Print Violation: 00374201-AP-328075

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 12/26/2024
Report number: 00374201-AP-328075
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim (AV) is known to be a fall risk. ON or about December 31, 2024, AV was found on his/her knees leaning over his/her bed and complaining of pain. AV had prior fall during the month of December 2024, however, there was no clear care planning for AV’s known history of falls. The facility failed to provide AV with adequate supervision which resulted in AV falling multiple times and experienced unreasonable discomfort, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00694 $750.00 fine assessed