Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00173174-AP-137657

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
12/4/2021
Report number
00173174-AP-137657
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to ensure a safe environment. Witness 1 (W1) has a history of resident-to-resident altercations. The facility failed to follow W1’S care plan to redirect from noise to avoid agitation and provide appropriate staff to meet the needs of residents, resulting in AV being hit by W1. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00721 $375.00 fine assessed