Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00086312
Provider Information
Kellyville RCF
12221 SE KELLY STREET
Portland, OR 97236
- Provider ID
- 50R454
- Administrator
- Maricel Asa
- Phone
- (503) 954-2561
- maricel@kellyvillercfpdx.com
Violation Details
- Date
- 5/22/2025
- Report number
- CALMS - 00086312
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to meet the scheduled and unscheduled needs of residents
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0037(1-7)
- Findings
- The facility allegedly failed to develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.