Portland, OR

West Hills Health & Rehabilitation

3-star overall rating with 3-star inspections with $12,659 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

5701 Sw Multnomah Blvd, Portland, OR

(503) 244-1107

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Goodman Group

Operator or chain grouping

Approved since

1970-05-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

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

0.52

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

1.24

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.33

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

5.09

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.76

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.51

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

5.44

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,238

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

Performance score

50.76

Composite VBP score used to determine payment impact.

Payment multiplier

1.0050

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.15

Baseline 14.87% · Performance 18.12% · Measure score 7.15 · Achievement 7.15 · Improvement 0

Healthcare-associated infections

5.12

Baseline 4.79% · Performance 6.31% · Measure score 5.12 · Achievement 5.12 · Improvement 0

Total nurse turnover

2.28

Baseline 51.03% · Performance 54.36% · Measure score 2.28 · Achievement 2.28 · Improvement 0

Adjusted total nurse staffing

5.76

Baseline 4.81 hours · Performance 4.72 hours · Measure score 5.76 · Achievement 5.76 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.55%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 259 · Observed rate 6.95% · Lower 95% interval 7.39%
Discharge to community	66.61%	50.57% 16 pts better	Better than the National Rate · Eligible stays 272 · Observed rate 65.44% · Lower 95% interval 61.44%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	99.1%	95.27% 3.8 pts better	Numerator 110 · Denominator 111
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 111
Discharge self-care score	52.17%	53.69% 1.5 pts worse	Numerator 48 · Denominator 92
Discharge mobility score	47.83%	50.94% 3.1 pts worse	Numerator 44 · Denominator 92
Pressure ulcers or injuries, new or worsened	2.7%	2.29% 0.4 pts worse	Numerator 3 · Denominator 111 · Adjusted rate 3.29%
Healthcare-associated infections requiring hospitalization	6.31%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 130 · Observed rate 3.85% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage	3.55%	8.2% 4.6 pts worse	Numerator 7 · Denominator 197
Staff flu vaccination coverage	12.07%	42% 29.9 pts worse	Numerator 28 · Denominator 232
Discharge function score	64.13%	56.45% 7.7 pts better	Numerator 59 · Denominator 92
Transfer of health information to provider	85%	95.95% 11 pts worse	Numerator 17 · Denominator 20
Transfer of health information to patient	97.53%	96.28% 1.2 pts better	Numerator 79 · Denominator 81
Resident COVID-19 vaccinations up to date	60%	25.2% 34.8 pts better	Numerator 30 · Denominator 50

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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.0%	95.2% 4.2 pts worse	95.5% 4.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.4%	2.4% 2 pts better	3.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.4%	4.7% 1.3 pts better	11.4% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.6% · Q3 6.5% · Q4 1.8% · 4Q avg 3.4%
Percentage of long-stay residents who lose too much weight	9.2%	5.0% 4.2 pts worse	5.4% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.3% · Q3 8.5% · Q4 8.3% · 4Q avg 9.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.0%	12.5% 16.5 pts worse	19.6% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 32.8% · Q3 31.1% · Q4 20.0% · 4Q avg 29.0%
Percentage of long-stay residents who received an antipsychotic medication	18.2%	14.7% 3.5 pts worse	16.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.4% · Q3 18.2% · Q4 14.3% · 4Q avg 18.2% · 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	14.3%	24.1% 9.8 pts better	16.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.8%	15.8% 9 pts better	14.9% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 5.8% · Q3 9.4% · Q4 3.6% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	1.7% 0.1 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.3% · Q3 0.0% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	2.0% 0.8 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.5% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.6%	22.2% 0.6 pts better	19.8% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 16.1% · Q3 39.9% · Q4 12.6% · 4Q avg 21.6%
Percentage of long-stay residents with pressure ulcers	2.4%	6.5% 4.1 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.1% · Q3 2.3% · Q4 3.5% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	85.4% 10.2 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 98.4% · Q3 98.7% · Q4 98.8% · 4Q avg 95.6%
Percentage of short-stay residents who had an outpatient emergency department visit	10.8%	15.1% 4.3 pts better	12.0% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.3% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.7% 0.1 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.1%	81.2% 11.9 pts better	79.7% 13.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.0%	21.6% 0.4 pts worse	23.9% 1.9 pts better	Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 19.5% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-25 · Fire 2025-04-25

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-12-18 · Fire 2023-12-18

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-08-05 · Fire 2019-08-05

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-25

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-06-14

F · Potential for more than minimal harm 2025-04-25

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-04-25

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-06-14

F · Potential for more than minimal harm 2023-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-05

F · Potential for more than minimal harm 2023-12-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-05

E · Potential for more than minimal harm 2019-08-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-04

E · Potential for more than minimal harm 2019-08-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-09-04

D · Potential for more than minimal harm 2019-08-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-09-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-25

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 2025-06-14

D · Potential for more than minimal harm 2025-04-25

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-04-25

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 2025-06-14

D · Potential for more than minimal harm 2024-12-11

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-27

F · Potential for more than minimal harm 2024-05-09

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-28

G · Actual harm 2023-12-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-06-14

F · Potential for more than minimal harm 2023-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-06

E · Potential for more than minimal harm 2023-12-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-02-06

E · Potential for more than minimal harm 2023-12-18

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 2024-02-06

E · Potential for more than minimal harm 2023-12-18

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-02-06

E · Potential for more than minimal harm 2023-12-18

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 2024-02-06