Print Violation: 00392955-AP-343581

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/2/2025
Report number: 00392955-AP-343581
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 a total assist with his/her care needs; AV is also a two-person assist with toileting. On or about April 2, 2025, AV was found to have a 0.5 cm by 1 cm open area on his/her left buttocks. On February 27, 2025, it the shower sheet, it was documented that AV had an open pressure sore on his/her buttocks and “very very red” in his/her peri area. There was no temporary service plan or incident report for the open sore on February 27, 2025. The facility failed to proper plan care and follow wound care around AV’s know open pressure sore, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00716 $750.00 fine assessed