Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00317558-AP-269840

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
3/7/2024
Report number
00317558-AP-269840
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 adequately supervise AP2 in the proper handling of medication administration, resulting in maladministered medications and unreasonable discomfort.