Print Violation: 00370438-AP-320728

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/8/2024
Report number: 00370438-AP-320728
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)
411-054-0030(1)(e)(i)
411-054-0036(2)(g)
Findings: Between September 19th, to November 6, 2024, Alleged Victim (AV) had at least six (6) behavioral episodes with staff that involved: yelling, grabbing a staff member by the neck, hitting the back of a staff member’s head, and pulling a staff member’s hair until it fell out. Between that time frame, AV was also combative with cares, AV hit, punched, pinched, bit during cares. On or about December 8, 2024, staff heard screaming. They found AV was sitting on top of Witness 1 (W1). AV was punching W1 and W1 was punching AV back. As a result of the altercation, AV sustained bruises on his/her arms. Throughout off of AV’s altercation/behaviors, the interventions in the Temporary Care Plans (TCP’s) were not changed/updated, and neither was AV’s Service Plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00686 $375.00 fine assessed