Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Regulatory Action: OR0003867201

Provider Information


Kellyville RCF

12221 SE KELLY STREET
Portland, OR 97236

Provider ID
50R454
Administrator
Maricel Asa
Phone
(503) 954-2561
Email
maricel@kellyvillercfpdx.com

Regulatory Action Details


Effective date
3/1/2023
End date
1/22/2024
Reference number
OR0003867201
Allegation
Failed to staff as indicated by ABST
Description
The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037(1).
Findings
Facility failed to staff as indicated by ABST
Sanction
RCFCD23-00268