Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CO12005

Provider Information


Royal Anne Assisted Living

10610 SE CLAY STREET
Portland, OR 97216

Provider ID
70A264
Administrator
KYMBERLY WELLS
Phone
(503) 408-0404
Email
kwells@cherrywoodvillage.net

Violation Details


Date
12/2/2011
Report number
CO12005
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Findings
Harm tag at relicensure survey.
Sanction
ALFCP12-002 $300.00 fine assessed