Print Violation: 00314848-AP-267162

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 2/23/2024
Report number: 00314848-AP-267162
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(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: Witness #1 (W1) is known to have behaviors and engage in altercations with residents. W1 is to be monitored by staff and redirected if W1 has symptoms of behaviors. On or about February 23, 2024, W1 punched the Alleged Victim (AV) in the forehead and nose, resulting in swelling and redness. W1 hadn't taken his/her behavioral medication that day as he/she was very agitated. W1's care plan didn't entail any individualized or updated interventions for staff to follow. The facility's failure to properly care plan placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00632 $375.00 fine assessed