Print Violation: 00385750-AP-336219

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 2/24/2025
Report number: 00385750-AP-336219
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 implement appropriate interventions for Witness 1’s (W1) known aggressive behavior towards the Alleged Victim (AV). W1 and the AV have a history of resident-to-resident altercations in the past, the most recent being on approximately January 27, 2025. On or about February 24, 2025, W1 pinched the AV’s cheek and scratched it, causing a skin tear. The only intervention in place was to separate W1 from the AV when behaviors were exhibited. The facility’s failure to implement appropriate and progressive interventions for W1’s known aggressive behavior towards the AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00684 $375.00 fine assessed