Print Violation: 00391163-AP-341745

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 3/24/2025
Report number: 00391163-AP-341745
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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) is care planned to be on a mechanical soft diet. On or about March 24, 2025, at around 3:00 PM, AV was served a cut up corn dog with ketchup. It was well known to staff that AV was on his/her mechanical died. AV was served the cut-up corn dog as AV had difficulty swallowing and was a choking risk due to a medical condition. the facility failed to assure the care plan was followed, around AV’s mechanical soft diet, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00715 $375.00 fine assessed