Print Violation: 00289388-AP-243440

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/23/2023
Report number: 00289388-AP-243440
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)
411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication system and provide mood stabilizing medications to Witness 1 (W1) per physician’s orders. W1 did not receive their mood stabilizing medication for approximately 11 days/doses due to it being “unavailable”. On or about September 23, 2023, W1 walked up to the Alleged Victim (AV) in a common area of the facility and slapped them across the face and then verbally threatened them, causing AV a loss of personal dignity. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00188 $500.00 fine assessed