Print Violation: 00344304-AP-295224

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 7/18/2024
Report number: 00344304-AP-295224
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim (AV) had a progressive brain disorder that caused memory loss, confusion and other cognitive decline. Between May 15, 2024, and June 22, 2024, AV fell seven (7) times. Four (4) of the seven (7) falls resulted in injury to AV including skin tears to different body parts. Facility staff needed to be outside when there was a resident in the wander yard that was a fall risk. On June 20, 2024, at 12:00 pm, AV fell in the wander yard. There was no facility staff present. On July 18, 2024, AV was found lying on the sidewalk outside. There was no indication if where any staff was out with the AV when he/she was found lying on the sidewalk. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01275 $500.00 fine assessed