Print Violation: 00394911-AP-345603

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/11/2025
Report number: 00394911-AP-345603
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)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: Witness 1 (W1) has a known history of aggressive behaviors. On or about April 11, 2025, at approximately 11:30 am, Alleged Victim (AV) was walking into the dining room, AV walked by W1 and reached out for one of W1’s cards and W1 slapped AVs hand and yelled “no.”. AV was care planned to be redirected when he/she was observed to be in W1’s personal space to reduce the risk of physical altercations. There is no indication that the interventions were being followed to redirect AV away from W1 during the incident on April 11, 2025. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01079 $500.00 fine assessed