Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00362495-AP-312747
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 9/12/2024
- Report number
- 00362495-AP-312747
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
- Findings
- The Alleged Victim (AV) is a known fall risk. Between September 6, 2024, and September 23, 2024, AV suffered 8 falls. On or about September 27, 2024, AV was found on the floor of another resident's room. AV suffered a large bump to the back of his/her head and complained of pain. Respondent failed to implement meaningful interventions for falls, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- Sanction
- RCFCP26-00101 $500.00 fine assessed