Print Violation: 00392955-AP-353847

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/2/2025
Report number: 00392955-AP-353847
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 two-person assistance with toileting. On or about April 5, 2025, AV had been left soiled and the open area in his/her buttocks and had been bleeding. There was no documentation on AV’s care plan on how often he/she was to be checked on or toileted. The facility failed to follow the care plan around AV’s toileting care needs, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00716 $750.00 fine assessed