Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00035560

Provider Information


Hazelwood Enhanced Memory Care

11547 NE GLISAN ST
Portland, OR 97220

Provider ID
50R374
Administrator
Melinda Ehlers
Phone
(503) 255-0070
Email
admin@hazelwoodemc.com

Violation Details


Date
12/1/2022
Report number
CALMS - 00035560
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 December 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 November 1, 2022 to November 30, 2022, for a total of 30 days.
Sanction
RCFCP22-01850 $7500.00 fine assessed