Print Violation: 00353922-AP-304276

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/6/2024
Report number: 00353922-AP-304276
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. AV sustained falls on or about September 12th, 18th, and 19th, 2024, which placed AV in risk of harm. No new interventions were place in order to prevent AV from sustaining new falls. The facility failed to properly care plan and mitigate AV’s risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00581 $1000.00 fine assessed