Print Violation: 00399260-AP-349968

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/2/2025
Report number: 00399260-AP-349968
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about May 2, 2025, AV invaded Witness 1’s (W1's) space, causing AV to get pushed. On or about April 11, 2025, W1 swatted at AV's hand after AV walked up behind/to the left of W1 and reached for a playing card. Staff were to help redirect AV away from W1 if AV was observed to be in W1's personal space to reduce the risk of physical altercations. However, staff were distracted and did not notice AV getting close to W1. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01181 $500.00 fine assessed