Print Violation: 00391157-AP-341737

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 3/24/2025
Report number: 00391157-AP-341737
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assist with eating
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(a)(A)
Findings: According to the documentation, the facility failed to follow the diet orders for the Alleged Victim (AV) by providing them food that is deemed a choking hazard. The AV is on a mechanical soft diet due to their history of chocking on food. On or about March 24, 2025, the facility provided a corn dog cut into pieces as a snack. Staff members were not trained to know what is considered mechanical soft foods. Staff also stated the AV has been given similar foods in the past that do not follow their mechanical soft diet texture. The facility’s failure to provide a mechanical soft diet to the AV who is at risk of choking is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00683 $188.00 fine assessed