Print Violation: 00379822-AP-331446

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/21/2025
Report number: 00379822-AP-331446
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 interventions for Witness 1’s (W1) known aggressive behaviors towards other residents. On or about January 21, 2025, W1 and the Alleged Victim (AV) were involved in a resident-to-resident altercation. W1 hit the AV in the arm in a common area which caused pain and unreasonable discomfort. The AV was visibly distraught after the incident and expressed a negative emotional response after the incident. W1 was care planned to remove them from the environment after they had expressed aggressive behavior or verbally abused other residents. There was no documented evidence the facility properly care planned progressive interventions to prevent resident-to-resident altercation for W1, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00636 $750.00 fine assessed