Print Violation: 00400389-AP-351224

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/7/2025
Report number: 00400389-AP-351224
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about May 7, 2025, it was noted that AV had 2 open areas on the left buttocks. Assessment noted redness to center of buttocks measuring 6 cm by 6 cm, macerated areas to left buttocks, 2 small open area 1 cm by 0.7 cm round in appearance and also a macerated line/scabbed area 1.5 cm long and about 0.5 cm thick. The facility failed to properly plan care and prevent AV from getting skin breakdowns, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01188 $375.00 fine assessed