Print Regulatory Action: CALMS - 00052933

Provider Information

Pacific Grove Senior Living Community

2112 OAK ST
Forest Grove, OR 97116

Effective date: 2/29/2024
End date: 9/20/2024
Reference number: CALMS - 00052933
Allegation: Failed to provide safe environment
Description: The facility failed to comply with ODHS rules per Post Change of Owner Survey (#HFFP11) and Licensing Complaint Unit (LCU) visits. It was determined that substantial non-compliance with licensing requirements and renewed substantial non-compliance the residents of the facility are at risk of immediate jeopardy and the facilitys failure has caused or is likely to cause serious harm.
Rule(s) Violated: External site: 411-054-0025(1)(a)(b)
External site: 411-054-0025(7)(c)
External site: 411-054-0025(8)(a)
External site: 411-054-0027(1)(a)
External site: 411-054-0027(1)(i)
External site: 411-054-0028(2)(b)
External site: 411-054-0030(1)(g)
External site: 411-054-0036(2)(g)
External site: 411-054-0037
External site: 411-054-0040 (1-2)
External site: 411-054-0045(2)(b)(D)
External site: 411-054-0050(1)
External site: 411-054-0055 (1)(a),(e) and (i), (2) and (5)
External site: 411-054-0055(1)
External site: 411-054-0055(1)(c)
External site: 411-054-0055(1)(f)
External site: 411-054-0070(1)
External site: 411-054-0105(1)(a)
Findings: Facility failed to provide needed/necessary services
Sanction: ALFCD24-00081