Print Violation: 00344321-AP-294833

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 7/17/2024
Report number: 00344321-AP-294833
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)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) is known to be a fall risk. Between March 25, 2024, through July 16, 2024, AV had six (6) falls, two were with injuries. The facility had interventions in place, however, none of those interventions prevented AV from sustaining continues falls. The facility failed to properly care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00579 $500.00 fine assessed