Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00385773-AP-336246
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
- 2/26/2025
- Report number
- 00385773-AP-336246
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- Findings
- Alleged Victim (AV) has a known history of verbal and physical aggression. Since October 24, 2024, to February 24, 2025, AV has been involved in seven (7) reported resident to resident altercations where he/she has been the aggressor. The facility was aware that AV had aggressive behaviors but had not implemented any interventions to prevent resident to resident altercation. On or about March 7, 2025, AV had an assessment with a Gero-psych Specialist. The facility received the report with recommendations on May 2, 2025, but as of May 8, 2025, the facility had not implemented any pharmaceutical and non-pharmaceutical interventions that were recommended in the report, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00711 $500.00 fine assessed