Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

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
Email
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
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.