State assisted-living licensing record · Oregon ODHS · record as pulled September 18, 2026· Not the federal nursing home survey

Kellyville RCF

12221 Se Kelly Street, Portland, OR 97236 · Multnomah County · 50 licensed beds

ODHS facility ID 50R454 · licensed, active · first licensed December 2017

The licence

Licensed by ODHS · Residential Care Facility · managed by Ysa Group Operating Company, LLC

Licence details, as listed by ODHS
Licensed as
Residential Care Facility
Memory care endorsement
No
Accepts Medicaid
No
Current licensee since
December 12, 2017
41
Citations on file
Since September 2021
7
ODHS visits
4 routine inspections
0
Level 3 or 4
The serious level
11
Building-related
Physical plant · emergency

Position within Oregon

41 citations — more than 81% of the 572 licensed assisted living facilities in Oregon. Compared only within Oregon: a citation from ODHS means what it means in Oregon, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and life safety inspection, and enforcement. The fire inspection of an Oregon assisted living or residential care facility is the State Fire Marshal's or the local fire authority's and is not published; what ODHS itself cites about the building — its fire and life safety rule, emergency and disaster planning, and the building requirements — is here. ODHS also publishes substantiated abuse and licensing complaint findings, licence conditions and civil penalties for each facility; none of that is republished. This record is the survey citations only. Adult foster homes, which Oregon licenses separately and which are mostly licensed to an individual, are not included.

Get an email about Kellyville RCF

One email when it happens, from the ODHS record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • C0510 General Building ExteriorNovember 6, 2024 · Level 2
  • C0513 Doors, Walls, Elevators, OdorsNovember 6, 2024 · Level 2
  • C0530 Housekeeping and LaundryNovember 6, 2024 · Level 2
  • C0530 Housekeeping and LaundryJanuary 20, 2023 · Level 2
  • C0420 Fire and Life Safety: SafetyNovember 15, 2021 · Level 2 · corrected January 16, 2022
  • C0422 Fire and Life Safety: Training For ResidentsNovember 15, 2021 · Level 2 · corrected March 8, 2022
  • C0510 General Building ExteriorNovember 15, 2021 · Level 2 · corrected January 16, 2022
  • C0513 Doors, Walls, Elevators, OdorsNovember 15, 2021 · Level 2 · corrected March 8, 2022
  • C0515 Resident UnitsNovember 15, 2021 · Level 2 · corrected January 16, 2022
  • C0545 Plumbing SystemsNovember 15, 2021 · Level 2 · corrected January 16, 2022
  • C0555 Call System, Exit Door Alarm, Phones, TV or CableNovember 15, 2021 · Level 2 · corrected January 16, 2022

How that compares

Citations on file over 5 years

Compared with the median licensed assisted living facility in Oregon. Within-state only.

This facility41Oregon median21
Citations on file over 5 years, compared
MeasureCitations
This facility41
Median facility in Oregon21

Visit history

Citations at each ODHS visit
202021-1142023-0102023-0502024-04132024-1112025-0632025-08
Citations at each ODHS visit
VisitTypeCitations
November 15, 2021validation survey20
January 20, 2023complaint investigation4
May 4, 2023state licensure survey0
April 4, 2024state licensure survey0
November 6, 2024re-licensure survey13
June 3, 2025kitchen inspection1
August 11, 2025complaint investigation3

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 12
  • Physical plant 8
  • Staffing and training 7
  • Medication 5
  • Other 9
Citations by category
CategoryCitations
Resident care12
Physical plant8
Staffing and training7
Medication5
Records and administration4
Life safety3
Food service2

Every visit on file since September 2021

As published by ODHS, newest first, including visits that cited nothing. The wording and the classes are ODHS’s own.

August 11, 2025 — complaint investigation, 3 citations

Citations from the complaint investigation on August 11, 2025
TagWhat ODHS checksSeverity levelCorrected
C0010Licensing Complaint InvestigationLevel 2—
C0362Acuity Based Staffing Tool - ABST TimeLevel 2—
C0363Acuity Based Staffing Tool - Updates & Staffing PlanLevel 2—

June 3, 2025 — kitchen inspection, 1 citation

Citations from the kitchen inspection on June 3, 2025
TagWhat ODHS checksSeverity levelCorrected
C0240Resident Services Meals, Food Sanitation RuleLevel 2—

November 6, 2024 — re-licensure survey, 13 citations

Citations from the re-licensure survey on November 6, 2024
TagWhat ODHS checksSeverity levelCorrected
C0252Resident Move-In and Eval: Res EvaluationLevel 2—
C0260Service Plan: GeneralLevel 2—
C0270Change of Condition and MonitoringLevel 2—
C0295Infection Prevention & ControlLevel 2—
C0305Systems: Resident Right to RefuseLevel 2—
C0360Staffing Requirements and Training: StaffingLevel 2—
C0370Staffing Requirements and Training: Pre-Service TrainingLevel 2—
C0374Annual and Biennial Inservice For All StaffLevel 2—
C0455Inspections and Investigation: Insp IntervalLevel 2—
C0510General Building ExteriorLevel 2—
C0513Doors, Walls, Elevators, OdorsLevel 2—
C0530Housekeeping and LaundryLevel 2—
H1510Individual Rights Settings: Privacy, DignityLevel 2—

April 4, 2024 — state licensure survey, nothing cited

May 4, 2023 — state licensure survey, nothing cited

January 20, 2023 — complaint investigation, 4 citations

Citations from the complaint investigation on January 20, 2023
TagWhat ODHS checksSeverity levelCorrected
C0010Licensing Complaint InvestigationLevel 2—
C0303Systems: Treatment OrdersLevel 2—
C0361Acuity-Based Staffing ToolLevel 2—
C0530Housekeeping and LaundryLevel 2—

November 15, 2021 — validation survey, 20 citations

Citations from the validation survey on November 15, 2021
TagWhat ODHS checksSeverity levelCorrected
C0231Reporting & Investigating Abuse-Other ActionLevel 2August 14, 2022
C0240Resident Services Meals, Food Sanitation RuleLevel 2January 16, 2022
C0260Service Plan: GeneralLevel 2August 14, 2022
C0262Service Plan: Service Planning TeamLevel 2January 16, 2022
C0270Change of Condition and MonitoringLevel 2August 14, 2022
C0280Resident Health ServicesLevel 2August 14, 2022
C0282RN Delegation and TeachingLevel 2March 8, 2022
C0300Systems: Medications and TreatmentsLevel 2August 14, 2022
C0303Systems: Treatment OrdersLevel 2August 14, 2022
C0310Systems: Medication AdministrationLevel 2March 8, 2022
C0340Restraints and Supportive DevicesLevel 2March 8, 2022
C0372Training Within 30 Days: Direct Care StaffLevel 2January 16, 2022
C0420Fire and Life Safety: SafetyLevel 2January 16, 2022
C0422Fire and Life Safety: Training For ResidentsLevel 2March 8, 2022
C0455Inspections and Investigation: Insp IntervalLevel 2August 14, 2022
C0510General Building ExteriorLevel 2January 16, 2022
C0513Doors, Walls, Elevators, OdorsLevel 2March 8, 2022
C0515Resident UnitsLevel 2January 16, 2022
C0545Plumbing SystemsLevel 2January 16, 2022
C0555Call System, Exit Door Alarm, Phones, TV or CableLevel 2January 16, 2022

Reflects the ODHS record as pulled September 18, 2026. A recent visit may not appear yet. This is the Oregon state licensing record; it is not the federal nursing home survey and the two are never combined.