Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00401897-AP-352780
Provider Information
Crystal Terrace
1000 TOWN CENTER DRIVE
Klamath Falls, OR 97601
- Provider ID
- 50R292
- Administrator
- Melissa Doyle
- Phone
- (541) 885-7250
- melissadoyle@mbk.com
Violation Details
- Date
- 5/14/2025
- Report number
- 00401897-AP-352780
- 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)
- Findings
- Alleged Victim (AV) relies on the facility for his/her care needs. On or about May 14, 2025, at approximately 5:10am, AV was found on the floor with his/her head against the bed frame after reportedly sliding from bed. AV was care planned for 15-minutes checks, however, staff failed to consistently complete 15-minutes checks. Respondent failed provide a safe environment to AV. This constitutes abuse by neglect as defined by OAR 411-020-0002(1)(A)(ii) and violates the following OARs:
- Sanction
- RCFCP26-00629 $1000.00 fine assessed