Print Violation: 00416385-AP-367629

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 7/24/2025
Report number: 00416385-AP-367629
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) has a known history of falls. AV requires the use of walker when ambulating, per his/her service plan. Several facility staff stated AV's walker was having issues on or about July 24, 2025, and one facility staff stated they filled out a piece of paper regarding one of the incidents and documented about the walker issue. There were no documents showing AV's walker issues. On or about July 24, 2024, at approximately 3:00 a.m., AV had an unwitnessed fall that resulted in injury. AV had a recent fall earlier that morning that resulted in injury. 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: RCFCP25-01314 $500.00 fine assessed