Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00424362-AP-375884

Provider Information


Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Provider ID
50M300
Administrator
Rachel Vandusen
Phone
(541) 273-7336
Email
rachelvandusen@mbk.com

Violation Details


Date
9/2/2025
Report number
00424362-AP-375884
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) had a history of small discolorations on the arms. AV is care planned to be a two-person assist with transfers. On or about August 27, 2025, AV had areas of discoloration to both of his/her elbows that were from unknown origin. On or about September 2, 2025, AV had injuries of unknown origin to his/her right hand and wrist. The facility failed to provide a safe environment to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01423 $1000.00 fine assessed