Print Violation: 00437650-AP-389496

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 11/5/2025
Report number: 00437650-AP-389496
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) relies on the facility for his/her care. On or about November 5, 2025, AV was found to have a 2.5 cm long skin tear on his/her right forearm while being assisted with a shower by staff. AV has a history of scratching his/her skin and had varying complaints of itchy skin on or about October 6, 2025, however, there were no new interventions on AV’s care plan. Respondent failed to care plan around AV’s skin issues, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00493 $500.00 fine assessed