Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00020874AP-014856
Provider Information
Table Rock Memory Care Community
2636 TABLE ROCK RD
Medford, OR 97504
- Provider ID
- 50R379
- Administrator
- Joshua Johnson
- Phone
- (541) 779-3368
- jjohnson@tablerockmc.com
Violation Details
- Date
- 3/3/2019
- Report number
- 00020874AP-014856
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
- Findings
- As defined in OAR 4110200002 (1)(b)(A) AP conducted active or passive failure to provide the basic care or services necessary when(i)AV hit W1 in the stomach, causing W1 to hit AV in the mouth, resulting in physical harm, significant emotional harm, unreasonable discomfort, or serious loss of personal dignity(ii)AV hit W1in the stomach, causing W1 to hit AV in the mouth creating risk of serious harm to AV
- Sanction
- RCFCP19-657 $375.00 fine assessed