Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: SR20029

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
9/30/2019
Report number
SR20029
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to report potential or suspected abuse
Result
Substantiated
Findings
Facility failed to report suspected abuse
Sanction
RCFCP20-0081 $750.00 fine assessed