Aging and People with Disabilities
Safety, Oversight and Quality
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
- 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
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- 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