Print Violation: 00376371-AP-330004

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/1/2025
Report number: 00376371-AP-330004
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) was documented to be a fall risk. Between January 2nd, to the 9th, 2025, AV sustained two (2) falls. AV had prior falls going back to November 2024. As a result of the two falls, AV experienced pain to his/her right leg and pain on his/her back and red marks to his/her body. Even after these two (2) new falls, there were no updates to AV’s temporary service plan. The facility failed to care plan around AV’s known risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00693 $1125.00 fine assessed