Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00437655-AP-389500
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 11/5/2025
- Report number
- 00437655-AP-389500
- 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 November 5, 2025, AV sustained a fall which resulted in discoloration to AV’s right elbow and discoloration area to the right forearm. AV had previously fallen on five (5) occasions between September and October 2025. 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
- RCFCP26-00208 $500.00 fine assessed