Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0005231200

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
7/15/2024
Report number
OR0005231200
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
Based on observation, interview, and record review, conducted during a site visit on 10/14/24, the facility's failure to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident for 1 of 1 sampled resident (# 4) was substantiated.