Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00043068

Provider Information


Courtyard at Mt Tabor

6323 SE DIVISION
Portland, OR 97206

Provider ID
70M239
Administrator
Tina Moullet
Phone
(503) 772-9795
Email
tinamoullet@mbk.com

Violation Details


Date
5/1/2023
Report number
CALMS - 00043068
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 May 1, 2023, 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 April 1, 2023, to April 30, 2023, for a total of 30 days.