Inspection Reports for Table Rock
2636 Table Rock Rd, Medford, OR 97501, United States, OR, 97501
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Capacity: 84
Deficiencies: 16
Jul 3, 2025
Visit Reason
Facility failed to provide adequate daily activity programs, ensure service plans reflected resident needs and were implemented, monitor changes of condition, maintain infection control protocols, track controlled substances accurately, administer medications properly, maintain sufficient staffing, conduct fire drills and training, maintain building in good repair, and protect resident rights to privacy and dignity.
Findings
Facility failed to provide adequate daily activity programs, ensure service plans reflected resident needs and were implemented, monitor changes of condition, maintain infection control protocols, track controlled substances accurately, administer medications properly, maintain sufficient staffing, conduct fire drills and training, maintain building in good repair, and protect resident rights to privacy and dignity.
Deficiencies (16)
| Description |
|---|
| OAR 411-054-0030 (1)(c-d) Resident Services: Activities — Failed to ensure daily program of social and recreational activities based on individual and group interests |
| OAR 411-054-0036 (1-4) Service Plan: General — Service plans not reflective of resident needs, lacked clear direction, handwritten changes not dated/initialed, and not consistently implemented |
| OAR 411-054-0040 (1-2) Change of Condition and Monitoring — Failed to ensure resident-specific instructions for changes of condition, communication to staff, and weekly progress documentation |
| OAR 411-054-0050(1-5) Infection Prevention & Control — Failed to maintain effective infection prevention protocols during dining and ADL care |
| OAR 411-054-0055 (1)(e) Systems: Tracking Control Substances — Failed to have an effective system for tracking controlled substances |
| OAR 411-054-0055 (2) Systems: Medication Administration — MARs inaccurate and lacked resident-specific parameters and instructions for PRN medications |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication — PRN psychotropic medications lacked resident-specific parameters and documentation of non-pharmacological interventions prior to administration |
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing — Insufficient number of direct care staff to meet scheduled and unscheduled needs during night shift |
| OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time — Failed to accurately capture care time and care elements provided to residents |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failed to conduct unannounced fire drills every other month with all required components and provide fire and life safety instruction on alternate months |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents — Failed to ensure residents were instructed on fire and life safety procedures within 24 hours of admission and annually |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors — Facility interior not maintained clean and in good repair with multiple areas of damage and staining |
| OAR411-004-0020(1)(c) Individual Rights Settings: Privacy, Dignity — Failed to ensure residents received services protecting dignity and respect |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit — Failed to ensure residents had privacy in their own units during care |
| OAR 411-057-0140(2) Administration Compliance — Failed to comply with licensing rules for Residential Care and Assisted Living Facilities |
| OAR 411-057-0160(2b) Compliance with Rules Health Care — Failed to provide health care services in accordance with licensing rules |
Inspection Report
Capacity: 84
Deficiencies: 3
Jun 4, 2024
Visit Reason
The kitchen inspection and related surveys identified deficiencies in food sanitation, staff food handler certification, and required postings. Some deficiencies were corrected by the last revisit.
Findings
The kitchen inspection and related surveys identified deficiencies in food sanitation, staff food handler certification, and required postings. Some deficiencies were corrected by the last revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule — Kitchen and food service areas not maintained in accordance with Food Sanitation Rules |
| OAR 411-054-0037 Acuity-Based Staffing Tool — Failed to ensure staff had current food handler certificates |
| OAR 411-054-0045 Inspections and Investigation: Inspection Interval — Failed to ensure re-licensure survey plan of correction was implemented |
Inspection Report
Re-licensure
Capacity: 84
Deficiencies: 9
Oct 16, 2023
Visit Reason
Multiple deficiencies identified including failure to provide adequate activity programs, incomplete service plans, failure to investigate and report abuse, medication administration errors, staffing issues, infection control problems, and building maintenance concerns. Many deficiencies were repeated in subsequent surveys.
Findings
Multiple deficiencies identified including failure to provide adequate activity programs, incomplete service plans, failure to investigate and report abuse, medication administration errors, staffing issues, infection control problems, and building maintenance concerns. Many deficiencies were repeated in subsequent surveys.
Deficiencies (9)
| Description |
|---|
| OAR 411-054-0030 Resident Services: Activities — Failed to provide activity program based on individual and group interests |
| OAR 411-054-0036 Service Plan: General — Service plans not reflective of resident needs, lacked clear direction, and not consistently implemented |
| OAR 411-054-0070 Staffing Requirements and Training: Staffing — Failed to consistently staff to posted staffing plan |
| OAR 411-054-0050 Infection Prevention & Control — Failed to maintain infection prevention protocols and have qualified Infection Control Specialist |
| OAR 411-054-0055 Systems: Medication Administration — MARs inaccurate and lacked resident-specific parameters |
| OAR 411-054-0090 Fire and Life Safety: Safety — Failed to conduct required fire drills and training |
| OAR 411-054-0200 Doors, Walls, Elevators, Odors — Facility interior materials and surfaces not kept clean and in good repair |
| OAR411-004-0020 Individual Rights Settings: Privacy, Dignity — Failed to protect residents' dignity and privacy |
| OAR 411-057-0140 Administration Compliance — Failed to comply with licensing rules |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 2
Apr 26, 2023
Visit Reason
Complaint investigation identified deficiencies related to licensing complaint investigation and acuity-based staffing tool. Deficiencies were not corrected at time of inspection.
Findings
Complaint investigation identified deficiencies related to licensing complaint investigation and acuity-based staffing tool. Deficiencies were not corrected at time of inspection.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 Licensing Complaint Investigation — Facility failed to comply with applicable laws, regulations and codes |
| OAR 411-054-0037 Acuity-Based Staffing Tool — Failed to implement and use acuity-based staffing tool |
Inspection Report
Capacity: 84
Deficiencies: 1
Jan 18, 2023
Visit Reason
Kitchen inspection found the facility in substantial compliance with food sanitation rules.
Findings
Kitchen inspection found the facility in substantial compliance with food sanitation rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule — Facility in substantial compliance |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 3
Aug 17, 2022
Visit Reason
Complaint investigation identified deficiencies related to licensing complaint investigation, staffing requirements, and acuity-based staffing tool. Deficiencies were not corrected at time of inspection.
Findings
Complaint investigation identified deficiencies related to licensing complaint investigation, staffing requirements, and acuity-based staffing tool. Deficiencies were not corrected at time of inspection.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Licensing Complaint Investigation — Facility failed to comply with applicable laws, regulations and codes |
| OAR 411-054-0070 Staffing Requirements and Training: Staffing — Failed to meet staffing requirements |
| OAR 411-054-0037 Acuity-Based Staffing Tool — Failed to implement and use acuity-based staffing tool |
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