Inspection Reports for Table Rock
2636 Table Rock Rd, Medford, OR 97501, United States, OR, 97501
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Inspection Report
Re-Inspection
Census: 40
Capacity: 84
Deficiencies: 35
Oct 7, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2022 to 2025 with detailed deficiency history and enforcement actions
Findings
Across multiple inspections, the facility demonstrated repeated deficiencies in resident care plans, staffing adequacy, infection control, safety procedures, and compliance with licensing rules. Numerous citations were issued for failure to provide individualized care, maintain safe environments, and properly investigate and report incidents.
Complaint Details
Complaint investigation conducted on 2023-04-26 identified deficiencies related to compliance with Oregon Administrative Rules including licensing complaint investigation and acuity-based staffing tool issues.
Deficiencies (35)
| Description |
|---|
| C0242 - Resident Services: Activities: Failed to ensure a daily program of social and recreational activities based on individual and group interests and needs |
| C0260 - Service Plan: General: Service plans failed to reflect resident needs, provide clear direction, and were not consistently implemented |
| C0270 - Change of Condition and Monitoring: Failed to develop and communicate resident-specific instructions for changes of condition and monitor progress |
| C0295 - Infection Prevention & Control: Failed to maintain effective infection prevention protocols during dining and ADL care |
| C0302 - Systems: Tracking Control Substances: Failed to have an effective system for tracking controlled substances |
| C0310 - Systems: Medication Administration: MARs were inaccurate and lacked resident-specific parameters and instructions for PRN medications |
| C0330 - Systems: Psychotropic Medication: Failed to ensure PRN psychotropic medications had resident-specific parameters and documented non-pharmacological interventions |
| C0360 - Staffing Requirements and Training: Staffing: Insufficient direct care staff to meet scheduled and unscheduled resident needs, especially overnight |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to accurately capture care time and care elements for residents |
| C0420 - Fire and Life Safety: Safety: Failed to conduct unannounced fire drills every other month with all required components and provide fire safety instruction on alternate months |
| C0422 - Fire and Life Safety: Training for Residents: Failed to instruct residents on fire and life safety procedures within 24 hours of admission and annually |
| C0513 - Doors, Walls, Elevators, Odors: Failed to maintain interior materials and surfaces clean and in good repair |
| H1510 - Individual Rights Settings: Privacy, Dignity: Failed to ensure residents received services protecting dignity and respect |
| H1517 - Individual Privacy: Own Unit: Failed to ensure privacy in residents' own units during care |
| Z0142 - Administration Compliance: Failed to comply with licensing rules for Residential Care and Assisted Living Facilities |
| Z0162 - Compliance with Rules Health Care: Failed to provide health care services in accordance with licensing rules |
| C0000 - Comment: Documented findings of kitchen inspections and compliance with food sanitation rules |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen and food storage in accordance with Food Sanitation Rules |
| C0370 - Staffing Requirements and Training – Pre-Serv: Failed to ensure food handlers had current certificates |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| C0510 - General Building Exterior: Failed to provide locked storage for maintenance equipment and toxic materials |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep interior materials and surfaces clean and in good repair |
| H1518 - Individual Door Locks: Key Access: Failed to ensure residents were provided keys to their units |
| C0010 - Licensing Complaint Investigation: Complaint investigation findings for compliance with state laws and regulations |
| C0361 - Acuity-Based Staffing Tool: Failed to implement and use acuity-based staffing tool appropriately |
| C0152 - Facility Administration: Required Postings: Failed to ensure required postings were displayed accessibly |
| C0200 - Resident Rights and Protection - General: Failed to ensure services promoted privacy, respect, and dignity |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to investigate and report suspected abuse or neglect incidents properly |
| C0280 - Resident Health Services: Failed to ensure RN assessments and interventions for significant changes of condition |
| C0282 - Rn Delegation and Teaching: Failed to ensure delegation and supervision of nursing tasks per OSBN rules |
| Z0163 - Nutrition and Hydration: Failed to ensure individualized nutritional plans for residents with weight loss |
| Z0164 - Activities: Failed to develop individualized activity plans based on evaluations |
| Z0165 - Behavior: Failed to develop individualized behavior plans for residents with behavioral symptoms |
| Z0168 - Outside Area: Failed to provide access to secured outdoor space allowing resident access without staff assistance |
| Z0176 - Resident Rooms: Failed to identify resident rooms to assist recognition and prevent residents being locked out |
Report Facts
Inspections on page: 6
Total deficiencies: 50
Total surveys: 6
Notices: 3
Licensed beds: 84
Residents at time of survey: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including staffing, infection control, and compliance discussions |
| Staff 3 | Resident Care Manager | Named in multiple findings related to resident care plans and compliance |
| Staff 24 | Regional Director of Operations | Named in discussions of deficiencies and acknowledgments |
| Staff 25 | Registered Nurse | Named in findings related to infection control and medication administration |
| Staff 7 | Environmental Services Director | Named in fire safety and facility maintenance findings |
| Staff 9 | Medication Technician | Named in findings related to activities and medication administration |
| Staff 5 | Health Services Director, RN | Named in abuse investigation and medication administration findings |
| Staff 6 | Regional RN | Named in abuse investigation and medication administration findings |
| Staff 26 | Executive Director | Named in multiple findings and acknowledgments in 2024 inspections |
| Staff 35 | RN Health Services Director | Named in abuse investigation and medication administration findings |
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