Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0001177502

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
9/26/2016
Report number
OR0001177502
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to investigate injury of unknown origin to rule out abuse
Result
Substantiated
Findings
Facility failure to have processes in place and/or follow policy/procedures to report injury of unknown causes, per OAR 4110540028(1)&(2)(d), as stated in complaint that resident had an "unwitnessed fall" and was not self reported to APS.