Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0003592205

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
OR0003592205
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to properly secure or store medication
Result
Substantiated
Findings
The allegation that the facility failure to keep medications secure between set-up and administration of medications per OAR 411-054-0055(1)(d) was verified.