Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Village At Hillside during CMS and state inspections, most recent first.
The facility failed to maintain RN coverage for at least eight consecutive hours a day on 19 out of 46 days reviewed, as required. This deficiency was identified through a review of staffing reports, revealing no RN coverage on specific dates. The absence of RN oversight placed residents at risk due to the lack of comprehensive assessments. The facility's administrator acknowledged the issue during a follow-up interview.
The facility failed to maintain a sanitary kitchen environment, with dust particles observed on fans and tubing inside the refrigerator. The Executive Chef was seen preparing meals without hair or beard restraints. Additionally, food temperatures were not consistently documented due to a lack of log sheets, as confirmed by the Registered Dietician.
A facility failed to inform a resident's representative about the risks and benefits of citalopram before administration. The resident, with dementia and anxiety, began receiving the medication in July, but consent was only obtained in October. The lack of timely notification was acknowledged by the Resident Care Manager.
A facility did not include a resident's representative in care planning for a resident with severe cognitive impairment. Despite having a representative, the family was not involved in care conferences or informed of care plan updates. The Social Service Coordinator confirmed the family was not offered a care conference since January.
A facility failed to follow up on pharmacist recommendations for a resident, leading to continued unnecessary medication administration. The resident, admitted with migraines and pain, was receiving Depakote BID and Miralax as needed. Despite the pharmacist's recommendations to clarify Miralax administration and reduce Depakote dosage, these were not implemented. An LPN acknowledged misreading the recommendation, resulting in the deficiency.
A resident with essential hypertension received verapamil outside of ordered parameters, as documented in the MARs. Despite instructions to hold the medication if blood pressure or pulse were below certain thresholds, it was administered six times when these conditions were not met. An RN confirmed the medication was given contrary to the order.
Failure to Maintain RN Coverage for Required Hours
Penalty
Summary
The facility failed to ensure the presence of a registered nurse (RN) for at least eight consecutive hours a day, as required, for 19 out of 46 days reviewed. This deficiency was identified through a review of the Direct Care Staff Daily Reports covering the period from June 1, 2024, to July 16, 2024. On specific dates, including June 4, 5, 6, 7, 10, 11, 12, 16, 18, 19, 22, 23, 25, 26, and July 2, 3, 6, 7, and 10, there was no RN coverage during the 24-hour period. This lack of RN oversight placed residents at risk due to the absence of comprehensive assessments. During a follow-up interview on July 18, 2024, the facility's administrator acknowledged the absence of RN coverage on the identified dates.
Sanitation and Documentation Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain a sanitary kitchen environment, as evidenced by the presence of dust particles on three small fans, the ceiling, and black insulated tubing inside the refrigerator. These observations were made on two separate occasions, and both the Certified Dietary Manager and the Registered Dietician acknowledged the unsanitary conditions. Additionally, the Executive Chef was observed preparing meals without wearing a hair or beard restraint, which was against the expectations stated by the Registered Dietician. Furthermore, the facility did not adequately document food temperatures during meal preparation. A cook was observed checking temperatures for hot breakfast items but did not record them due to a lack of temperature log sheets. The Registered Dietician confirmed that food temperatures were not consistently recorded, as evidenced by the absence of temperature logs for certain dates. This lack of documentation was acknowledged by the Registered Dietician, who expected staff to complete and record temperature checks for each meal.
Failure to Inform Resident's Representative of Medication Risks
Penalty
Summary
The facility failed to inform a resident's representative about the risks and benefits of a psychotropic medication, citalopram hydrochloride, before its administration. Resident 8, who was admitted in July 2023 with diagnoses of dementia and anxiety, began receiving citalopram on July 28, 2023, as per a physician's order dated July 27, 2023. However, the consent for this medication was only signed by the resident's representative on October 5, 2023, more than two months after the medication was first administered. The resident's health record lacked evidence that the resident and their representative were informed of the medication's risks and benefits prior to its administration. This deficiency was acknowledged by Staff 2, the Resident Care Manager/MDS Coordinator, during an interview on July 17, 2024.
Failure to Involve Resident's Representative in Care Planning
Penalty
Summary
The facility failed to include the resident's representative in the care planning process for a resident with severe cognitive impairment, diagnosed with dementia and anxiety. The resident was admitted in July 2023, and a quarterly MDS assessment in May 2024 confirmed the severe cognitive impairment. Despite having a designated representative, the facility did not involve them in care conferences or notify them of updates or changes to the resident's care plan. An interview with the resident's family member revealed that they had not participated in a care conference in the past year and were not informed of medical updates unless they specifically requested information. The clinical record review showed no evidence of the representative being contacted about the care plan, and the Social Service Coordinator confirmed that the family was not offered a care conference since January 2024.
Failure to Implement Pharmacist Recommendations
Penalty
Summary
The facility failed to follow up on pharmacist recommendations for a resident reviewed for unnecessary medications, which placed the resident at risk for unnecessary medication administration. The resident was admitted with diagnoses including migraines and pain and was receiving Depakote BID for migraines and Miralax as needed for constipation. The pharmacist recommended in May 2024 to clarify the order to administer Miralax with food/meals, but there was no follow-up or response by the physician. Additionally, in July 2024, the pharmacist recommended a gradual dose reduction of Depakote from BID to once a day at bedtime, which the physician accepted on July 3, 2024. However, the resident continued to receive Depakote BID from July 4, 2024, through July 16, 2024, indicating the recommendation was not implemented. The MARs from May, June, and July 2024 showed no update to the Miralax administration instructions. Staff 2, an LPN Resident Care Manager, acknowledged misreading the pharmacist's recommendation for Depakote and confirmed there was no follow-up on the Miralax recommendation. This lack of action resulted in the failure to implement the pharmacist's recommendations.
Unnecessary Administration of Blood Pressure Medication
Penalty
Summary
The facility failed to ensure that a resident did not receive unnecessary blood pressure medication, specifically verapamil, which was administered outside of the ordered parameters. The resident, admitted in February 2022 with a diagnosis of essential hypertension, had a medication order for verapamil to be given once daily with instructions to hold the medication if the blood pressure was less than 100 systolic or 60 diastolic, or if the pulse was less than 60. However, a review of the Medication Administration Records (MARs) from June 1, 2024, through July 15, 2024, revealed six instances where the medication was administered despite the resident's blood pressure or pulse being outside the specified parameters. During an interview, a registered nurse (RN) confirmed that the medication was documented as administered on those dates and stated that she would expect the medication to be held when the blood pressure or pulse was not within the ordered parameters.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mcminnville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evan Terrace Post Acute | 1.9 mi | ★★★★★ | 2 | 0 |
| Life Care Center Of Mcminnville | 2.3 mi | ★★★★★ | 15 | 0 |
| Rivers Edge Rehabilitation And Care | 11 mi | ★★★★★ | 21 | 0 |
| Chehalem Post Acute | 14.7 mi | ★★★★★ | 2 | 0 |
| Marquis Newberg | 15.5 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.