Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00441858-AP-393800
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
- 11/27/2025
- Report number
- 00441858-AP-393800
- 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) is now to be a fall risk. Between September 2025 and October 2025, AV sustained five (5) falls. On or about January 27, 2025, at around 3:00am, AV was found on the ground, after staff heard AV yelling from his/her room. 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
- RCFCP26-00217 $500.00 fine assessed