Print Violation: 00388267-AP-338762

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 3/10/2025
Report number: 00388267-AP-338762
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failure to provide a system that prevents theft or misuse of medication
Result: Substantiated
Rule(s) Violated: 411-054-0025 (1)(a) and (b)
411-054-0027 (1)(g) and (s)
411-054-0028 (2)
Findings: The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about March 11, 2025, the Alleged Perpetrator 2 (AP2) took the medications of the AV and instructed facility staff to administer the medication to Witness 1 (W1), another resident. AP2's actions are a violation of resident rights, considered financial exploitation and theft, and constitutes abuse. The facility did not keep AV free from financial exploitation, which is a violation of Oregon Administrative rules.