Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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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
Email
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
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