Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00026853AP-019101

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
4/13/2019
Report number
00026853AP-019101
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The facility neglected the AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to provide the basic care and services necessary to maintain health and safety of the AV, resulting in physical harm and unreasonable discomfort.
Sanction
RCFCP19-732 $375.00 fine assessed