Kellyville RCF

Last inspection

August 11, 2025

Inspections

7, 36 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

7

Regulatory actions

1

Fines assessed

$250.00 (1 violation)

Current owner since

December 12, 2017

License conditions and other regulatory actions

• March 1, 2023 to January 22, 2024: License Condition, Failed to staff as indicated by ABST RCFCD23-00268; incident: OR0003867201
  The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037(1).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• August 11, 2025: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0362: Acuity Based Staffing Tool - Abst Time severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Isolated
• June 3, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• November 6, 2024: Re-Licensure, 12 deficiencies cited report
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Isolated
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated
  Show all 13

  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Pattern
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0374: Annual and Biennial Inservice for All Staff severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern
• April 4, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• May 4, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• January 20, 2023: Complaint Investig., 3 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Isolated
• November 15, 2021: Validation, 18 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected August 14, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Pattern, corrected January 16, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected August 14, 2022
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected January 16, 2022
  Show all 21

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected August 14, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected August 14, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Pattern, corrected March 8, 2022
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Isolated, corrected August 14, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected August 14, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected March 8, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected March 8, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected January 16, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected January 16, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected March 8, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected August 14, 2022
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected January 16, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Pattern, corrected March 8, 2022
  • C0515: Resident Units severity level 2, scope L2 Pattern, corrected January 16, 2022
  • C0545: Plumbing Systems severity level 2, scope L2 Pattern, corrected January 16, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected January 16, 2022

Substantiated abuse or neglect

• May 13, 2022: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The facility failed to provide services according to the Alleged Victim’s (AV) needs, relating to skin monitoring and wound care. The AV was care planned for ongoing monitoring and follow-up on skin issues. On or about May 11, 2022, the facility sent a fax to the doctor’s office to request additional wound care, but there was no follow-up from approximately May 13, 2022, to May 31, 2022. During this time, the AV’s wound worsened, which resulted in AV not receiving timely medical treatment and experiencing unreasonable discomfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• May 22, 2025: Failed to meet the scheduled and unscheduled needs of residents Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility allegedly failed to develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• March 10, 2023: Failed to update staffing plan based on ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

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

• March 10, 2023: Failed to use an ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s 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.

• December 1, 2022: Failed to assure resident rights Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0200 (Residential Care Facility Building Requirements)
  State’s findings

  The facility failed to provide a one-way flow of soiled linens and soiled clothing from the soiled area to the clean area and have a minimum rinse temperature of 140 degrees Fahrenheit. An investigation determined this is a violation of Oregon Administrative Rules.

• June 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about June 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from May 1, 2022 to May 31, 2022, for a total of 30 days.

• April 8, 2022: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s 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.

• January 13, 2022: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Perpetrator 2 (AP2) spoke inappropriately to Alleged Victim (AV) during care for him/her as care planned. AP2 admitted to speaking inappropriately to AV. AP2's actions caused a loss of dignity to AV, which is considered neglect of care and constitutes abuse. The facility failed to protect AV from emotional abuse which is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 50 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.