Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0004732800
Provider Information
Providence Irvington Village Assisted Living
420 NE MASON
Portland, OR 97211
- Provider ID
- 70A271
- Administrator
- Stephanie Simmons
- Phone
- (503) 546-9292
- stephanie.simmons@providence.org
Violation Details
- Date
- 12/29/2023
- Report number
- OR0004732800
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to use an ABST
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0037(3)
- Findings
- The facility failed to fully implement and update an acuity-based staffing tool. Based on observation, interview, and record review, conducted during a site visit on 05/07/24 and 05/14/24, it was confirmed the facility failed to fully implement and update an acuity-based staffing tool for 1 of 3 sampled residents. An investigation determined no licensing violation or abuse occurred.