Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00043436AP-030596

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
8/7/2019
Report number
00043436AP-030596
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The facility neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to provide the basic care necessary to maintain the health and safety of AV, resulting in physical harm.
Sanction
RCFCP19-1036 $1500.00 fine assessed