Print Violation: 00426610-AP-378246

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/14/2025
Report number: 00426610-AP-378246
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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) has a known history of falls. On or about September 14, 2025, AV fell and sustained injuries to his/her face as a result of the fall. The only intervention documented was for AV’s injuries to be monitored and new medication was ordered. Some witnesses did not know what AV’s needs and service plan consisted of despite consistently providing care to AV. Respondent failed to implement meaningful interventions for falls, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00197 $750.00 fine assessed