Print Violation: 00400374-AP-351215

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/7/2025
Report number: 00400374-AP-351215
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: On or about May 7, 2025, the Alleged Victim (AV) was found to have bruising on his/her hands. AV is impulsive, has a history of falls and is impulsive without safety awareness. AV had been observed by staff to bump into walls and corners. No interventions were put into place to reduce AV running into walls and corners. On May 7, 2025, an intervention was put into place for staff to redirect AV if seen bumping into walls. Respondent failed to have interventions in place to reduce AV's risk of bruising. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00160 $750.00 fine assessed