Print Violation: 00241400-AP-198277

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 12/21/2022
Report number: 00241400-AP-198277
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: 411-054-0025(1)(a) and (b)
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: The facility failed to implement interventions or appropriately care plan for Witness #1’s (W1) known behaviors. This failure resulted in W1 punching the Alleged Victim (AV) repeatedly in the chest on or about December 21, 2022, which caused unreasonable discomfort. The 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: RCFCP23-01144 $375.00 fine assessed