Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0003520200

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
4/8/2022
Report number
OR0003520200
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
The facility failed to administer the resident ' s medication as order by their physician. An investigation determined this is a violation of Oregon Administrative Rules.