State assisted-living licensing record · Oregon ODHS · record as pulled September 18, 2026· Not the federal nursing home survey
Pacific Grove Memory Care
3334 22nd Ave, Forest Grove, OR 97116 · Washington County · 56 licensed beds
ODHS facility ID 5MA242 · licensed, active · first licensed April 2000
The licence
Licensed by ODHS · Residential Care Facility · managed by Forest Grove Senior Living LLC
Licence details, as listed by ODHS
- Licensed as
- Residential Care Facility
- Memory care endorsement
- Yes
- Accepts Medicaid
- No
- Current licensee since
- February 1, 2021
Position within Oregon
65 citations — more than 97% of the 572 licensed assisted living facilities in Oregon. Compared only within Oregon: a citation from ODHS means what it means in Oregon, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, and enforcement. The fire inspection of an Oregon assisted living or residential care facility is the State Fire Marshal's or the local fire authority's and is not published; what ODHS itself cites about the building — its fire and life safety rule, emergency and disaster planning, and the building requirements — is here. ODHS also publishes substantiated abuse and licensing complaint findings, licence conditions and civil penalties for each facility; none of that is republished. This record is the survey citations only. Adult foster homes, which Oregon licenses separately and which are mostly licensed to an individual, are not included.
Get an email about Pacific Grove Memory Care
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- C0420 Fire and Life Safety: SafetyJuly 2, 2026 · Level 2
- C0422 Fire and Life Safety: Training For ResidentsJuly 2, 2026 · Level 2
- C0510 General Building ExteriorJuly 2, 2026 · Level 2
- C0513 Doors, Walls, Elevators, OdorsJuly 2, 2026 · Level 2
- C0555 Call System, Exit Door Alarm, Phones, TV or CableJuly 2, 2026 · Level 2
- Z0173 Secure Outdoor Recreation AreaJuly 2, 2026 · Level 2
- C0241 Resident Services: LaundryJuly 25, 2023 · Level 2
- C0420 Fire and Life Safety: SafetyMay 15, 2023 · Level 2 · corrected July 17, 2023
- C0510 General Building ExteriorMay 15, 2023 · Level 2 · corrected July 17, 2023
- C0513 Doors, Walls, Elevators, OdorsMay 15, 2023 · Level 2 · corrected December 23, 2023
- C0530 Housekeeping and LaundryMay 15, 2023 · Level 2 · corrected July 17, 2023
- C0540 Heating and VentilationMay 15, 2023 · Level 2 · corrected July 17, 2023
- C0555 Call System, Exit Door Alarm, Phones, TV or CableMay 15, 2023 · Level 2 · corrected July 17, 2023
- Z0168 Outside AreaMay 15, 2023 · Level 2 · corrected July 17, 2023
- Z0173 Secure Outdoor Recreation AreaMay 15, 2023 · Level 2 · corrected July 17, 2023
How that compares
Compared with the median licensed assisted living facility in Oregon. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 65 |
| Median facility in Oregon | 21 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| April 19, 2023 | state licensure survey | 0 |
| May 15, 2023 | validation survey | 20 |
| July 25, 2023 | complaint investigation | 8 |
| February 7, 2024 | complaint investigation | 8 |
| April 16, 2024 | complaint investigation | 7 |
| October 21, 2024 | complaint investigation | 2 |
| July 2, 2026 | re-licensure survey | 20 |
What the citations cover
- Resident care 27
- Physical plant 10
- Medication 9
- Staffing and training 7
- Other 12
| Category | Citations |
|---|---|
| Resident care | 27 |
| Physical plant | 10 |
| Medication | 9 |
| Staffing and training | 7 |
| Records and administration | 7 |
| Life safety | 5 |
Every visit on file since September 2021
As published by ODHS, newest first, including visits that cited nothing. The wording and the classes are ODHS’s own.
July 2, 2026 — re-licensure survey, 20 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0152 | Facility Administration: Required Postings | Level 2 | — |
| C0200 | Resident Rights and Protection - General | Level 2 | — |
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | — |
| C0260 | Service Plan: General | Level 2 | — |
| C0270 | Change of Condition and Monitoring | Level 2 | — |
| C0280 | Resident Health Services | Level 2 | — |
| C0295 | Infection Prevention & Control | Level 2 | — |
| C0305 | Systems: Resident Right to Refuse | Level 2 | — |
| C0310 | Systems: Medication Administration | Level 2 | — |
| C0362 | Acuity Based Staffing Tool - ABST Time | Level 2 | — |
| C0420 | Fire and Life Safety: Safety | Level 2 | — |
| C0422 | Fire and Life Safety: Training For Residents | Level 2 | — |
| C0510 | General Building Exterior | Level 2 | — |
| C0513 | Doors, Walls, Elevators, Odors | Level 2 | — |
| C0555 | Call System, Exit Door Alarm, Phones, TV or Cable | Level 2 | — |
| H1510 | Individual Rights Settings: Privacy, Dignity | Level 2 | — |
| H1517 | Individual Privacy: Own Unit | Level 2 | — |
| Z0142 | Administration Compliance | Level 2 | — |
| Z0162 | Compliance with Rules: Health Care | Level 2 | — |
| Z0173 | Secure Outdoor Recreation Area | Level 2 | — |
October 21, 2024 — complaint investigation, 2 citations
April 16, 2024 — complaint investigation, 7 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0200 | Resident Rights and Protection - General | Level 2 | — |
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | — |
| C0270 | Change of Condition and Monitoring | Level 2 | — |
| C0280 | Resident Health Services | Level 2 | — |
| C0303 | Systems: Treatment Orders | Level 2 | — |
| C0310 | Systems: Medication Administration | Level 2 | — |
| Z0165 | Behavior | Level 2 | — |
February 7, 2024 — complaint investigation, 8 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0154 | Facility Administration: Policy & Procedure | Level 4 | October 21, 2024 |
| C0155 | Facility Administration: Records | Level 4 | October 21, 2024 |
| C0231 | Reporting & Investigating Abuse-Other Action | Level 4 | October 21, 2024 |
| C0260 | Service Plan: General | Level 3 | — |
| C0295 | Infection Prevention & Control | Level 2 | October 21, 2024 |
| C0302 | Systems: Tracking Control Substances | Level 2 | — |
| C0360 | Staffing Requirements and Training: Staffing | Level 2 | October 21, 2024 |
| C0361 | Acuity-Based Staffing Tool | Level 2 | — |
July 25, 2023 — complaint investigation, 8 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0010 | Licensing Complaint Investigation | Level 2 | — |
| C0210 | Resident Rights and Protection: Personal Relationships | Level 2 | — |
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | — |
| C0241 | Resident Services: Laundry | Level 2 | — |
| C0260 | Service Plan: General | Level 2 | — |
| C0303 | Systems: Treatment Orders | Level 2 | — |
| C0330 | Systems: Psychotropic Medication | Level 2 | — |
| C0360 | Staffing Requirements and Training: Staffing | Level 2 | — |
May 15, 2023 — validation survey, 20 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0242 | Resident Services: Activities | Level 2 | July 17, 2023 |
| C0252 | Resident Move-In and Eval: Res Evaluation | Level 2 | July 17, 2023 |
| C0260 | Service Plan: General | Level 2 | July 17, 2023 |
| C0295 | Infection Prevention & Control | Level 2 | July 17, 2023 |
| C0303 | Systems: Treatment Orders | Level 2 | December 23, 2023 |
| C0361 | Acuity-Based Staffing Tool | Level 2 | July 17, 2023 |
| C0420 | Fire and Life Safety: Safety | Level 2 | July 17, 2023 |
| C0455 | Inspections and Investigation: Insp Interval | Level 2 | December 23, 2023 |
| C0510 | General Building Exterior | Level 2 | July 17, 2023 |
| C0513 | Doors, Walls, Elevators, Odors | Level 2 | December 23, 2023 |
| C0530 | Housekeeping and Laundry | Level 2 | July 17, 2023 |
| C0540 | Heating and Ventilation | Level 2 | July 17, 2023 |
| C0555 | Call System, Exit Door Alarm, Phones, TV or Cable | Level 2 | July 17, 2023 |
| Z0142 | Administration Compliance | Level 2 | December 23, 2023 |
| Z0155 | Staff Training Requirements | Level 2 | July 17, 2023 |
| Z0162 | Compliance with Rules: Health Care | Level 2 | December 23, 2023 |
| Z0164 | Activities | Level 2 | July 17, 2023 |
| Z0165 | Behavior | Level 2 | July 17, 2023 |
| Z0168 | Outside Area | Level 2 | July 17, 2023 |
| Z0173 | Secure Outdoor Recreation Area | Level 2 | July 17, 2023 |
April 19, 2023 — state licensure survey, nothing cited
Reflects the ODHS record as pulled September 18, 2026. A recent visit may not appear yet. This is the Oregon state licensing record; it is not the federal nursing home survey and the two are never combined.