Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00083469-AP-062216

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
5/12/2020
Report number
00083469-AP-062216
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's care plan when AP2 assisted AV with his/her shower. As a result, AV became agitated which caused AV's anxiety and emotional behaviors to escalate. AP2 was observed slapping AV on the face and pulling AV's hair, causing AV's head to pull to the side. AP2's actions is considered physical abuse. The facility failed to protect Resident #1 from inappropriate verbal comments made by staff and the failure is a violation or Oregon Administrative Rules.