Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00076948-AP-056847
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
- 3/21/2020
- Report number
- 00076948-AP-056847
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide peri care
- 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)(G)
External site: 411-054-0070(1)
- Findings
- Alleged Victim (AV) relies on facility staff to provide incontinence care and is at risk for skin breakdown. On or about March 21, 2020, Alleged Perpetrator 2 (AP2) was the assigned care provider to AV. AP2 reports the facility was short staffed and he/she asked other staff to provide care to AV. AP2 asked other staff if care was provided to AV and documented that incontinence care was provided to AV. At approximately 10:00pm, the next shift went to provide care to AV and noted the AV's brief was soaked through to the bedding, the date and time written on the brief was prior to 3:00pm. AP2 did not ensure incontinence care was completed, resulting in unreasonable discomfort and creating a risk of serious harm to AV, which is considered neglect of care and constitutes abuse. Some facility staff reported that only the assigned caregiver was to chart care such as incontinence care. The facility failed to have procedures in place to ensure cares are provided and documented appropriately and failed to ensure there was enough staff to meet the scheduled and unscheduled needs of AV which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00997 $188.00 fine assessed