Print Violation: 00398369-AP-349040

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/28/2025
Report number: 00398369-AP-349040
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. Between March 6, 2024, and April 16, 2025, AV had up to 33 scabs on AV's upper and lower extremities ranging from 0.2 cm to 2.5 cm in diameter. On April 29, 2025, AV had an open sore on AV's shoulder. The skin around the sore was red. As a result, AV's sore was measured at 1.5 cm by 1 cm and had redness surrounding it that was 7 cm long by 3 cm wide. The facility failed to put new interventions into place that were effective to prevent AV from picking at AV's skin which more likely than not, caused the sore and placed AV at risk of serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01179 $500.00 fine assessed