Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00331304-AP-282595

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
5/11/2024
Report number
00331304-AP-282595
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) and Witness 5 (W5) both rely on the facility for their care and have a history of aggressive behaviors and physical altercations. According to an investigation, AV and W5 have been in multiple physical altercations between approximately April 23, 2024 and May 11, 2024, resulting in bruising and skin tears to AVs arms and face. The facility failed to implement interventions and/or appropriately care plan for Witness #5’s (W5) known behaviors and provide a safe environment for AV, causing repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00949 $1125.00 fine assessed