Print Violation: 00409009-AP-360082

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 6/20/2025
Report number: 00409009-AP-360082
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) required caregiver to be right next to him/her at all times. This was due to AV experiencing frequent falls and behaviors such as flailing his/her arms. AV was a total assist in all areas of care and could not do anything for him/herself. AV had been placed on a 1:1 caregiver status since April 1, 2025. On or about June 20, 2025, AV was found to have dark red discolorations to the top of his/her left forearm. The facility failed to provide a safe environment for AV, which resulted in skin injuries, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01284 $375.00 fine assessed