Print Violation: 00369986-AP-320302

Provider Information

Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Date: 12/5/2024
Report number: 00369986-AP-320302
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) relies on the facility for care, to include medication administration. On or about November 21, 2024, AV was hospitalized and upon discharge one of their medication dosages changed, and the facility was given a new physician order. The facility discontinued AVs current medication order prior to adding the new order, causing AV to miss this needed medication for approximately three (3) days, December 2, 2024, to December 5, 2024. Missing this specific medication places AV at risk for a serious medical issue and places AV at risk of serious harm. The facility failed to provide a safe medication administration system to ensure Alleged Victim’s (AV) physician orders were followed, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00577 $375.00 fine assessed