Provider Details - Pacific Grove Memory Care | Licensed Long-Term Care Settings Search

Pacific Grove Memory Care

3334 22ND AVE
Forest Grove, OR 97116

Administrator name: Amanda Hatcher

ID: 5MA242
Status: Open
Type: Residential Care Facility
Licensed beds: 56
Accepts Medicaid: Yes
Memory Care: Yes

Owner: Forest Grove Senior Living LLC

1900 HINES ST. SE SUITE 150
Salem, OR 97302

(503) 391-9999

Owner since: 2/1/2021

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Pacific Grove Memory Care
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
7/2/2026	RL012781	Re-Licensure	20
10/21/2024	F459	Complaint Investig.	2
4/16/2024	HNV5	Complaint Investig.	7
2/7/2024	7PJ5	Complaint Investig.	8
7/25/2023	BOPE	Complaint Investig.	7
5/15/2023	82LH	Validation	19
4/19/2023	NKIH	State Licensure	0

7 records found

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Pacific Grove Memory Care
Date Date From To	Report number Report number	Allegation Allegation Failed to follow care plan Failed to protect resident from financial exploitation Failed to provide a safe medication administration system Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Physical Abuse
9/11/2025	00427786-AP-379483	Failed to provide a safe medication administration system	2	Abuse: Neglect
11/15/2024	00366626-AP-316880	Failed to provide safe environment	2	Abuse: Neglect
10/8/2024	00359438-AP-309773	Failed to provide service	2	Abuse: Neglect
3/4/2024	00316843-AP-268912	Failed to provide a safe medication administration system	3	Abuse: Neglect
1/29/2024	00311475-AP-264003	Failed to provide safe environment	2	Abuse: Neglect
7/25/2023	00276057-AP-230684	Failed to provide safe environment	2	Abuse: Neglect
9/2/2022	00219369-AP-178269	Failed to provide safe environment	2	Abuse: Neglect
8/29/2022	00218393-AP-177359	Failed to provide safe environment	2	Abuse: Neglect
8/14/2022	00216550-AP-175649	Failed to protect resident from financial exploitation	2	Abuse: Neglect
3/10/2022	00188397-AP-150302	Failed to provide safe environment	2	Abuse: Neglect

18 records found | Page 1 of 2

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Pacific Grove Memory Care
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to administer medication as ordered Failed to administer ordered medication Failed to assure resident rights Failed to assure resident was safe Failed to follow care plan Failed to have medication available Failed to keep medication record current or accurate Failed to maintain a safe physical environment Failed to meet the scheduled and unscheduled needs of residents Failed to properly secure or store medication Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide a therapeutic diet Failed to provide infection control Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to update staffing plan based on ABST Failed to use an ABST	Level Level Between And	Type Type Licensing Violation
2/13/2026	CALMS - 00111737	Failed to administer medication as ordered	2	Licensing Violation
1/16/2026	00452872-AP-404987	Failed to assure resident was safe	2	Licensing Violation
12/29/2025	CALMS - 00104489	Failed to administer medication as ordered	2	Licensing Violation
10/10/2025	CALMS - 00104486	Failed to report potential or suspected abuse	2	Licensing Violation
10/9/2025	CALMS - 00104487	Failed to administer medication as ordered	2	Licensing Violation
7/2/2025	CALMS - 00084020	Failed to provide oversight and monitoring of change of condition	2	Licensing Violation
7/2/2025	CALMS - 00084021	Failed to update staffing plan based on ABST	2	Licensing Violation
6/8/2025	CALMS - 00088948	Failed to address resident's behavior	2	Licensing Violation
4/17/2025	CALMS - 00079849	Failed to provide safe environment	2	Licensing Violation
4/1/2025	CALMS - 00079841	Failed to report potential or suspected abuse	2	Licensing Violation

68 records found | Page 1 of 7

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Pacific Grove Memory Care
	Sanction Sanction	Allegation Allegation Failed to provide safe environment Failed to update staffing plan based on ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	RCFCD24-00266	Failed to provide safe environment	License Condition	3/14/2024	8/14/2025
	RCFCD23-00880	Failed to update staffing plan based on ABST	License Condition	7/27/2023	10/2/2023

2 records found

The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.

Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.

Each year, assisted living and residential care facilities must report information on:

Retention of direct care staff
Compliance with staff training requirements
Number of resident falls that result in injury
Incidence of use of antipsychotic medications for non-standard purposes
Results of an annual resident satisfaction survey conducted by an independent entity

Facilities submit this information electronically each year. Reporting began in 2020. Instructions and definitions are updated annually and published on the Residential Care Quality Metrics Program web page

Provider Details - Pacific Grove Memory Care

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Provider Details - Pacific Grove Memory Care

About these reports

Annual reporting requirements

Available reports

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