Print Violation: 00248699-AP-204621

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 2/21/2023
Report number: 00248699-AP-204621
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 follow Witness #4's (W4) care plan to have one on one (1:1) staff monitoring due to behaviors. On or about February 21, 2023, the facility was short staffed and not providing the 1:1 staff to W4, when W4 hit the Alleged Victim (AV) in the face, causing AV’s face to turn red and causing unreasonable discomfort. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00999 $500.00 fine assessed