 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.0%
12.5%
11.5 pts worse
19.6%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0%
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 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased 17.4%
15.8%
1.6 pts worse
14.9%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.7%
1.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.6%
2.0%
1.6 pts worse
1.7%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.8%
22.2%
7.6 pts worse
19.8%
10 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.8%
Percentage of long-stay residents with pressure ulcers 4.8%
6.5%
1.7 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.9%
85.4%
30.5 pts worse
81.7%
26.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 43.8% · Q3 26.0% · Q4 64.1% · 4Q avg 54.9%
Percentage of short-stay residents who had an outpatient emergency department visit 16.8%
15.1%
1.7 pts worse
12.0%
4.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 14.6% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.7%
1.7 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71.6%
81.2%
9.6 pts worse
79.7%
8.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 37.3%
21.6%
15.7 pts worse
23.9%
13.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 37.3% · Observed 29.2% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-25 · Fire 2025-11-25

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-19 · Fire 2024-07-19

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-03-24 · Fire 2023-03-24

15 health deficiencies

Top issue: Resident Rights (6 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-25

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-12-11

F · Potential for more than minimal harm 2025-11-25

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2026-01-07

F · Potential for more than minimal harm 2025-11-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-07

F · Potential for more than minimal harm 2025-11-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-07

F · Potential for more than minimal harm 2025-11-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-11-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-07

F · Potential for more than minimal harm 2024-07-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-07-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-19

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-30

F · Potential for more than minimal harm 2023-03-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-11

F · Potential for more than minimal harm 2023-03-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-07-19

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-07-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-19

F552 · Resident Rights Deficiencies

Health

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

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-19

F553 · Resident Rights Deficiencies

Health

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

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-19

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-19

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-08-30

G · Actual harm 2023-03-24

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-24

F584 · Resident Rights Deficiencies

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 2023-04-21

E · Potential for more than minimal harm 2023-03-24

F725 · Nursing and Physician Services Deficiencies

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 2023-04-21

E · Potential for more than minimal harm 2023-03-24

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F761 · Pharmacy Service Deficiencies

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 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-24

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-21

Penalties and ownership

What sits behind the stars

$44,909 2023-03-24

Fine

Fine · fine $44,909

Fine

Ownership

Hg Hillside, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-05-01
Baker, Judith

Operational/Managerial Control · Individual

0% 17 facilities 2023-05-01
Battison, William

Operational/Managerial Control · Individual

0% 13 facilities 2023-05-01
Cochrane, John

Operational/Managerial Control · Individual

0% 17 facilities 2023-05-01
Cook, Stephanie

Operational/Managerial Control · Individual

0% 1 facilities 2023-11-16
Ghassemi, Bethany

Operational/Managerial Control · Individual

0% 17 facilities 2023-05-01
Gonzales, Deborah

Operational/Managerial Control · Individual

0% 5 facilities 2023-05-01
Griffith, Alan

Operational/Managerial Control · Individual

0% 13 facilities 2019-06-30
Hg Hillside, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2023-05-01
Holmes, Michelle

Operational/Managerial Control · Individual

0% 13 facilities 2016-05-01
Humangood

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2023-05-01
Humangood Cornerstone

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2023-05-01
Kelley, Albert

Operational/Managerial Control · Individual

0% 17 facilities 2016-05-01
Mcdonald, Andrew

Operational/Managerial Control · Individual

0% 17 facilities 2023-05-01
Ogus, Daniel

Operational/Managerial Control · Individual

0% 17 facilities 2023-05-01
Ruden, Nathan

Operational/Managerial Control · Individual

0% 4 facilities 2023-09-01
Vangelisto, Gwen

Operational/Managerial Control · Individual

0% 16 facilities 2021-08-30
West Valley Nursing Homes Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2023-05-01
Williams, Robert

Operational/Managerial Control · Individual

0% 5 facilities 2023-05-01

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