Print Violation: 00420400-AP-371774

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/14/2025
Report number: 00420400-AP-371774
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. On or about August 14, 2025, AV was found on the floor on his/her hands and knees in his/her room. AV had previously fallen on or about July 2nd, 16th, 21st, 23rd, 2025 and on August 6, 2025. One of those falls resulted in a laceration to AV’s face. Respondent failed to provide a safe environment for AV, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00196 $375.00 fine assessed