Print Violation: 00372357-AP-323082

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/17/2024
Report number: 00372357-AP-323082
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)(g)
Findings: Alleged Victim (AV) has a known history of falls, which prior fall in the facility. On or about December 17, 2024, AV fell backwards, hitting AVs heard on a planter box in front of the bathroom. Staff were not given a lot of information about AV’s history and/or his/her care needs even though the facility had knowledge. The facility failed to put interventions into place that prevented AV from falling, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00689 $1313.00 fine assessed