Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00398875-AP-362904
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
- 4/30/2025
- Report number
- 00398875-AP-362904
- 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
- Witness #5 was care planned to ensure he/she was keeping distance from other residents while using his/her walker. On or about April 24, 2025, W5 ran over AV's foot with his/her walker, causing a bruise and unreasonable discomfort. 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