Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004969901

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
4/12/2024
Report number
OR0004969901
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
411-054-0045(1)(f)(A)
Findings
The facility failed to ensure an RN assessed all residents with a significant change of condition in a timely manner. An investigation determined this is a violation of Oregon Administrative Rules.