Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0004986700

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
4/17/2024
Report number
OR0004986700
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use an ABST
Result
Substantiated
Findings
The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action taken on related allegation.