Print Violation: 00391586-AP-359616

Provider Information

Table Rock Memory Care Community

2636 TABLE ROCK RD
Medford, OR 97504

Date: 3/25/2025
Report number: 00391586-AP-359616
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for care and is a high fall risk. AV is care planned for falls to be monitored, to ensure AV is wearing proper footwear, to encourage AV to use a walker and wheelchair, and is also care planned as independent with transfers and ambulation. AV had a fall on April 20, 2025, and again on April 27, 2025, both when AV ambulating in common areas independently without any assistive devices. According to an investigation, despite AV's service plan still indicating to encourage AV to use their walker or wheelchair, AV did not have a walker or wheelchair to use. The facility failed to provide services, to include properly care planning and/or implementing interventions to mitigate AV's fall risk and to ensure resident safety, placing AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP26-00069 $750.00 fine assessed