Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00376371-AP-330006

Provider Information


Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Provider ID
50M300
Administrator
Rachel Vandusen
Phone
(541) 273-7336
Email
rachelvandusen@mbk.com

Violation Details


Date
1/1/2025
Report number
00376371-AP-330006
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) was documented to be a fall risk. On or about January 16, 2025, AV sustained a fall and as a result, AV complained of pain in his/her hips, elbow, head and left groin area pain. On or about January 17, 2025, AV continued to complain of pain in his/her left groin area as a result to the fall from the previous day. The facility failed to care plan around AV’s continued risk of falls, which lead AV to sustain injury followed up with pain, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00693 $1125.00 fine assessed