Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00030302AP-021378
Provider Information
Providence Irvington Village Assisted Living
420 NE MASON
Portland, OR 97211
- Provider ID
- 70A271
- Administrator
- Stephanie Simmons
- Phone
- (503) 546-9292
- stephanie.simmons@providence.org
Violation Details
- Date
- 5/5/2019
- Report number
- 00030302AP-021378
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
- Findings
- The facility neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to provide basic care or services to maintain the health and safety of AV after AV was sprayed with pepper mace causing pain and agony.
- Sanction
- ALFCP19-325 $375.00 fine assessed