Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00042203AP-029624
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
- 7/29/2019
- Report number
- 00042203AP-029624
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- Neglect of Care AP1 neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to give appropriate level of care to AV and W1.
- Sanction
- RCFCP20-0119 $375.00 fine assessed