Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00209514-AP-169331

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

Violation Details


Date
5/13/2022
Report number
00209514-AP-169331
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The facility failed to provide services according to the Alleged Victim’s (AV) needs, relating to skin monitoring and wound care. The AV was care planned for ongoing monitoring and follow-up on skin issues. On or about May 11, 2022, the facility sent a fax to the doctor’s office to request additional wound care, but there was no follow-up from approximately May 13, 2022, to May 31, 2022. During this time, the AV’s wound worsened, which resulted in AV not receiving timely medical treatment and experiencing unreasonable discomfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01673 $250.00 fine assessed