Print Violation: 00354696-AP-305009

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/13/2024
Report number: 00354696-AP-305009
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) relies on the facility for his/her care. Per facility documentation, AV had falls on or about August 9th, 23rd, September 12th and 13th, 2024. Despite these four (4) falls in just over a month, witnesses described AV as not having a significant fall history. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00585 $500.00 fine assessed