Print Violation: 00424362-AP-377545

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/2/2025
Report number: 00424362-AP-377545
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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 known to have sensitive gums that were prone to bleeding, AV is also care plan to be a one-person assist with oral care. On or about August 7, 2025, AV's gums were bleeding due to the lack of oral care. Facility staff were not consistently providing oral care to AV. The facility failed to follow the care plan around AV’s oral care, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01423 $1000.00 fine assessed