Print Violation: 00249065-AP-205050

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 2/22/2023
Report number: 00249065-AP-205050
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: On or about February 22, 2023, the facility failed to follow Witness #4’s (W4) care plan which states W4 needs 1:1 supervision due to behaviors. The failure resulted in W4 choking the Alleged Victim (AV) as AV was sleeping on a sofa in the facility common area, causing AV 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: RCFCP23-01375 $500.00 fine assessed