Print Violation: 00422101-AP-373567

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/23/2025
Report number: 00422101-AP-373567
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about June 15, 2025. AV developed a blister to his/her right lower leg. AV was known not to sleep in recliner and known to constantly sit in common area chair. AV was taken to urgent care by facility staff on June 17, 2025, for blister to his/her leg. AV was given an antibiotic, recommended to have compression stockings and elevate legs. AV continued to have blistering/wound on his/her right leg through the month of June, July and August of 2025. As a result, AV had to be admitted to the hospital due to an infection on his/her leg which had become worse. The facility failed to proper care and interventions to prevent further decline to AV’s wound, which is a violation of resident rights, is neglect of care and constitute abuse.
Sanction: RCFCP25-01261 $1500.00 fine assessed