Print Violation: 00401897-AP-360239

Provider Information

Crystal Terrace

1000 TOWN CENTER DRIVE
Klamath Falls, OR 97601

Date: 5/14/2025
Report number: 00401897-AP-360239
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 25, 2025, AV sustained a fall. AV had six (6) falls, one on or about May 3, 2025, two (2) on or about May 14th, 15th, and 16th, 2025. Prior to May 2025, AV was reportedly more independent; however, following a medical diagnosis in late April or early May 2025, AV experienced a rapid decline. Respondent failed to provide a safe environment to AV, resulting in several falls. 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