Print Violation: 00298877-AP-252461

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 11/25/2023
Report number: 00298877-AP-252461
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 #2’s (W2) known increasing behaviors. On or about November 25, 2023, W2 cursed at and hit the Alleged Victim (AV) in the arm/shoulder, causing 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: RCFCP24-00193 $500.00 fine assessed