Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0003592203

Provider Information


Pacific Grove Memory Care

3334 22ND AVE
Forest Grove, OR 97116

Provider ID
5MA242
Administrator
Amanda Hatcher
Phone
(503) 359-1002
Email
mced@pacificgroveslc.com

Violation Details


Date
5/18/2022
Report number
OR0003592203
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 failure to ensure adequate professional oversight of the medication and treatment administration system per OAR 411-054-0055(1)(a) was verified.