Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00038816AP-027271
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
- 7/7/2019
- Report number
- 00038816AP-027271
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- OAR 4110200002 (1)(b)(A)(ii) Neglect: Facility self reported that on 7/7/2019 @ 04:05 AV was found in his/her room with an injury to his/her head.
- Sanction
- RCFCP20-0115 $375.00 fine assessed