Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00091582-AP-068950

Provider Information


Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Provider ID
50R379
Administrator
Joshua Johnson
Phone
(541) 779-3368
Email
jjohnson@tablerockmc.com

Violation Details


Date
7/4/2020
Report number
00091582-AP-068950
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to protect resident from involuntary seclusion
Result
Substantiated
Findings
On or about July 4, 2020, Alleged Perpetrator 2 (AP2) tied Alleged Victim's (AV's) door closed using a scarf. AV's door remain tied shut from approximately 2:00am to 4:30am, when it was discovered by another staff. AP2's actions are considered involuntary seclusion and constitutes abuse. The facility failed to protect a resident from involuntary seclusion which is a violation of Oregon Administrative Rules.