Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0004098300
Provider Information
Kellyville RCF
12221 SE KELLY STREET
Portland, OR 97236
- Provider ID
- 50R454
- Administrator
- Maricel Asa
- Phone
- (503) 954-2561
- maricel@kellyvillercfpdx.com
Violation Details
- Date
- 3/10/2023
- Report number
- OR0004098300
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to update staffing plan based on ABST
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0037
- Findings
- The facility allegedly failed to fully implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.