Print Violation: 00426344-AP-378018

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 8/11/2025
Report number: 00426344-AP-378018
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) has a known history of falls. On or about July 2025, during a 2-person assisted transfer, AV fell in the shower. On or about August 6, 2025, AV fell during an assisted shower, hit his/her head and was diagnosed with a concussion as a result. Respondent failed to provide a safe environment during showers, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00466 $1000.00 fine assessed