Print Violation: 00419794-AP-391482

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/10/2025
Report number: 00419794-AP-391482
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) was at high risk for skin impairments/bruising easily as evidenced by type 2 diabetes with insulin dependence, age, limited mobility due to history of stroke and AV took a blood thinner daily. Between June 11, 2025, and June 26, 2025, AV was noted to have discolorations on both of AV’s hands, right thigh, right toes, right wrist and right forearm. On July 3, 2025, and July 8, 2025, AV was noted to have an increase in discolorations to AV’s upper extremities, and AV was noted to bruise easily due to aspirin and blood thinning medication. On or about July 11, 2025, AV had bruising near AV’s left elbow measuring 1 cm x 1 cm, AV was not able to communicate how the bruising happened. The facility failed to provide a safe environment for AV, which lead AV to sustain bruising, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP26-00041 $375.00 fine assessed