Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00481417-AP-433969
Provider Information
Grove Pointe Senior Living
3110 19TH AVE
Forest Grove, OR 97116
- Provider ID
- 5MA146
- Administrator
- Heinz Gehner
- Phone
- (503) 357-3288
- heinz.gehner@sincerisl.com
Violation Details
- Date
- 6/3/2026
- Report number
- 00481417-AP-433969
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(f)
- Findings
- The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about May 30, 2026, through June 5, 2026, AV did not receive fluid retention medication as ordered. The medication order had not been entered correctly in the system and not administered, resulting in the AV being treated at the hospital for fluid retention related symptoms. The facility failed to provide a safe medication system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00669 $500.00 fine assessed