Print Violation: 00379938-AP-330421

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/24/2025
Report number: 00379938-AP-330421
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) relies on the facility for his/her care. On or about January 6, 2025, AV was found on the floor in AV's room, AV was on AV's bottom. On January 16, 2025, AV was found on the floor in AV's room, AV was on AV's bottom. On or about January 20, 2025, AV was found on the floor in AV's bathroom. AV was on AV's bottom with AV's head resting on the toilet seat. On or about January 21, 2025, AV had two falls. One was an assisted fall by AP1 staff. There was no information for the 2nd fall. On or about January 24, 2025, AV slid out of bed in-between 15-minute checks. AV was found on the floor. The facility failed to provide a safe environment to AV, which place AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01177 $500.00 fine assessed