Print Violation: 00449551-AP-408698

Provider Information

Klamath Falls Senior Living

2130 N ELDORADO AVE
Klamath Falls, OR 97601

Date: 12/31/2025
Report number: 00449551-AP-408698
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) and Witness 1 (W1) both rely on the facility for care. W1 has a documented history of inappropriate sexual behavior with other residents and is care planned to be escorted any time they are outside of their room. According to an investigation, on or about January 1, 2026, W1 attempted to coerce AV into their room and then sat outside AV's room for days waiting for them to enter the common area. AV was emotionally distressed and stayed inside their room with the door locked for multiple days, to ensure W1 was not outside. The facility failed to provide service, to include following the care plan and/or implementing interventions to mitigate W1 known behaviors and ensure AV's safety, causing AV emotional distress and placing AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by 411-020-0002(1)(b)(A)(i)(ii).
Sanction: ALFCP26-00231 $1500.00 fine assessed