Print Violation: 00366657-AP-318460

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 11/16/2024
Report number: 00366657-AP-318460
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)
Findings: Alleged Victim (AV) was a known fall risk with three (3) previous falls. On or about November 24, 2024, AV fell in his/her bathroom which resulted in redness and pain to the back of AV’s head. AV’s updated care plan and TSP were inconstant as to what care staff were to do to prevent falls. The facility failed to care plan and mitigate AV’s known risk of falls, which is a violation of resident right, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00575 $2500.00 fine assessed