Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00373285-AP-323690
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 12/20/2024
- Report number
- 00373285-AP-323690
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- Findings
- Alleged Victim (AV) has a known history of falls. On or about December 20, 2024, AV sustained two (2) falls. AV was in his/her wheelchair before the first fall occurred at approximately 6:00 am. AV was in his/her wheelchair before the second fall occurred. As a result of the falls, AV was observed to have redness on the back of his/her head and on his/her right shoulder. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01038 $1500.00 fine assessed