Print Violation: 00085399-AP-063747

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 5/20/2020
Report number: 00085399-AP-063747
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer medication as ordered
Result: Substantiated
Rule(s) Violated: External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on facility staff to manage his/her diabetic medication. On or about April 18th and April 19, 2020, AV's diabetic medication was withheld in error. On or about March 19, 2020, AV had a blood glucose reading of 65 and the medication administration record shows that AV's insulin was administered. It is likly that the insulin was not administered as indicated on the medication administration record as this would have caused a life threatening emergency and there is no record of this occurring on or around March 19, 2020. The facility failed to administer AV's medications as ordered and failed to document appropriately which is a violation of Oregon Administrative Rules.