Verification of Licensure

Oregon Seal

Oregon State Board of Nursing

17938 SW Upper Boones Ferry Road
Portland, Oregon 97224-7012
Telephone: 971-673-0685
Fax: 971-673-0684
E-Mail: oregon.bn.info@state.or.us

 

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Information current as of: 10/27/2020
Query Time: 10/27/2020 4:36:30 AM
 
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This site is a primary source for verification credentials.

Licensee: Bloom, Alexis Nicole
Gender: Female
City: Springfield
State: OR

LICENSES

License NumberTypeLicense IssuedCurrent StatusDate Last RenewedLicense Expiration Date 
201500259CNACNA01/15/2015Active12/03/201812/02/2020
Renewals are deferred during the state's emergency declaration, so current status remains Active although expiration date has not changed.
Click here for explanation of License Status

CNA2

TypeSchoolGraduation Date
CNA2Lane Community College Eugene - CNA202/03/2017



BOARD ORDERS

License NumberOrder TypeEffective DateEnd Date
201500259CNA Reprimand

The Board reprimanded the nursing assistant certificate of Alexis N. Bloom (201500259CNA) for jeopardizing the safety of a person under her care, and failing to take action to preserve client safety.
View Order
04/10/201904/10/2019
Click here for explanation of Order Types

FINDINGS OF ABUSE


License NumberDisciplinary ActionEffective DateEnd Date
201500259CNADHS finding of abuse after 7/9505/06/2019Ongoing

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OSBN Discipline -Copies of public documents associated with OSBN disciplinary actions taken against a specific licensee after August 2010 are available online.  Copies of disciplinary actions prior to that date may be obtained by written request. You may e-mail your request to osbn.records@state.or.us. Or, you may FAX your request, addressed to OSBN Record Requests to OSBN Records, to 971-673-0684. Please include the licensee's name and license number (if available), along with your name, company (if applicable), mailing address, phone number and FAX number or e-mail address.

 

Abuse - Finding of abuse prior to 1995 by Department of Human Services (DHS). For more information, contact Deborah Cateora at deborah.cateora@state.or.us.


Substantiated Abuse (DHS Finding of Abuse after 7/95) - Finding of substantiated abuse has been made by Department of Human Services (DHS). Federal law prohibits employment of these individuals in nursing home facilities. For more information, contact Deborah Cateora at deborah.cateora@state.or.us.