Print Violation: 00289397-AP-243452

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 10/1/2023
Report number: 00289397-AP-243452
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)
411-054-0036(2)(g)
Findings: The facility failed to implement meaningful, effective interventions or appropriately care plan for Witness #1’s (W1) known behaviors. According to an investigation, on or about October 1, 2023, there was a physical altercation between W1 and the Alleged Victim (AV), where AV was found on the floor, bleeding from the mouth with W1 standing over them yelling. 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: RCFCP24-00126 $500.00 fine assessed