Print Violation: 00155602-AP-123417

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 8/15/2021
Report number: 00155602-AP-123417
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: On or about August 15, 2021, Witness 1 (W1) hit Alleged Victim (AV) in the eye while they were in a common area of the facility. W1 has known behaviors of verbal aggression and physical altercations with other residents. An investigation determined that facility failed to provide a safe environment for AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00407 $375.00 fine assessed