Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0004431600
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
- 7/27/2023
- Report number
- OR0004431600
- 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
-
External site: 411-054-0028(2)(b)
- Findings
- Based on interview and record review, conducted during a site visit on 02/07/24 through 02/13/24, it was confirmed the facility failed to immediately notify the local Seniors and People with Disabilities (SPD) or the local AAA of an incident of abuse or suspected abuse for 1 of 1 sampled resident (# 27). failed to investigate and immediately notify the local department office of an unwitnessed injury fall.