Print Violation: CALMS - 00102463

Provider Information

Kelly Gardens Residential Care

813 NE KELLY AVE
Gresham, OR 97030

Date: 10/16/2024
Report number: CALMS - 00102463
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to submit timely or adequate staffing documentation
Result: Substantiated
Rule(s) Violated: 411-054-0105(1)(a)
Findings: Based on interview and record review, conducted during an investigation on 01/23/26, the facility’s failure to provide records to the Department upon request was substantiated. Findings include, but are not limited to: A review of electronic communication, dated 10/15/24, indicated the Department requested documents related to the facility’s Acuity-Based Staffing Tool (ABST) alleged event date 09/16/24. The facility had not provided all requested documentation by the due date of 10/16/24. The facility's failure to provide records to the Department upon request is a violation of Oregon Administrative Rules.