Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00021958AP-015913

Provider Information


Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Provider ID
5MA223
Administrator
Charity Jammeh
Phone
(503) 253-4920
Email
charity.jammeh@sincerisl.com

Violation Details


Date
3/11/2019
Report number
00021958AP-015913
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
Findings
The facility neglected the AV as defined in OAR 4110200002(1)(b)(A)(ii) by failing to maintain an adequate medication system resulting in risk of serious harm to the AV.