Print Violation: 00437343-AP-389158

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 11/4/2025
Report number: 00437343-AP-389158
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for transfers, ambulation, toileting, and bathing due to AV’s inability to follow directions and resistance. On or about November 4, 2025, at around 11:00 AM, staff observed scattered discoloration/bruising on AV’s left posterior upper arm near the elbow while assisting AV to the bathroom. The pattern of discoloration appeared consistent with fingertip marks. Respondent failed to use proper transfer technique of linking arms or allowing AV to grasp staff, not grabbing the bicep or upper arm, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00205 $500.00 fine assessed