Print Violation: 00080886-AP-059944

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 4/23/2020
Report number: 00080886-AP-059944
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0028(2)
Findings: Witness 1 (W1) is care planned for around the clock one on one care due to undesirable and aggressive behavior. On or about April 23, 2020, Alleged Perpetrator 2 (AP2) was the assigned one on one caregiver for W1. AP2 left the area and went to the medication room. When AP2 returned W1 had moved to a table and was sitting next to Alleged Victim (AV). AP2 left the area again and went to the medication room. AV touched W1's arm and W1 repeatedly hit AV. AP2 failed to follow W1's care plan which is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.