Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00286928-AP-241330

Provider Information


Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Provider ID
5MA223
Administrator
Charity Jammeh
Phone
(503) 253-4920
Email
charity.jammeh@sincerisl.com

Violation Details


Date
9/20/2023
Report number
00286928-AP-241330
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to implement interventions and/or follow the care plan for Witness #3’s (W3) known behaviors. Between August 28, 2023 and September 20, 2023, the Alleged Victim (AV) and W3 had multiple physical altercations, some resulting in injury to the AV. 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
RCFCP23-01464 $1125.00 fine assessed