Editorial Independence

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StarlynnCare
Oregon · Forest Grove

Pacific Grove Memory Care.

Pacific Grove Memory Care is Grade C, ranked in the top 49% of Oregon memory care with 31 OR DHS citations on record; last inspected May 2023.

ALF · Memory Care56 licensed beds · largeDementia-trained staff
3334 22nd Ave · Forest Grove, OR 97116LIC# 0000005242
Facility · Forest Grove
Pacific Grove Memory Care
© Google Street Viewoperator? submit a photo →
A 56-bed ALF · Memory Care with 31 citations on file — most recent Sep 2025.
Last inspection · May 2023 · citedSource · OR-DHS
Licensed beds
56
Memory care
✓ Yes
Last inspection
May 2023
Last citation
Sep 2025
Operated by
Phone
§ 01 · Snapshot

A large home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 118 Oregon facilities.

ALF memory care · 36-month window. Higher percentile = better. Source: Oregon Dept. of Human Services · Long-Term Care Licensing.

Severity rank
50th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
2th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Pacific Grove Memory Care has 31 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

§ 03 · The Record

Citation history, plotted month by month.

31 deficiencies on record. Each bar is a month with a citation.

42weighted score · 24 mo
Last citation: SEP 2025. Compared against peer median (dashed).
peer median
SEP 2025
Jun 2024May 2026

Finding distribution

31 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G5
H
I
Sev 2
D
E
F
Sev 1
A26
B
C
2025-09-11
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-07-02
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-06-08
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-04-17
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-04-01
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-01-18
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-11-15
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-10-21
Complaint Investigation
OR-DHS
No findings
2024-10-08
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-09-27
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-09-14
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-28
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-27
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-26
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-21
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-11
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-28
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-17
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-16
Complaint Investigation
OR-DHS
No findings
2024-04-12
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-01
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-06
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-04
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-02-22
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-13
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-07
Complaint Investigation
OR-DHS
No findings
2024-01-29
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-01-12
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-12-27
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-12-26
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-12-22
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-12-01
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-09-11
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-07-27
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-07-25
Complaint Investigation
OR-DHS
No findings
2023-05-15
Annual Compliance Visit
OR-DHS
No findings
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Pacific Grove Memory Care's record and state requirements.

01 /

Pacific Grove holds an Oregon DHS Memory Care Endorsement — can you walk us through the written dementia care program that satisfies the endorsement requirements, and explain how staff competency is documented and maintained?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The most recent inspection on file is dated May 15, 2023 — can you provide families with the corrective action plan or deficiency closure documentation from that visit, and confirm whether Oregon DHS has conducted any follow-up surveys since then?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

Records show 60 complaints were filed with Oregon DHS over the inspection history period — can you describe how the facility tracks and responds to complaints, and whether any corrective action plans were required as a result of substantiated complaints?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

§ 06 · Full Inspection Record

Every OR-DHS visit, verbatim.

36 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

36
reports on file
31
total deficiencies
2025-09-11
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. No further details about the specific deficiency or corrective actions are provided in this summary.

Abuse: NeglectOAR §__or_5fe38d62773ac1cfde966c516b2f02b8
Verbatim citation text · OAR §__or_5fe38d62773ac1cfde966c516b2f02b8

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2025-07-02
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide oversight and monitoring of a resident's change in condition. The complaint was not substantiated, and no licensing violation was found.

Licensing ViolationOAR §__or_62a19ad6f95a8a9ee4c8767399f2ec29
Verbatim citation text · OAR §__or_62a19ad6f95a8a9ee4c8767399f2ec29

Failed to provide oversight and monitoring of change of condition

Full inspector notes

—: Failed to provide oversight and monitoring of change of condition

2025-06-08
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was received alleging the facility failed to address a resident's behavior. The investigation found a licensing violation related to how the facility managed the resident's behavioral concerns. No further details on remedial actions are available in this summary.

Licensing ViolationOAR §__or_3b21b77f17a15c95701ffc71a751724a
Verbatim citation text · OAR §__or_3b21b77f17a15c95701ffc71a751724a

Failed to address resident's behavior

Full inspector notes

—: Failed to address resident's behavior

2025-04-17
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No violation was found.

Licensing ViolationOAR §__or_f5ae36c3a216bf8b9c984cf77ea893c5
Verbatim citation text · OAR §__or_f5ae36c3a216bf8b9c984cf77ea893c5

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-04-01
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to report potential or suspected abuse as required by Oregon regulations. No further outcome information is available at this time.

Licensing ViolationOAR §__or_c7aee465d01fb1b13ba65e8461646c20
Verbatim citation text · OAR §__or_c7aee465d01fb1b13ba65e8461646c20

Failed to report potential or suspected abuse

Full inspector notes

—: Failed to report potential or suspected abuse

2025-01-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that the facility failed to report potential or suspected abuse. The investigation found a licensing violation for failure to report abuse as required by Oregon law. Facilities must immediately report suspected abuse to the appropriate authorities; this facility did not do so.

Licensing ViolationOAR §__or_6e2a5150d874e5bf3b430f9b00db7ca9
Verbatim citation text · OAR §__or_6e2a5150d874e5bf3b430f9b00db7ca9

Failed to report potential or suspected abuse

Full inspector notes

—: Failed to report potential or suspected abuse

2024-11-15
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint, and no violation was found.

Abuse: NeglectOAR §__or_b57dbe8a5c09e92123e83fcb526413f5
Verbatim citation text · OAR §__or_b57dbe8a5c09e92123e83fcb526413f5

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-10-21
Complaint Investigation
No findings
2024-10-08
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated regarding failure to provide service. The investigation did not substantiate the complaint, meaning no violation was found.

Abuse: NeglectOAR §__or_061e674474563bfc5b7fe44636532f11
Verbatim citation text · OAR §__or_061e674474563bfc5b7fe44636532f11

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-09-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to administer medication as ordered to a resident. The investigation substantiated this violation of Oregon licensing rules for memory care facilities. Families should note that proper medication administration is a core requirement for resident safety and care quality.

Licensing ViolationOAR §__or_b72679c93f8d8d3b359e716a1661c1ff
Verbatim citation text · OAR §__or_b72679c93f8d8d3b359e716a1661c1ff

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-09-14
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that the facility failed to provide a service. The investigation found a licensing violation related to this failure.

Licensing ViolationOAR §__or_36ced9c2c3c83273dd1fb552b32d58f5
Verbatim citation text · OAR §__or_36ced9c2c3c83273dd1fb552b32d58f5

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-08-28
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to have medication available for a resident. No further details regarding the outcome or corrective action were documented in this record.

Licensing ViolationOAR §__or_8f238efa478627898b2e3da2f4801c23
Verbatim citation text · OAR §__or_8f238efa478627898b2e3da2f4801c23

Failed to have medication available

Full inspector notes

—: Failed to have medication available

2024-08-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated and found that the facility failed to use an anti-bowel straining technique (ABST) as required. This is a licensing violation under Oregon's long-term care rules.

Licensing ViolationOAR §__or_454f4214f7fe0503c7d9e41af0b900f0
Verbatim citation text · OAR §__or_454f4214f7fe0503c7d9e41af0b900f0

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2024-08-26
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer medication as ordered. The investigation did not substantiate a violation of licensing rules. No further action was taken.

Licensing ViolationOAR §__or_1e4ef1c7e5ec9ac86ac2b0564204f8db
Verbatim citation text · OAR §__or_1e4ef1c7e5ec9ac86ac2b0564204f8db

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-08-21
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer ordered medication. The investigation outcome was not substantiated, meaning no violation was found.

Licensing ViolationOAR §__or_938bb13b180b4aabc09cdf03bbeb5970
Verbatim citation text · OAR §__or_938bb13b180b4aabc09cdf03bbeb5970

Failed to administer ordered medication

Full inspector notes

—: Failed to administer ordered medication

2024-08-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to administer medication as ordered to a resident. No further detail about the outcome or corrective action is provided in the inspection record.

Licensing ViolationOAR §__or_8c001dfcb47481fbe0505b20cb07d530
Verbatim citation text · OAR §__or_8c001dfcb47481fbe0505b20cb07d530

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-04-28
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer ordered medication. The finding was not substantiated, meaning no violation was established based on the investigation.

Licensing ViolationOAR §__or_55b7062d5b023efe812b15f82f0c2dc4
Verbatim citation text · OAR §__or_55b7062d5b023efe812b15f82f0c2dc4

Failed to administer ordered medication

Full inspector notes

—: Failed to administer ordered medication

2024-04-17
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that staff failed to use an assistive behavior support technique when responding to a resident's behavior. The facility did not comply with the requirement to employ behavioral support methods as part of its care approach.

Licensing ViolationOAR §__or_858f53e98ec6a1de3087fb90a21e1d51
Verbatim citation text · OAR §__or_858f53e98ec6a1de3087fb90a21e1d51

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2024-04-16
Complaint Investigation
No findings
2024-04-12
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide adequate oversight and monitoring when a resident's condition changed. No further details about the specific outcome or corrective actions are noted in this summary.

Licensing ViolationOAR §__or_667853d75e5ee17baa1b79adb60d9671
Verbatim citation text · OAR §__or_667853d75e5ee17baa1b79adb60d9671

Failed to provide oversight and monitoring of change of condition

Full inspector notes

—: Failed to provide oversight and monitoring of change of condition

2024-04-01
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer medication as ordered. The outcome of the complaint investigation was not documented in the available records.

Licensing ViolationOAR §__or_a571d99750741f4555bd90d2f798e4c7
Verbatim citation text · OAR §__or_a571d99750741f4555bd90d2f798e4c7

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-03-06
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that the facility failed to administer medication as ordered. The investigation found a licensing violation for medication administration not being carried out according to the prescriber's instructions.

Licensing ViolationOAR §__or_841a7a39be837eb7393991436f04cf1f
Verbatim citation text · OAR §__or_841a7a39be837eb7393991436f04cf1f

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-03-04
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. The specific deficiency in how medications were managed posed a risk to resident safety. This licensing violation requires the facility to implement corrective measures.

Abuse: NeglectOAR §__or_66b2d1e74e2926c68f39f23bedfeaa5f
Verbatim citation text · OAR §__or_66b2d1e74e2926c68f39f23bedfeaa5f

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-02-22
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to assure resident rights. No further details about the specific nature of the violation or corrective actions were provided in this summary.

Licensing ViolationOAR §__or_a087a7971aa61461b251f4347c4a293f
Verbatim citation text · OAR §__or_a087a7971aa61461b251f4347c4a293f

Failed to assure resident rights

Full inspector notes

—: Failed to assure resident rights

2024-02-13
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation found a licensing violation related to environmental safety. The facility was required to take corrective action.

Licensing ViolationOAR §__or_fe0c40fe94a0eb300a642e09035a4e16
Verbatim citation text · OAR §__or_fe0c40fe94a0eb300a642e09035a4e16

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-02-07
Complaint Investigation
No findings
2024-01-29
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not result in a substantiated finding or documented violation. No further details regarding the specific concern or outcome were provided in the available documentation.

Abuse: NeglectOAR §__or_e631eab4ca17db3e54df8414f0cbe587
Verbatim citation text · OAR §__or_e631eab4ca17db3e54df8414f0cbe587

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-01-12
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to follow a resident's care plan. No additional details about the specific care plan violations or their impact were provided in the inspection record.

Licensing ViolationOAR §__or_df5189eed95c54d613b7c36e3e78d2d7
Verbatim citation text · OAR §__or_df5189eed95c54d613b7c36e3e78d2d7

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2023-12-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that the facility failed to follow a resident's care plan. The investigation substantiated this violation.

Licensing ViolationOAR §__or_a9457a14568cbc8709ab1295b542083a
Verbatim citation text · OAR §__or_a9457a14568cbc8709ab1295b542083a

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2023-12-26
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to report potential or suspected abuse as required by Oregon law. The facility did not meet its mandatory reporting obligations under DHS regulations.

Licensing ViolationOAR §__or_ac4649aff001cbbc87cf0efc7bf374eb
Verbatim citation text · OAR §__or_ac4649aff001cbbc87cf0efc7bf374eb

Failed to report potential or suspected abuse

Full inspector notes

—: Failed to report potential or suspected abuse

2023-12-22
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to report potential or suspected abuse as required by Oregon law. The facility did not comply with mandatory reporting obligations under ORS chapter 443.

Licensing ViolationOAR §__or_d8614c2a0d285d523dd636e10d233407
Verbatim citation text · OAR §__or_d8614c2a0d285d523dd636e10d233407

Failed to report potential or suspected abuse

Full inspector notes

—: Failed to report potential or suspected abuse

2023-12-01
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated at this facility alleging failure to meet residents' scheduled and unscheduled needs. The investigation did not result in a substantiated finding of violation. No details regarding the specific nature of the alleged unmet needs are available in this summary.

Licensing ViolationOAR §__or_d30f5f5b4364dc4de5e6ee6db38dd847
Verbatim citation text · OAR §__or_d30f5f5b4364dc4de5e6ee6db38dd847

Failed to meet the scheduled and unscheduled needs of residents

Full inspector notes

—: Failed to meet the scheduled and unscheduled needs of residents

2023-09-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to meet residents' scheduled and unscheduled needs. The investigation outcome was not substantiated, meaning no violation was found.

Licensing ViolationOAR §__or_968f24db561e15a962fd6f3090f16b71
Verbatim citation text · OAR §__or_968f24db561e15a962fd6f3090f16b71

Failed to meet the scheduled and unscheduled needs of residents

Full inspector notes

—: Failed to meet the scheduled and unscheduled needs of residents

2023-07-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to report suspected abuse as required by state law. The specific details of what abuse was suspected and how it should have been reported were examined during the investigation. This is a violation of Oregon's mandatory reporting requirements for long-term care facilities.

Licensing ViolationOAR §__or_54ccdedbbcd096e38743d16f7bf94167
Verbatim citation text · OAR §__or_54ccdedbbcd096e38743d16f7bf94167

Failed to report potential or suspected abuse

Full inspector notes

—: Failed to report potential or suspected abuse

2023-07-25
Complaint Investigation
No findings
2023-05-15
Annual Compliance Visit
No findings

14 older inspections from 2021 are not shown in the free view.

14 older inspections (20212023) are available with a premium membership.

§ 07 · Nearby

Other facilities in Washington County.

Other memory care facilities in Washington County with similar care offerings.

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