Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0005173800

Provider Information


Maple Grove Memory Care

17309 NE GLISAN
Portland, OR 97230

Provider ID
5MA223
Administrator
Charity Jammeh
Phone
(503) 253-4920
Email
charity.jammeh@sincerisl.com

Violation Details


Date
11/5/2024
Report number
OR0005173800
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use an ABST
Result
Substantiated
Findings
Based on observation, interview, and record review, conducted during a site visit on 10/14/24, the facility's failure to fully implement and update an acuity-based staffing tool (ABST) for 1 of 3 sampled resident (# 3) was substantiated.