Print Violation: 00370432-AP-321368

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/8/2024
Report number: 00370432-AP-321368
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. On or about December 10, 2024, Alleged Victim (AV) was hit by W1 were once again in a resident-to-resident altercation, in which W1 hit AV in the chest. Staff heard a smack sound and saw W1 trying to smack AV for a second time during this altercation. There is a prior history of resident-to-resident altercation, which have become physical, between AV and W1. Even after this altercation, the interventions in the Temporary Care Plan (TCP) were not changed/updated, AV’s Service Plan was also not changed/updated to protect AV from future physical resident to resident altercations, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00685 $750.00 fine assessed