Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004098300

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
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
Findings
The facility allegedly failed to fully implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.