Print Violation: 00378018-AP-328436

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/15/2025
Report number: 00378018-AP-328436
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim (AV) has a known history of falls. Between October 9, 2024, to December 25, 2024, AV sustained seven (7) falls, some resulted in injuries. On or about January 15, 2025, a resident came up to staff and said that AV was on the ground and had fallen. AV was found lying on the floor. The facility failed to provide AV with adequate supervision which resulted in AV falling multiple times which resulted in an injury to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00695 $375.00 fine assessed