Print Violation: 00454595-AP-406723

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 1/30/2026
Report number: 00454595-AP-406723
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)
411-054-0030(1)(e)(I):
Findings: Witness 1 (W1) had aggressive and sexual behaviors since November 21, 2025. On or about January 30, 2026, W1 grabbed Alleged Victim’s (AV’s) right arm and was pulling AV toward chairs in the common area, and staff attempted to get W1 to let go of AV. Staff separated AV and W1 during interactions when W1 attempted to follow or grab AV, however, W1 continued behaviors despite redirection efforts and required repeated intervention. Respondent failed to develop and implement suitable interventions. This constitutes abuse by neglect as defined by OAR 411-020-0002(1)(A)(ii) and violates the following OARs:
Sanction: RCFCP26-00621 $500.00 fine assessed