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
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.