Provider Details - Pacific Grove Senior Living Community | Licensed Long-Term Care Settings Search

Pacific Grove Senior Living Community

2112 OAK ST
Forest Grove, OR 97116

Administrator name: Lisa Vincent

ID: 70M035
Status: Open
Type: Assisted Living Facility
Licensed beds: 78
Accepts Medicaid: Yes
Memory Care: No

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 Senior Living Community
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
2/7/2024	BHCN	Complaint Investig.	2
2/7/2024	GRX0	Complaint Investig.	17
5/8/2023	HFFP	Validation	19
4/19/2023	ZP62	State Licensure	0

4 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 Senior Living Community
Date Date From To	Report number Report number	Allegation Allegation Failed to assure resident was safe Failed to follow care plan Failed to intervene when resident's condition changed Failed to protect resident from financial exploitation Failed to provide a safe medication administration system Failed to provide safe environment	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Restraints
12/15/2024	00372055-AP-322399	Failed to provide a safe medication administration system	3	Abuse: Neglect
8/12/2024	00348248-AP-298730	Failed to provide a safe medication administration system	2	Abuse: Neglect
1/15/2023	00241862-AP-198505	Failed to follow care plan	2	Abuse: Neglect
6/23/2020	00091138-AP-068606	Failed to intervene when resident's condition changed	3	Abuse: Neglect
4/16/2019	00026930AP-019092	Failed to provide safe environment	2	Abuse: Financial abuse
4/4/2019	00025567AP-018185	Failed to provide a safe medication administration system	3	Abuse: Neglect
11/25/2018	00008494AP-006200	Failed to assure resident was safe	3	Abuse: Neglect
8/2/2018	HB189499	Failed to follow care plan	3	Abuse: Neglect
3/26/2018	HB186940	Failed to protect resident from financial exploitation	2	Abuse: Financial abuse
7/8/2014	HB147669	Failed to provide safe environment	2	Abuse: Financial abuse

12 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 Senior Living Community
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assure resident rights Failed to cooperate with an investigation Failed to follow care plan Failed to meet the scheduled and unscheduled needs of residents Failed to provide a safe medication administration system Failed to provide appropriate housekeeping services Failed to provide appropriate staffing Failed to provide infection control Failed to provide or assist with hygiene Failed to provide oversight and monitoring of change of condition Failed to provide proper food/nutrition Failed to provide safe environment Failed to provide social services Failed to report potential or suspected abuse Failed to use an ABST Falsified records	Level Level Between And	Type Type Licensing Violation
3/28/2025	CALMS - 00083413	Failed to report potential or suspected abuse	2	Licensing Violation
3/28/2025	CALMS - 00083414	Failed to follow care plan	2	Licensing Violation
3/10/2025	00391784-AP-342352		2	Licensing Violation
12/15/2024	CALMS - 00105165	Failed to administer medication as ordered	2	Licensing Violation
6/19/2024	00337855-AP-288737	Failed to provide a safe medication administration system	2	Licensing Violation
2/14/2024	OR0004839100	Failed to provide a safe medication administration system	3	Licensing Violation
2/14/2024	OR0004839101	Failed to provide oversight and monitoring of change of condition	3	Licensing Violation
2/7/2024	OR0004601203	Failed to follow care plan	2	Licensing Violation
2/7/2024	OR0004601204	Failed to provide a safe medication administration system	2	Licensing Violation
2/7/2024	OR0004862800	Falsified records	2	Licensing Violation

52 records found | Page 1 of 6

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 Senior Living Community
Sanction Sanction	Allegation Allegation Failed to provide safe environment Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To
ALFCD24-00081	Failed to provide safe environment	License Condition	2/29/2024	9/20/2024
ALFCD24-00081	Failed to provide safe environment	License Condition	2/29/2024	9/20/2024
ALFCD23-00483	Failed to use an ABST	License Condition	7/27/2023	12/5/2023

3 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 Senior Living Community

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Provider Details - Pacific Grove Senior Living Community

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Annual reporting requirements

Available reports

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