Provider Details - Providence Child Center
Providence Child Center
(503) 215-2400
shalini.stubbs@providence.org
830 NE 47TH AVENUE
Portland, OR 97213
(503) 215-2400
shalini.stubbs@providence.org
- Administrator name
- Shalini Stubbs
- ID
- 38A001
- Status
- Open
- Type
- Nursing Facility
- Licensed beds
- 58
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Providence Health & Services - Oregon
4400 NE Halsey, Bldg. 2, Suite 599
Portland, OR 97213
(503) 893-6463
- Owner since
- 1/1/2010
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
Licensing inspections evaluate a provider’s compliance with rules and laws.
Licensing surveyors look at a variety of factors, including quality of care and services provided, as
well as the condition of the provider’s physical structure, equipment, staffing levels, policies,
procedures and finances. Under federal requirements, nursing facilities receive recertification inspections
and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s
compliance with regulatory requirements at the time the inspection took place.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Event ID | Inspection type(s) Inspection type(s) | Deficiencies cited | Actions | |
|---|---|---|---|---|---|
| 9/8/2025 | 1D54D4 | Complaint, Re-Licensure, Recertification | 0 | ||
| 5/30/2025 | B3CT | Complaint, Licensure Complaint, State Licensure | 0 | ||
| 4/19/2024 | F85B | Complaint, Licensure Complaint, Re-Licensure, Recertification | 2 | ||
| 4/15/2024 | SG42 | Focused Infection Control, Other-Fed | 1 | ||
| 1/2/2024 | KSOS | Focused Infection Control, Other-Fed | 1 | ||
| 1/2/2024 | PPJU | Complaint, Licensure Complaint, State Licensure | 2 | ||
| 12/26/2023 | XDOR | Focused Infection Control, Other-Fed | 1 | ||
| 12/18/2023 | ZCUZ | Focused Infection Control, Other-Fed | 1 | ||
| 10/30/2023 | XQSX | Focused Infection Control, Other-Fed | 1 | ||
| 10/2/2023 | L5TM | Focused Infection Control, Other-Fed | 1 |
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records found
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1 of 4
The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes.
If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.
This list shows confirmed (substantiated) instances of abuse from 2010 onward.
Open investigations and complaints that are being appealed by the provider are not listed.
To learn more about abuse definitions, see:
Definitions of Abuse
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 3/23/2018 | OR0001470900 | Failed to follow care plan | 3 | Abuse: Neglect | ||
| 5/16/2017 | OR0001297400 | Failed to provide service | 3 | Abuse: Neglect | ||
| 5/15/2017 | BC171652 | Failed to provide appropriate skin care | 2 | Abuse: Neglect | ||
| 2/20/2016 | BC167434 | Failed to protect resident from inappropriate sexual contact | 4 | Abuse: Sexual abuse | ||
| 8/30/2010 | CO10085 | Failed to provide oversight and monitoring of change of condition | 3 | Abuse: Neglect |
5
records found
This list shows confirmed (substantiated) licensing violations from 2010 onward.
Open investigations and complaints that are being appealed by the provider are not listed.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 12/17/2023 | OR0004694900 | Failed to provide safe environment | 2 | Licensing Violation | ||
| 12/14/2023 | CALMS - 00050520 | Failed to submit timely or adequate staffing documentation | 2 | Licensing Violation | ||
| 12/15/2022 | OR0003928100 | Failed to follow care plan | 2 | Licensing Violation | ||
| 8/10/2022 | OR0003718701 | Failed to provide service | 2 | Licensing Violation | ||
| 5/11/2018 | OR0001504600 | Failed to provide service | 2 | Licensing Violation | ||
| 2/26/2016 | OR0001068500 | Failed to follow care plan | 2 | Licensing Violation | ||
| 5/26/2014 | BC147289 | Failed to assure resident rights | 2 | Licensing Violation | ||
| 1/29/2013 | OR0000808202 | Failed to notify family | 2 | Licensing Violation |
8
records found
Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice
to revoke a license. This section of the website currently displays only license conditions dating back to
2010 and no other types of regulatory action. Additional records will be added over time as resources allow.
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||
0
records found