Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00166698-AP-132285

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
10/14/2021
Report number
00166698-AP-132285
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 the Alleged Victim (AV). On or about October 14, 2021, AV had an unwitnessed fall, resulting in AV having an abrasion on h/her right eye, and experiencing unreasonable discomfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01090 $250.00 fine assessed