Print Violation: 00393280-AP-344084

Provider Information

Crystal Terrace

1000 TOWN CENTER DRIVE
Klamath Falls, OR 97601

Date: 3/30/2025
Report number: 00393280-AP-344084
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk. On or about March 27, 2025, and March 30, 2025, AV suffered 3 falls. AV was care planned for safety checks 8 times per shift. AV suffered a rug burn and scratches to his/her lower back. The Respondents failure to properly care plan for AV's risk of falls caused AV to suffer a rug burn and scratches. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00032 $188.00 fine assessed