Print Violation: 00424366-AP-380380

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/3/2025
Report number: 00424366-AP-380380
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) was a 2-person assist with most of his/her care, AV is no longer able to safely self-propel using his/her assistive walking device. On or about September 21, 2025, AV had injuries to his/her right thumb and hand that were from unknown origin. AV had an injury to the left hand that was from unknown origin. This was the third incident of injuries of unknown origin to AV within the month of September 2025. The facility failed to provide a safe environment for AV leading to AV sustaining injuries of unknown origin, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01432 $1125.00 fine assessed