Print Violation: OR0004829003

Provider Information

Pacific Grove Memory Care

3334 22ND AVE
Forest Grove, OR 97116

Date: 2/7/2024
Report number: OR0004829003
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure resident rights
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(7)
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 implement a policy for the referral of residents who may be victim of acute sexual assault examiner for 1 of 1 sampled residents (#29).There was no documented evidence the facility had referred Resident 29 to a trained sexual assault examiner within 86 hours of the incident according to rule. It was determined the facility failed to implement a policy for the referral of residents who may be victims of acute sexual assault to the nearest trained sexual assault examiner for a potential sexual assault.