Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004098301

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
OR0004098301
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use an ABST
Result
Substantiated
Findings
The facility allegedly failed to update the Acuity-Based Staffing Tool evaluation for each resident no less than quarterly. The facility’s failure is a violation of Oregon Administrative Rules.