Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0002779400

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
12/25/2020
Report number
OR0002779400
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The allegation that the facility failure to provide reasonable precautions against any condition that may threaten the health, safety, or welfare of residents was verified.