Aging and People with Disabilities

Safety, Oversight and Quality

Print Inspection: X8XB

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Provider ID: 50R379
Administrator: Joshua Johnson
Phone: (541) 779-3368
Email: jjohnson@tablerockmc.com

Inspection Details

Date: 4/26/2023
Event ID: X8XB
Inspection type(s): Licensure Complaint
Deficiencies cited: 2

Citation Details

C0010: Licensing Complaint Investigation

Visit Number

Visit Date

4/26/2023

Corrected Date

N/A

Details

Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes. This report reflects the findings of the complaint investigation conducted 04/26/2023. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. The following deficiencies were identified:

Abbreviations possibly used in this document:

ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration