Print Violation: 00404837-AP-355837

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/30/2025
Report number: 00404837-AP-355837
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) is a known fall risk resident. On or about May 30, 2025, during a fire drill AV fell and landed on h/h face, hands and knees. AV had 2 previous falls one on April 17, 2025, and May 6,2025. No new interventions were implemented after the previous falls or the fall on May 30, 2025, to prevent future falls. As a result of the May 30, 2025, fall, AV sustained a swollen wrist. The facility failed to provide a safe environment to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01189 $500.00 fine assessed