Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willamette View Health Center during CMS and state inspections, most recent first.
The facility failed to securely store biologicals, as the skilled nursing office door was left open and unlocked, allowing unauthorized access to a refrigerator containing an Aplisol vial. Staff confirmed the refrigerator was not routinely locked, and the office door should have been secured to prevent unauthorized access.
A resident with a left leg fracture and amnesia was found with multiple medications on their bedside table, which they self-administered without completing the required evaluation or having a physician's order. Staff confirmed that the resident had not been assessed for self-administration, contrary to facility policy, placing the resident at risk for adverse medication-related consequences.
The facility failed to ensure accurate Direct Care Staff Daily Report postings for 35 out of 39 days reviewed, with inaccuracies in licensed nursing staff hours. The Assistant Administrator confirmed the discrepancies and acknowledged responsibility for ensuring report accuracy.
Failure to Securely Store Biologicals
Penalty
Summary
The facility failed to ensure that biologicals were stored securely and were not accessible to unauthorized individuals. During an observation on March 11, 2025, the unit's skilled nursing office door was found propped open from 9:05 AM to 10:02 AM, allowing various staff members and non-staff construction workers to pass by. Inside the office, a white refrigerator containing an Aplisol vial, used for tuberculosis testing, was observed. Staff 4, a registered nurse, confirmed that the refrigerator was used to store drugs and biologicals and admitted that it was not routinely locked. The office door, which should have been locked to prevent unauthorized access, was left open and unlocked, making the contents of the refrigerator accessible to unauthorized personnel. Further observations on March 11 and 12, 2025, revealed that the office door remained open and unattended at various times. Staff 3, the Director of Nursing Services, was informed about the unlocked office and refrigerator on both days. Upon inspection, Staff 3 confirmed that both the office door and the refrigerator should be locked at all times to ensure the security of the stored drugs and biologicals. This oversight placed residents at risk for unauthorized access to these substances.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident was properly assessed for self-administration of medications, which is a requirement according to the facility's policy. The policy mandates that residents must pass a Medication Self-administration Safety Screen, obtain approval from their primary care physician, and consistently secure their medications out of reach of others. However, a resident admitted with a left leg fracture and amnesia was found with multiple medications on their bedside table, including Benadryl creams and gels, GC dry mouth gel, Systane eye lubricant gel, and TheraTears eye drops. The resident admitted to self-administering some of these medications without recalling the last use of others. Staff interviews revealed that the resident had not completed the necessary evaluation for self-administration and did not have a physician's order permitting them to do so. A registered nurse confirmed that residents are allowed to self-administer medications only with a physician's order and after successfully completing an evaluation. The Director of Nursing Services also stated that she expected residents to have a physician order and complete an assessment to self-administer medications. This oversight placed the resident at risk for adverse medication-related consequences.
Inaccurate Staffing Reports Over 35 Days
Penalty
Summary
The facility failed to ensure the accuracy of the Direct Care Staff Daily Report (DCSDR) postings for 35 out of 39 days reviewed. This deficiency was identified through interviews and record reviews, revealing that the licensed nursing staff hours were inaccurately reported on multiple days between February 1, 2025, and March 10, 2025. The facility's Nursing Staffing Plan policy requires that the staffing information on the Daily Staff Public Posting form accurately reflects the actual staff working each shift. On March 11, 2025, the Assistant Administrator confirmed the inaccuracies in the DCSDRs and acknowledged her responsibility for ensuring the reports' accuracy.
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What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Milwaukie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fernwood Supportive Living At Madrona Grove | 0.2 mi | ★★★★★ | 0 | 0 |
| Stanley Post Acute | 2.5 mi | ★★★★★ | 12 | 0 |
| Pearl At Kruse Way, The | 3.4 mi | ★★★★★ | 3 | 0 |
| Avamere Rehabilitation Of Clackamas | 4.2 mi | ★★★★★ | 6 | 0 |
| The Creston Health & Rehabilitation | 4.4 mi | ★★★★★ | 13 | 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 July 2026) and official state health department websites.