Print Violation: 00373285-AP-323693

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/20/2024
Report number: 00373285-AP-323693
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. On or about December 21, 2024, AV sustained a fall. AV was sitting in the common area of the facility in a recliner. AV got up from the recliner and fell backwards into a decorative tree. AV sustained an abrasion to his/her elbow as a result from the fall. The facility failed to care plan and mitigate AV’s known history of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01038 $1500.00 fine assessed