Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00009426AP-006826
Provider Information
Pacific Grove Memory Care
3334 22ND AVE
Forest Grove, OR 97116
- Provider ID
- 5MA242
- Administrator
- Amanda Hatcher
- Phone
- (503) 359-1002
- mced@pacificgroveslc.com
Violation Details
- Date
- 12/5/2018
- Report number
- 00009426AP-006826
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0055(1)(a) and (f)
- Findings
- Neglect of Care AP1 neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to provide a safe environment to AV as ordered, which resulted in risk of serious harm.