Print Violation: 00067296-AP-048718

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 1/20/2020
Report number: 00067296-AP-048718
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, W1 scared AV by grabbing AV's shoulders. Facility staff watched AV and W1 and did not intervene to prevent the situation from escalating. AV used AV's hands to gesture to W1 and yelled at W1 in a presumed attempt to scare W1. Facility staff were aware that AV didn't appear to be playing with W1. W1 grabbed AV by AV's shoulders and pushed AV into a sitting position in a chair and shook AV from side to side while holding onto AV's shoulders 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: RCFCP20-00418 $375.00 fine assessed