Print Violation: 00370413-AP-320709

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/7/2024
Report number: 00370413-AP-320709
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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 care planned to have the facility ensure safety of other residents/staff if AV becomes agitated by removing them from the environment. AV requires extensive redirection for violent aggressive acts toward staff and other residents. On or about December 7, 2024, AV and Witness 1 (W1) were in an altercation that led AV to being hit in the left arm by W1. W1 went up to AV to talk, W1 was up in AV’s face/space trying to talk to AV when W1 got frustrated with AV. AV hit W1 on the right arm and W1 hit AV on the left arm. AV has a known history of altercations. The facility failed to assure the care plan was followed, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00618 $250.00 fine assessed