Print Violation: 00243499-AP-199934

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/8/2023
Report number: 00243499-AP-199934
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)(f) and (r)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: AV had a known history of skin issues and was care planned for staff to observe for skin breakdowns. AV refused care on multiple occasions when the facility staff attempted to assist AV with his/her Activities of Daily Living and the facility failed to appropriately care plan or add appropriate interventions for these behaviors. As a result, AV had poor hygiene which caused AV to suffer skin breakdown and sustained a UTI, which is a violation of resident rights is neglect of care and constitutes abuse.
Sanction: RCFCP23-00696 $250.00 fine assessed