Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00425329-AP-376878

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
9/9/2025
Report number
00425329-AP-376878
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) was a high fall risk. Between July 2025 and August 2025, AV sustained seven (7) falls. On or about September 09, 2025, AV was found on his/her hands and knees and had some red discoloration to his/her knees. As a result of this fall, AV sustained skin tear to his/her bottom lip. 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
RCFCP25-01425 $375.00 fine assessed