Print Violation: 00091583-AP-068954 A

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 7/4/2020
Report number: 00091583-AP-068954 A
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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 remain tied shut from approximately 2:00am to 4:30am. AV is care planned for safety checks every two hours. Alleged Perpetrator 3 (AP3) admitted that he/she did not complete safety checks from 2am-4am, putting AV at risk for serious harm. AP3's actions are considered neglect of care and is abuse. The facility failed to protect a resident from neglect which is a violation of Oregon Administrative Rules.