Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0001038800

Provider Information


Pacific Grove Senior Living Community

2112 OAK ST
Forest Grove, OR 97116

Provider ID
70M035
Administrator
Lisa Vincent
Phone
(503) 359-1002
Email
aled@pacificgroveslc.com

Violation Details


Date
12/11/2015
Report number
OR0001038800
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
#1 Failure to carry out medication orders as prescribed as required by OAR 4110540055 (1)(f).