Print Violation: 00207372-AP-167421

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 6/26/2022
Report number: 00207372-AP-167421
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has a history of resident-to-resident altercations as a result of wandering into other residents’ rooms. On or about June 26, 2022, AV wandered into Witness #2’s (W2) room and there was resident to resident altercation, resulting in AV receiving a black eye and facial scratches. AV is care planned to be redirected when wandering into other residents’ rooms. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01489 $338.00 fine assessed