Print Violation: 00405479-AP-356496

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 6/2/2025
Report number: 00405479-AP-356496
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. AV was found with discolorations to his/her right arm. On or about June 2, 2025, AV's right hand had 6 scattered discolorations in irregular shaped circle-like marks. The sizes and descriptions of the discolorations on AV's right hand were: 0.8 cm red and round, 2 cm dark red/blue and round, 1 cm red and round, 2 cm dark red/blue and round, 1 cm red and round, and 0.4 cm red and round. The top of AV's right wrist had 3 spots of discoloration: 0.7 cm, 0.7 cm, and 0.3 cm all of which were round and light red in color. The upper right forearm near AV's elbow had one 0.6 cm red discoloration, which was round in appearance. It was unknown how the discolorations were caused. 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: RCFCP25-01279 $500.00 fine assessed