Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00380965-AP-335504
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 1/26/2025
- Report number
- 00380965-AP-335504
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assist with eating
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- Findings
- Alleged Victim was a partial assist for meals and required constant reminders and prompting throughout meals to eat. It was discovered that AV was not given appropriate meals or fluids which led to him/her losing weight. AV’s care plan dated November 21, 2024, noted significant weight loss. It was visibly noticeable for staff that AV was losing wight. The facility failed to provide AV with appropriate meals or fluids which led AV to lose wight resulting in physical harm to AV and created risk of serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00708 $1501.00 fine assessed