Print Violation: 00130481-AP-101932

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 2/20/2021
Report number: 00130481-AP-101932
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to care plan in accordance with assessment
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)
External site: 411-054-0030(1)(e)(G)
External site: 411-054-0036(2)(g)
Findings: On or about February 20, 2021, the Alleged Victim (AV) began vomiting. AV had a standing order bowel protocol which states that three days without a bowel movement would necessitate some form of bowel medication. Upon assessment of AV by the facility staff, it was determined that AV's abdomen was distended and void of bowel sounds. AV was unable to tell staff if or when he/she had a bowel movement last, although AV's care plan stated he/she could advise staff. AV was sent to the hospital on February 21, 2021 where he/she underwent surgery to remove a bowel obstruction. The facility failed to monitor AV for bowel movements, leading to him/her having a bowel obstruction requiring surgery. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-02057 $1500.00 fine assessed