Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00101720-AP-077387

Provider Information


Maple Valley Memory Care

219 NE FIRCREST DR
Mcminnville, OR 97128

Provider ID
50M425
Administrator
Hugh Williams
Phone
(503) 883-9385
Email
hugh.w@chancellorhealthcare.com

Violation Details


Date
9/1/2020
Report number
00101720-AP-077387
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about September 1, 2020, Alleged Perpetrator 2 (AP2) physically abused Alleged Victim (AV) by using physical force to lift AV while assisting AV with his/her Activities of Daily Living. AP2's actions caused AV bruising and unreasonable discomfort which constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.