Print Violation: 00418160-AP-369519

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/3/2025
Report number: 00418160-AP-369519
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)
411-054-0030(1)(e)I)
Findings: Witness 1 (W1) was known to facility staff to have aggressive behaviors towards both facility staff and other residents. W1 is care planned to have known behaviors around the chair that he/she liked to sit in. W1 was known to be possessive over a certain chair in the common area of facility. On or about August 3, 2025, W1 grabbed Alleged Victim (AV) by the shoulder because AV would not get out of a chair that AV was sitting in. As a result of the altercation, AV suffered shoulder pain from the incident. 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: RCFCP25-01317 $375.00 fine assessed