Print Violation: CALMS - 00079844

Provider Information

Pacific Grove Memory Care

3334 22ND AVE
Forest Grove, OR 97116

Date: 4/1/2025
Report number: CALMS - 00079844
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to use an 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.