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
Rule(s) Violated
411-054-0025(4)
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.