Print Violation: 00404848-AP-355852

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 5/31/2025
Report number: 00404848-AP-355852
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) had extensive fall history since the beginning of 2025. AV had a history of significant injuries from falls like breaking his/her wrist, tearing an arm muscle, and discolorations to his/her eyes. AV had incident reports for falls on or about May 27, 2025, May 5, 2025, and April 20, 2025. AV was seen ambulating through the community right before the fall on May 31, 2025. As a result, AV sustained a fall in the dining room area. The fall was heard by facility staff members that were not in the room. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01277 $500.00 fine assessed