Print Violation: 00298382-AP-251838

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 11/23/2023
Report number: 00298382-AP-251838
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 follow Witness #1’s (W1) care plan to be monitored and redirected due to behaviors and aggression. On or about November 23, 2023, W1 and the Alleged Victim (AV) were both observed in an agitated state, when W1 grabbed AV’s wrist and wouldn’t let go, causing AV increased agitation and bruising to AV’s wrist. 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: RCFCP24-00184 $500.00 fine assessed