Provider Details - Providence Irvington Village Assisted Living
420 NE MASON
Portland, OR 97211
(503) 546-9292
stephanie.simmons@providence.org
- Administrator name
- Stephanie Simmons
- ID
- 70A271
- Status
- Open
- Type
- Assisted Living Facility
- Licensed beds
- 130
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Providence Health & Services-Oregon
1801 LIND AVENUE SW
Renton, 98057
(425) 525-3355
- Owner since
- 12/31/2009
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
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 | |
|---|---|---|---|---|---|
| 5/7/2024 | J99C | Complaint Investig. | 1 | ||
| 2/26/2024 | VN4C | State Licensure | 1 | ||
| 8/22/2023 | WLNI | Validation | 9 | ||
| 1/26/2023 | WEFE | State Licensure | 0 |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 10/24/2025 | 00437205-AP-389029 | Failed to intervene when resident's condition changed | 2 | Abuse: Neglect | ||
| 5/24/2025 | 00405471-AP-356492 | Failed to assure resident was safe | 2 | Abuse: Neglect | ||
| 6/24/2024 | 00338495-AP-289298 | Failed to follow care plan | 2 | Abuse: Neglect | ||
| 8/4/2023 | 00278141-AP-232778 | Failed to properly plan care | 2 | Abuse: Neglect | ||
| 5/5/2019 | 00030302AP-021378 | Failed to provide safe environment | 2 | Abuse: Neglect | ||
| 1/11/2019 | 00014066AP-010106 | Failed to provide safe environment | 2 | Abuse: Neglect | ||
| 2/23/2017 | BC170410 | Failed to provide safe environment | 2 | Abuse: Neglect | ||
| 10/12/2014 | BC148911 | Failed to provide safe environment | 2 | Abuse: Financial abuse | ||
| 4/27/2013 | BC133096 | Failed to assure timely medical treatment | 3 | Abuse: Neglect | ||
| 12/4/2012 | BC121865 | Failed to provide safe environment | 2 | Abuse: Financial abuse |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 10/4/2025 | CALMS - 00104158 | Failed to use an ABST | 2 | Licensing Violation | ||
| 10/1/2025 | CALMS - 00103683 | Failed to properly admit or re-admit | 2 | Licensing Violation | ||
| 4/9/2025 | CALMS - 00104153 | Failed to use an ABST | 2 | Licensing Violation | ||
| 12/29/2023 | OR0004732800 | Failed to use an ABST | 2 | Licensing Violation | ||
| 11/12/2022 | 00231781-AP-189602 | Failed to provide a safe medication administration system | 2 | Licensing Violation | ||
| 7/13/2018 | OR0001541500 | Failed to assure resident rights | 1 | Licensing Violation | ||
| 5/14/2018 | BC187993 | Failed to provide safe environment | 2 | Licensing Violation | ||
| 7/24/2017 | OR0001333101 | Failed to assure food safety | 1 | Licensing Violation | ||
| 12/30/2016 | OR0001222200 | Failed to assure food safety | 1 | Licensing Violation | ||
| 3/17/2016 | BC165163 | Failed to provide safe environment | 2 | Licensing Violation |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| ALFCD23-00626 | Failed to use an ABST | License Condition | 9/18/2023 | 11/1/2023 |
The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.
Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.
Each year, assisted living and residential care facilities must report information on:
- Retention of direct care staff
- Compliance with staff training requirements
- Number of resident falls that result in injury
- Incidence of use of antipsychotic medications for non-standard purposes
- Results of an annual resident satisfaction survey conducted by an independent entity