Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00104158
Provider Information
Providence Irvington Village Assisted Living
420 NE MASON
Portland, OR 97211
- Provider ID
- 70A271
- Administrator
- Stephanie Simmons
- Phone
- (503) 546-9292
- stephanie.simmons@providence.org
Violation Details
- Date
- 10/4/2025
- Report number
- CALMS - 00104158
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to use an ABST
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0037(1)
- Findings
- The facility failed to develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rule.