Print Violation: 00416335-AP-367574

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 7/7/2025
Report number: 00416335-AP-367574
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim’s (AV’s) care plan states staff are supposed to redirect AV as needed when in other residents' personal space and staff are supposed to ensure safety of Witness 1 (W1) or others if W1 becomes agitated. On or about July 6, 2025, W1 pushed AV after AV was touching W1's hair. On or about July 7, 2025, AV reached into W1's walker basket. W1 reached over and slapped AV's left arm. AV and W1 had a previous altercation. The facility failed to assure AV’s care plan was being followed by not keep AV and W1 separated, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01311 $500.00 fine assessed