Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00006992AP-005309
Provider Information
Kellyville RCF
12221 SE KELLY STREET
Portland, OR 97236
- Provider ID
- 50R454
- Administrator
- Maricel Asa
- Phone
- (503) 954-2561
- maricel@kellyvillercfpdx.com
Violation Details
- Date
- 6/11/2018
- Report number
- 00006992AP-005309
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide or maintain resident care equipment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- The facility neglected AV as defined in OAR 4110200002(1)(b)(A)(i) byfailing to follow doctors orders, which resulted in risk of serious harm.
- Sanction
- RCFCP19-116 $250.00 fine assessed