Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00257617-AP-212986

Provider Information


Maple Valley Memory Care

219 NE FIRCREST DR
Mcminnville, OR 97128

Provider ID
50M425
Administrator
Hugh Williams
Phone
(503) 883-9385
Email
hugh.w@chancellorhealthcare.com

Violation Details


Date
4/12/2023
Report number
00257617-AP-212986
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about April 12, 2023, Alleged Perpetrator 2 (AP2) physically abused Alleged Victim (AV) by smacking AV in the forehead while assisting AV with his/her Activities of Daily Living (ADL). Based on facility documentation and interviews, AP2 was attempting to assist in AV's care, AV became behavioral and attempted to bite a caregiver, AP2 smacked AV in the head, pushing AV's head back. AP2's actions is physical abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.