Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0003999302
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
- 1/20/2023
- Report number
- OR0003999302
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to report potential or suspected abuse
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0028(1) (b)(d)
- Findings
- The facility failed to report an injury of unknown cause and conduct an immediate investigation resulting in resident with multiple bruises on his/her hands and arms that could not be explained, and a resident sent to the ER for leg pain for unknown cause, which is a violation of Oregon Administrative Rules.