Print Violation: 00421859-AP-373320

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/19/2025
Report number: 00421859-AP-373320
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) had recent history of falls leading up to the fall which occurred on or about August 19, 2025. On or about August 19, 2025, AV fell in the common area. AV was sitting in a chair and napping off and on during the day. AV was noticed to be off baseline earlier in the day. As a result of the fall, AV sustained a head injury. Respondent failed to provide a safe environment for AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i)(ii).
Sanction: RCFCP26-00134 $500.00 fine assessed