Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00008494AP-006200
Provider Information
Pacific Grove Senior Living Community
2112 OAK ST
Forest Grove, OR 97116
- Provider ID
- 70M035
- Administrator
- Lisa Vincent
- Phone
- (503) 359-1002
- aled@pacificgroveslc.com
Violation Details
- Date
- 11/25/2018
- Report number
- 00008494AP-006200
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to assure resident was safe
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
- Findings
- During care, AV fell and sustained a leg injury.Neglect as defined in OAR 4110200002(1)(b)(A)(i)This is a facility Selfreport