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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Violation: BC150662

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: 3/14/2015
Report number: BC150662
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: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)(b)
Findings: The facility failed to administer the reported victims medication as ordered.

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