Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00396201-AP-346892
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 4/16/2025
- Report number
- 00396201-AP-346892
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a therapeutic diet
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(a)(A)
411-054-0036(2)(g)
- Findings
- The Alleged Victim (AV) is care planned for a mechanical soft diet. On or about April 16, 2025, AV was given a banana nut muffin, which is not categorized as mechanical soft. AV having this type of food places AV at risk for serious harm of choking. The facility's failure to ensure AV received meals as outlined in his/her care plan constitutes abuse by neglect as defined by OAR 411-020-0002(1)(b)(A)(ii).
- Sanction
- RCFCP26-00014 $188.00 fine assessed