Print Violation: 00353996-AP-304344

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/26/2024
Report number: 00353996-AP-304344
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) was care planned to be independent with his/her ambulation and transfer. On or about August 26, 2024, AV was observed to have injuries to his/her head and hand which was documented as an unwitnessed injury fall. The investigation for AV’s injuries was never completed by the facility to determine how AV sustained the injury. AV’s care plan was also not updated to show his/her as a fall risk despite having a fall history related to his/her gait/balance. The facility failed to care plan around AV’s gait/balance, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00583 $500.00 fine assessed