Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00076482
Provider Information
Maple Grove Memory Care
17309 NE GLISAN
Portland, OR 97230
- Provider ID
- 5MA223
- Administrator
- Charity Jammeh
- Phone
- (503) 253-4920
- charity.jammeh@sincerisl.com
Violation Details
- Date
- 12/23/2024
- Report number
- CALMS - 00076482
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to staff as indicated by ABST
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0037(4), (5)(a)(B) and (C)
- Findings
- The facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population, their needs, and all required Activities of Daily Living (ADL). Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.