Print Violation: 00376847-AP-327247

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/10/2025
Report number: 00376847-AP-327247
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 history of agitation/aggressiveness with staff and residents. Between November 14, 2024, to January 10, 2025, AV either punched or chocked or hit 21 residents, caregiver or providers. There are 21 temporary service plans created by the facility between November 16, 2024, to January 14, 2025, out of the four (4) created on January 7, 2025, one (1) plan was blank, two (2) plans created for aggressive behaviors- listed only report if sad or agitate- no interventions. The facility failed to properly plan care around AV’s known behaviors, which puts residents in risk of harm, and which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00697 $500.00 fine assessed