Print Violation: 00375430-AP-325846

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/2/2025
Report number: 00375430-AP-325846
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim’s (AV’s) care plan indicated that he/she needed to puree food as ordered and thickened liquids related to the diagnosis of difficulty swallowing. On or about January 2, 2025, it was discovered that AV was given soft food instead of pureed food as ordered by AV’s doctor. The facility failed to follow the care plan around AV’s proper diet and drink textured, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00721 $375.00 fine assessed