Print Violation: 00426610-AP-392981

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 9/14/2025
Report number: 00426610-AP-392981
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 October 3, 2025, AV once again sustained a fall. AV has a prior fall on or about September 18, 2025, however, there was no temporary safety plan dated September 18, 2025, after AV’s fall. On or about October 1, 2025, it was documented by hospice that AV had increased disorientation and increased agitation. Respondent failed to provide a safe environment to AV, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00197 $750.00 fine assessed