Print Violation: 00091583-AP-068954

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 7/4/2020
Report number: 00091583-AP-068954
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to protect resident from involuntary seclusion
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
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 remained 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.