Print Violation: 00393855-AP-344532

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/5/2025
Report number: 00393855-AP-344532
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim’s (AV’s) care plan notes he/she is incontinent of bladder and occasionally incontinent of bowel. On or about March 25, 2025, AV was found in a soaking wet brief and facility staff believed AV had not been assisted in a timely manner. On or about April 05, 2025, at 7:00 pm, AV was once again covered in loose, dry, old-looking bowel movement (BM). Facility staff believed AV had not been assisted in a timely manner. The facility failed to provide service to AV around incontinent care, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP26-00055 $375.00 fine assessed