Aging and People with Disabilities
Safety, Oversight and Quality
Print Regulatory Action: CALMS - 00109997
Provider Information
Providence Cully Residential Care
5119 NE 57TH AVE
Portland, OR 97218
- Provider ID
- 50R321
- Administrator
- TARA WAGNER-YOSHIWARA
- Phone
- (503) 215-8050
- tara.wagner-yoshiwara@providence.org
Regulatory Action Details
- Effective date
- 5/29/2026
- End date
- 7/21/2026
- Reference number
- CALMS - 00109997
- Allegation
- Failed to provide safe environment
- Description
- Rule(s) Violated
-
411-054-0028 (1)(2)(a)(b) and (d)
411-054-0034 (1)(a-c), (2), (3) and (5)
411-054-0036(2)
411-054-0045 (2)(a)(A), and (C)
411-054-0055 (3)(a) and (b)
411-054-0055 (6)(f)(A) and (B)
411-054-0070(3)(a-b)(A)(B)(c-e)
411-054-0070(5)(a)(b)(A-G)
411-054-0090 (1)(a,b,c and d) (A)(B)(C)(D)(E)(F)(G)(e-h)
411-054-0140(4)(i)
- Findings
- Facility failed to provide a safe environment
- Sanction
- RCFCD26-00562