Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00174877-AP-138865
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 12/14/2021
- Report number
- 00174877-AP-138865
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
- Findings
- On or about December 13, 2021, Alleged Perpetrator #2 (AP2) failed to administer the Alleged Victim's (AV) blood pressure medication, placing AV at risk for harm. AP2's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.