Print Violation: 00423185-AP-374674

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/25/2025
Report number: 00423185-AP-374674
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) was listed as a two person assist in ambulation and unable to ambulate on his/her own per the care plan. AV is listed as independent with call system but also lists AV cannot use the call system. AV had four (4) falls in July of 2025. On or about August 27, 2025, AV was found on the floor with an injury to his/her right hip/upper thigh. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01318 $500.00 fine assessed