Print Violation: 00379822-AP-330325

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/21/2025
Report number: 00379822-AP-330325
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan appropriate interventions for Witness 1 (W1) for their known aggressive and repeated verbal and physical altercations with other residents. On or about January 27, 2025, W1 started yelling at the Alleged Victim (AV) then kicked them in both of their lower extremities, causing pain and unreasonable discomfort. On or about January 21, 2025, AV and W1 were involved in previous physical altercation causing pain and emotional distress. There is no documented evidence the facility implemented interventions after the first incident between W1 and the AV to prevent further altercations, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00636 $750.00 fine assessed