Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00375824-AP-368743

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
1/7/2025
Report number
00375824-AP-368743
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to have medication available
Result
Substantiated
Findings
AP1 neglected AV as defined in OAR 411-020-0002(1)(b)(A)(ii) by failing to maintaining an available supply of AV's blood sugar disorder medication administration supplies resulting in AV missing a dose of blood sugar medication putting AV at a risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.