Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00106240

Provider Information


Providence Cully Residential Care

5119 NE 57TH AVE
Portland, OR 97218

Provider ID
50R321
Administrator
TARA WAGNER-YOSHIWARA
Phone
(503) 215-8050
Email
tara.wagner-yoshiwara@providence.org

Violation Details


Date
3/20/2026
Report number
CALMS - 00106240
Type
Licensing Violation
Level
0 - Not substantiated or inconclusive
Allegation
Failed to update staffing plan based on ABST
Result
Substantiated
Findings
The facility failed to fully implement and update an acuity-based staffing tool which is a violation of Oregon Administrative Rule.