Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00025647

Provider Information


Autumn Garden Memory RCF

6215 SE HAZEL ST
Portland, OR 97206

Provider ID
50M006
Administrator
Yevgeny Tatarenko
Phone
(503) 358-7986
Email
r.n.zhenya@gmail.com

Violation Details


Date
3/1/2022
Report number
CALMS - 00025647
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to submit timely or adequate staffing documentation
Result
Substantiated
Findings
On or about March 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from February 1, 2022 to February 28, 2022, for a total of 27 days.