Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004651900

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
12/1/2023
Report number
OR0004651900
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to meet the scheduled and unscheduled needs of residents
Result
Substantiated
Findings
Based on observation, interview, and record review conducted during a site visit on 02/07/24 through 02/13/24, it was confirmed the facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and left units unstaffed.During the site visit it was observed the facility would leave hallways between adjoining wings open during night shift so that one caregiver was responsible for two wings. Caregivers did not have a line of sight between adjoining wings.