Print Violation: 00458977-AP-411235

Provider Information

Crystal Terrace Memory Care

320 JADE TERRACE
Klamath Falls, OR 97601

Date: 2/13/2026
Report number: 00458977-AP-411235
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)
411-054-0030(1)(e)(I)
Findings: Alleged Victim (AV) relies on the facility for his/her care needs. Witness 1 (W1) has a known history of sexual behaviors towards residents, however, W1’s care plan did not mention or list any of AV’s sexualized or aggressive behaviors. AV and W1 have been found together in the same bed. When staff intervened after W1 would try to sneak residents into his/her apartment, W1 became upset and combative, placing residents in risk of harm. Respondent failed to provide a safe environment, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00476 $500.00 fine assessed