Print Violation: 00067266-AP-048695

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 1/20/2020
Report number: 00067266-AP-048695
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)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) and Witness 1 (W1) require staff assistance to manage behaviors. On or about January 20, 2020, AV scared W1 by grabbing W1's shoulders. Facility staff watched AV and W1 and did not intervene to prevent the situation from escalating. W1 used W1's hands to gesture to AV and yelled at AV in a presumed attempt to scare AV. Facility staff were aware that W1 didn't appear to be playing with AV. AV grabbed W1 by W1's shoulders and pushed W1 into a sitting position in a chair and shook W1 from side to side while holding onto W1's shoulders causing W1 pain. W1 punched AV during the incident causing AV pain. The facility failed to follow the care plan to redirect AV and W1, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP20-00435 $375.00 fine assessed