Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0003593900
Provider Information
Pacific Grove Memory Care
3334 22ND AVE
Forest Grove, OR 97116
- Provider ID
- 5MA242
- Administrator
- Amanda Hatcher
- Phone
- (503) 359-1002
- mced@pacificgroveslc.com
Violation Details
- Date
- 5/19/2022
- Report number
- OR0003593900
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide a homelike environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(r)
- Findings
- The allegation that the facility failed to provide a safe and homelike environment in accordance with OAR 411-054-0027(1)(r) per complaint that resident is sleeping on mattress with no bedding and light bulbs in room are out and not replaced was verified.