Print Violation: 00387873-AP-338329

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 3/7/2025
Report number: 00387873-AP-338329
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) has a known history of falls. On or about March 7, 2025, AV fell after having a behavior episode and being given medication which was known to make him/her dizzy. As a result of the fall, AV was complaining that his/her head was hurting. The facility failed to put appropriate and/or sufficient interventions into place to address AV’s falls despite the history of dizziness and unsteadiness when walking, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00709 $500.00 fine assessed