Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00391132-AP-358536
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-358536
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- 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) has a known fall history. On or about April 7, 2025, AV suffered a fall which placed AV at risk for serious harm. AV suffered 5 falls from March 14, 2025, through April 7, 2025. The facility failed to provide supervision for AV to prevent further 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