Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: BC129951

Provider Information


Providence Cully Residential Care

5119 NE 57TH AVE
Portland, OR 97218

Provider ID
50R321
Administrator
TARA WAGNER-YOSHIWARA
Phone
(503) 215-8050
Email
tara.wagner-yoshiwara@providence.org

Violation Details


Date
4/30/2012
Report number
BC129951
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
The facility failed to maintain an adequate medication system.