Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0002453300

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
5/4/2020
Report number
OR0002453300
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to provide proper food/nutrition
Result
Substantiated
Findings
The facility failed to provide three daily nutritious, palatable meals. The allegation was substantiated.