Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00316199-AP-268375

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
2/24/2024
Report number
00316199-AP-268375
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
AP1 neglected AV as defined in OAR 411-020-0002(1)(b)(A)(i) by failing to; ensure adequate staffing was present in the facility, failing to ensure that a functional on-call staffing system was in operation, and failing to ensure care staff administered AV's medications as prescribed, resulting in AV experiencing unreasonable discomfort, which is a violation of Resident rights, is considered neglect of care and constitutes abuse.