Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004489100

Provider Information


Pacific Grove Senior Living Community

2112 OAK ST
Forest Grove, OR 97116

Provider ID
70M035
Administrator
Lisa Vincent
Phone
(503) 359-1002
Email
aled@pacificgroveslc.com

Violation Details


Date
7/19/2023
Report number
OR0004489100
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to cooperate with an investigation
Result
Substantiated
Rule(s) Violated
411-054-0105(1)(a)
Findings
The facility failed to make records available to the Department upon request. An investigation determined this is a violation of Oregon Administrative Rules.