Print Violation: 00370432-AP-320722

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/8/2024
Report number: 00370432-AP-320722
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-00028(2)
411-054-0027(1)(g) and (s)
411-054-0030(1)(e)(I)
411-054-36(2)(g)
Findings: Witness 1 (W1) is known to have ongoing aggressive behaviors/altercations in-between the altercation involving Alleged Victim (AV). on or about December 8, 2024, staff heard screaming. They found W1 sitting on to of AV. AV was punching W1 and W1 was punching AV back. AV and W1 has been involved in prior physical altercations, which puts residents in risk of harm. The facility failed to implement proper interventions and/or monitoring for resident behaviors, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00685 $750.00 fine assessed