Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00120984-AP-093875

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
1/16/2021
Report number
00120984-AP-093875
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to provide a safe environment for Alleged Victim (AV) by failing to have an effective system of reporting AV's injury thereby creating potential risk of harm to AV. The facility's failure is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02456 $188.00 fine assessed