Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00391132-AP-344069
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
- 3/25/2025
- Report number
- 00391132-AP-344069
- 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
- The Alleged Victim (AV) has a known fall history. On or about March 26, 2025, AV suffered a fall which caused unreasonable discomfort. The facility did not implement interventions after AV's fall on March 14, 2025. The facility failed to properly care plan for AV's needs and ensure AV's safety from falls. The facility's actions constitute abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- Sanction
- RCFCP26-00011 $1313.00 fine assessed