WEST HILLS HEALTH & REHABILITATION CENTER
The information listed below provides an in-depth look into the type and quality of care offered at West Hills Health & Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
WEST HILLS HEALTH & REHABILITATION CENTER
5701 SW MULTNOMAH BLVD
PORTLAND, OR 97219
(503) 244-1107
5701 SW MULTNOMAH BLVD
PORTLAND, OR 97219
(503) 244-1107
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
54%Number of Residents and Certified Beds
- Residents: 97
- Certified Beds: 180
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by West Hills Health & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 12.4% |
| ADL Index Range: 6-10 | 36.7% |
| ADL Index Range: 0-5 | 28.6% |
| Total Percent: | 77.7% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 5.1% |
| ADL Index Range: 0-5 | 11.4% |
| Total Percent: | 16.4% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.6% |
| ADL Index Range: 6-10 | 0.8% |
| ADL Index Range: 0-5 | 1.4% |
| Total Percent: | 2.8% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-5 - No Signs of depression | 0.4% |
| Total Percent: | 0.4% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 1.6% |
| Total Percent: | 1.6% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - No Signs of depression | 0.4% |
| ADL Index Range: 0-1 - No Signs of depression | 0.6% |
| Total Percent: | 1.0% |
Rating Details For West Hills Health & Rehabilitation Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 55 Minutes | 1 Hour and 14 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 27 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours | 2 Hours and 22 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 22 Minutes | 1 Hour and 57 Minutes |
| Total Nurse Hours | 4 Hours and 23 Minutes | 4 Hours and 19 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Oregon Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 82% | 83% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 82% | 83% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 59% | 60% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 28% | 10% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 7% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 8% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 13% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 26% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 5% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 11% | 11% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 68% | 76% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 79% | 75% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 2% | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 20% | 30% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 11% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/10/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
|  |  |
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Get Services Outside the Nursing Home That Meet Professional Standards.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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Let Residents Give Themselves Their Drugs if They Are Able.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 07/06/2009 | $975 |
| Civil Money Penalty (CMP) | 12/10/2010 | $3,250 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for West Hills Health & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that West Hills Health & Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/07/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
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Resident Room Doors of Proper Design and Width.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Restrictions on the Use of Highly Flammable Materials.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011
