Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00053042AP-037049

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
9/30/2019
Report number
00053042AP-037049
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility neglected AV as defined in OAR 4110200002(1)(b)(A)(ii) by failing to provide basic care or services to maintain the health and safety of AV which created risk of serious harm. AV wandered out of a locked facility.
Sanction
RCFCP20-0072 $250.00 fine assessed