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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Violation: BC150130

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: 1/9/2015
Report number: BC150130
Type: Licensing Violation
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)(b)
External site: 411-054-0055(1)(a) and (r)
Findings: The Facility failed to administer the Reported Victim's medications as ordered.

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