Print Violation: 00289399-AP-243454

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 10/1/2023
Report number: 00289399-AP-243454
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: Between August 18 and October 1, 2023, Alleged Victim (AV) had been involved in six (6) altercations with staff and other residents. These altercations sometimes culminated n AV being struck by other resident or striking his/her head on objects in the process. On or about October 1, 2023, AV was found in another resident’s room and was standing over the resident yelling. The other resident was found bleeding from his/her mouth. Despite the interventions being ineffective, the Temporary Care Plans with the same interventions were re-issued over and over again. The facility failed to provide proper intervention for AV, which lead AV to get into physical altercations with other residents, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00691 $500.00 fine assessed