Print Violation: 00393862-AP-344538

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/5/2025
Report number: 00393862-AP-344538
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’s (AV’s) care plan states AV required multiple total-assist brief changes every day. On or about April 5, 2025, AV had dry bowel movement stuck to AV’s skin and the skin was red. Recent prior history indicates that on or about March 24, 2025, AV was found wet and had bowel movement that appear old. On or about April 2, 2025, AV has loose stools. The facility failed to follow the care plan, which resulted in AV having been found with bowel on him/her on several occasions, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01077 $500.00 fine assessed