Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00361892-AP-312245

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
10/21/2024
Report number
00361892-AP-312245
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for his/her care. Witness 3 (W3) has a history of behaviors and physical altercations. According to an investigation, on or about October 21, 2024, there was an unwitnessed physical altercation where W3 hit AV in the head/face causing AV to cry. The facility failed to provide services to keep AV safe, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00268 $375.00 fine assessed