Provider Details - Selam Mekonnen
13125 SW SHAKESPEARE ST
King City, OR 97224
- Administrator name
- Selam Mekonnen
- ID
- 8605517287
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 2
- Licensed beds
- 3
- Accepts Medicaid
- Yes
- Memory Care
- No
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
This tab displays five years of inspection history.
For inspection information older than five years, please visit
ODHS Records Request
.
To learn more about inspections see:
Provider Information
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 | |
|---|---|---|---|---|---|
| 2/4/2026 | RL009308 | Re-Licensure | 5 | ||
| 7/3/2025 | MON005415 | Monitoring | 1 | ||
| 5/22/2025 | 004590 | Offsite | 1 | ||
| 5/9/2025 | MON004367 | Monitoring | 1 | ||
| 4/18/2025 | CPLT004042 | Complaint | 2 | ||
| 3/6/2025 | RL003147 | Re-Licensure | 6 | ||
| 3/7/2024 | NPR4 | Re-Licensure | 3 | ||
| 12/21/2023 | HT1P | Complaint Investig. | 8 | ||
| 2/2/2023 | W9YU | Initial 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 | |
|---|---|---|---|---|---|---|
| 7/3/2025 | 00411585-AP-362756 | Failed to protect resident from involuntary seclusion | 2 | Abuse: Involuntary Seclusion |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 3/6/2025 | CALMS - 00075928 | Failed to provide a safe medication administration system | 3 | Licensing Violation | ||
| 3/6/2025 | CALMS - 00075927 | Failed to provide a safe medication administration system | 3 | Licensing Violation | ||
| 3/6/2025 | CALMS - 00075926 | Failed to provide a safe medication administration system | 3 | Licensing Violation | ||
| 3/7/2024 | CALMS - 00054748 | Failed to administer medication as ordered | 2 | Licensing Violation | ||
| 12/21/2023 | CALMS - 00052315 | Failed to maintain a safe physical environment | 2 | Licensing Violation |
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||