Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0003459500

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
2/25/2022
Report number
OR0003459500
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
411-054-0045(1)(f)(B)
Findings
The allegation that the facility failed to provide and document delegations by an RN in accordance with OAR 411-054-0045(1)(f)(B) per complaint that staff member administered insulin without being delegated was verified.