Print Violation: 00398875-AP-349580

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 4/30/2025
Report number: 00398875-AP-349580
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) and Witness #1 (W1) have a history of altercations. W1 was care planned for staff to limit the amount of people around W1 to decrease altercations with others. On or about April 30, 2025, W1 yelled "shut up" to AV and then kicked AV in the shin, causing a bruise. The facility failed to ensure staff followed the service plan and ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00010 $750.00 fine assessed