Print Violation: 00400374-AP-399162

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/7/2025
Report number: 00400374-AP-399162
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 28, 2025, the Alleged Victim (AV) was found to have bruising on his/her hands, wrist and forearm. 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. An intervention was put into place to reduce AV running into walls and corners on May 7, 2025, however, that intervention was closed on May 12, 2025, and staff were not aware of interventions in place to reduce AV's risk for bruising. 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