Crystal Terrace Memory Care

A residential care facility in Klamath Falls, Oregon 97601

320 Jade Terrace, Klamath Falls, Oregon 97601. (541) 273-7336.

Watch and the shortlist are kept with a free account, on every device. Your watch list. Oregon’s own record is on ltclicensing.oregon.gov.

The short answer

Record last released by Oregon Department of Human Services, Aging and People with Disabilities on Nov 2, 2026. We couldn’t read Oregon Department of Human Services, Aging and People with Disabilities’ list since Nov 2, 2026; this record is as of then.

211 substantiated violations in the last three years Middle in Klamath County: 10
138 at the state’s most serious level, in three years (needs attention)
44 beds, its licensed capacity

The last 24 months 209 citations in 22 months of the last 36. Last cited Feb 2026. Every month

Each figure’s source sits beside it, in its section below.

What these words mean7

Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
The state’s most serious level: Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
Memory care: Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list.
Accepts Medicaid: The state’s own list says the place takes part in a Medicaid program (a waiver, a contract or a program like Illinois’s supportive living) that can pay for care for people who qualify. Source: Each state’s list.
Licence status: Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

On this record

Who runs it

Residential care facility.
Licensed.
Oregon’s lists don’t name owners or licensees.

ID 50M300

Oregon Department of Human Services, Aging and People with Disabilities, Providers. Released Nov 2, 2026. Updated daily.

Where it comes from

ProvidersOregon Department of Human Services, Aging and People with Disabilities, released Nov 2, 2026
InspectionsOregon Department of Human Services, Aging and People with Disabilities, released Nov 2, 2026
Substantiated violationsOregon Department of Human Services, Aging and People with Disabilities, released Nov 2, 2026
Regulatory actionsOregon Department of Human Services, Aging and People with Disabilities, released Nov 2, 2026

Every source, in full

What did inspectors find?

5 inspections on record since Jul 6, 2022, the latest on Sep 24, 2026, citing 39 deficiencies in all.

211 violations in the last three years, 138 of them abuse findings.

Oregon Department of Human Services, Aging and People with Disabilities, Inspections and Substantiated violations. Released Nov 2, 2026. Updated daily.

When those citations happened

209 citations in 22 months of the last 36. Last cited Feb 2026. The last 3 years, to Nov 2, 2026.

209 citations by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

Each citation, in its source’s words

Grouped by visit, newest first, with the level its source gave it.

Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.

Feb 26, 2026: substantiated violation1 citation

Failed to provide service

Rule Licensing Violation.

Feb 18, 2026: substantiated violation1 citation

Falsified records

Rule Licensing Violation.

Feb 13, 2026: substantiated violation5 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide service

Rule Licensing Violation.
Failed to address resident’s behavior

Rule Licensing Violation.
Failed to report potential or suspected abuse

Rule Licensing Violation.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Feb 2, 2026: substantiated violation4 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide service

Rule Licensing Violation.
Failed to provide oversight and monitoring of change of condition

Rule Licensing Violation.
Failed to provide service

Rule Licensing Violation.

Jan 31, 2026: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Jan 30, 2026: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Dec 20, 2025: substantiated violation1 citation

Failed to provide oversight and monitoring of change of condition

Rule Licensing Violation.

Nov 27, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Nov 21, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Nov 20, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Nov 5, 2025: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Nov 4, 2025: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Sep 17, 2025: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Abuse: Neglect.

Sep 16, 2025: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Sep 14, 2025: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Sep 9, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to administer medication as ordered

Rule Licensing Violation.

Sep 3, 2025: substantiated violation3 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Sep 2, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Aug 31, 2025: substantiated violation2 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Aug 25, 2025: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide service

Rule Licensing Violation.

Aug 23, 2025: substantiated violation3 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to provide oversight and monitoring of change of condition

Rule Licensing Violation.
Failed to properly plan care

Rule Licensing Violation.

Aug 22, 2025: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Aug 19, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to care plan in accordance with assessment

Rule Licensing Violation.

Aug 14, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Aug 11, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Aug 10, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Aug 8, 2025: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Aug 7, 2025: substantiated violation1 citation

Failed to investigate injury of unknown origin to rule out abuse

Rule Licensing Violation.

Aug 3, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 31, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Jul 30, 2025: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Jul 28, 2025: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Jul 24, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 23, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jul 22, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jul 16, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Jul 13, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jul 10, 2025: substantiated violation9 citations

Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to cooperate with an investigation

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.

Jul 9, 2025: substantiated violation6 citations

Failed to use an ABST

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.

Jul 7, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jun 24, 2025: substantiated violation1 citation

Failed to provide appropriate staffing

Rule Licensing Violation.

Jun 23, 2025: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Jun 20, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jun 15, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

Jun 10, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jun 3, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

Jun 2, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 31, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 30, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 21, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

May 17, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

May 7, 2025: substantiated violation3 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

May 6, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 5, 2025: substantiated violation1 citation

Failed to follow care plan

Rule Abuse: Neglect.

May 3, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

May 2, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

May 1, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Apr 30, 2025: substantiated violation4 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

Apr 28, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Apr 22, 2025: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Apr 16, 2025: substantiated violation1 citation

Failed to provide a therapeutic diet

Rule Abuse: Neglect.

Apr 11, 2025: substantiated violation1 citation

Failed to follow care plan

Rule Abuse: Neglect.

Apr 5, 2025: substantiated violation2 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Apr 2, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Apr 1, 2025: substantiated violation2 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Mar 25, 2025: substantiated violation4 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Mar 24, 2025: substantiated violation3 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to assist with eating

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Mar 17, 2025: substantiated violation1 citation

Failed to provide a therapeutic diet

Rule Licensing Violation.

Mar 10, 2025: substantiated violation2 citations

Failure to provide a system that prevents theft or misuse of medication

Rule Licensing Violation.
Failed to administer medication as ordered

Rule Licensing Violation.

Mar 7, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Mar 5, 2025: substantiated violation1 citation

Failed to provide appropriate staffing

Rule Licensing Violation.

Mar 1, 2025: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Feb 26, 2025: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Feb 24, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Feb 16, 2025: substantiated violation1 citation

Failed to assist with toileting

Rule Abuse: Neglect.

Feb 13, 2025: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Feb 12, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Feb 11, 2025: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Feb 7, 2025: substantiated violation2 citations

Failed to provide a safe medication administration system

Rule Licensing Violation.
Failed to administer ordered medication

Rule Licensing Violation.

Feb 4, 2025: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Feb 3, 2025: substantiated violation1 citation

Failed to administer ordered medication

Rule Licensing Violation.

Jan 29, 2025: substantiated violation2 citations

Failed to provide a safe medication administration system

Rule Licensing Violation.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Jan 28, 2025: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Jan 26, 2025: substantiated violation6 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to protect resident from involuntary seclusion

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Abuse: Neglect.
Failed to assist with eating

Rule Abuse: Neglect.
Failed to use an ABST

Rule Licensing Violation.

Jan 24, 2025: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 21, 2025: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Jan 20, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jan 16, 2025: substantiated violation1 citation

Failed to administer ordered medication

Rule Licensing Violation.

Jan 15, 2025: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Jan 10, 2025: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jan 5, 2025: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Jan 2, 2025: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.

Jan 1, 2025: substantiated violation4 citations

Failed to provide service

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to use an ABST

Rule Licensing Violation.

Dec 30, 2024: substantiated violation1 citation

Failed to use an ABST

Rule Licensing Violation.

Dec 26, 2024: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide service

Rule Abuse: Neglect.

Dec 24, 2024: substantiated violation2 citations

Failed to provide a safe medication administration system

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Dec 20, 2024: substantiated violation4 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Dec 19, 2024: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Dec 17, 2024: substantiated violation4 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Abuse: Neglect.
Failed to protect resident from involuntary seclusion

Rule Abuse: Neglect.

Dec 11, 2024: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Dec 8, 2024: substantiated violation3 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Dec 7, 2024: substantiated violation2 citations

Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Nov 22, 2024: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Nov 18, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Nov 17, 2024: substantiated violation4 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Nov 16, 2024: substantiated violation3 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Sep 30, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Sep 13, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Sep 12, 2024: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Aug 26, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Aug 6, 2024: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Jul 23, 2024: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 18, 2024: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 17, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

May 17, 2024: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Apr 6, 2024: substantiated violation2 citations

Failed to provide safe environment

Rule Licensing Violation.
Failed to provide safe environment

Rule Licensing Violation.

Feb 23, 2024: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Feb 18, 2024: substantiated violation2 citations

Failed to provide a safe medication administration system

Rule Abuse: Neglect.
Failed to provide a safe medication administration system

Rule Licensing Violation.

Dec 15, 2023: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to protect resident from involuntary seclusion

Rule Licensing Violation.

Dec 1, 2023: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Nov 23, 2023: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Oct 3, 2023: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Oct 1, 2023: substantiated violation3 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Sep 23, 2023: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Sep 2, 2023: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 1, 2023: substantiated violation1 citation

Failed to submit timely or adequate staffing documentation

Rule Licensing Violation.

Apr 19, 2023: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Jan 20, 2023: substantiated violation1 citation

Failed to use an ABST

Rule Licensing Violation.

Jan 8, 2023: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Jan 7, 2023: substantiated violation2 citations

Failed to protect resident from verbal abuse

Rule Abuse: Neglect.
Failed to protect resident from verbal abuse

Rule Abuse: Neglect.

Nov 16, 2022: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 1, 2022: substantiated violation1 citation

Failed to submit timely or adequate staffing documentation

Rule Licensing Violation.

Jan 7, 2022: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Dec 14, 2021: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

May 9, 2021: substantiated violation2 citations

Failed to provide appropriate staffing

Rule Abuse: Neglect.
Failed to provide appropriate staffing

Rule Abuse: Neglect.

Apr 25, 2021: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Mar 25, 2021: substantiated violation5 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.
Failed to follow care plan

Rule Abuse: Neglect.
Failed to provide appropriate staffing

Rule Licensing Violation.
Failed to assure a qualified caregiver was present

Rule Licensing Violation.

Mar 6, 2021: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Jan 9, 2021: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Dec 19, 2020: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Dec 9, 2020: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Nov 14, 2020: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Oct 26, 2020: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to properly plan care

Rule Abuse: Neglect.

Oct 21, 2020: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Sep 18, 2020: substantiated violation2 citations

Failed to provide safe environment

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Aug 26, 2020: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Aug 23, 2020: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 27, 2020: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Mar 17, 2020: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Feb 4, 2019: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Abuse: Neglect.

Jan 22, 2019: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Jan 13, 2019: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Dec 17, 2018: substantiated violation1 citation

Failed to follow care plan

Rule Abuse: Neglect.

Dec 6, 2018: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Oct 16, 2018: substantiated violation1 citation

Failed to communicate necessary information

Rule Licensing Violation.

Aug 15, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jun 9, 2018: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

May 20, 2018: substantiated violation1 citation

Failed to properly plan care

Rule Licensing Violation.

May 10, 2018: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Apr 21, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Mar 24, 2018: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Mar 12, 2018: substantiated violation1 citation

Failed to assure resident was safe

Rule Licensing Violation.

Feb 28, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 30, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 24, 2018: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Jan 20, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 17, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 2, 2018: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Dec 24, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Dec 15, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Nov 20, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Nov 15, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Oct 26, 2017: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Oct 23, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Sep 18, 2017: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Sep 3, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Aug 16, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Aug 14, 2017: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Jul 25, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jul 18, 2017: substantiated violation1 citation

Failed to provide service

Rule Licensing Violation.

Jul 14, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jul 10, 2017: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Jul 1, 2017: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Jun 26, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

May 31, 2017: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Apr 17, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Apr 14, 2017: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Apr 12, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Apr 4, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Mar 20, 2017: substantiated violation1 citation

Failed to properly plan care

Rule Abuse: Neglect.

Mar 7, 2017: substantiated violation1 citation

Failed to administer medication as ordered

Rule Licensing Violation.

Feb 27, 2017: substantiated violation1 citation

Failed to follow care plan

Rule Abuse: Neglect.

Feb 23, 2017: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Feb 15, 2017: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Feb 12, 2017: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Jan 21, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Jan 19, 2017: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Dec 15, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Dec 2, 2016: substantiated violation1 citation

Failed to provide a therapeutic diet

Rule Licensing Violation.

Dec 1, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Nov 23, 2016: substantiated violation2 citations

Failed to provide safe environment

Rule Licensing Violation.
Failed to perform adequate screening or assessment

Rule Licensing Violation.

Nov 9, 2016: substantiated violation1 citation

Failed to follow care plan

Rule Abuse: Neglect.

Nov 5, 2016: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Oct 22, 2016: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Oct 19, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Sep 30, 2016: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Sep 4, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Aug 25, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Aug 16, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Aug 8, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jul 11, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

May 10, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Apr 1, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Mar 20, 2016: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Feb 5, 2016: substantiated violation1 citation

Failed to intervene when resident’s condition changed

Rule Abuse: Neglect.

Dec 18, 2015: substantiated violation1 citation

Failed to provide service

Rule Abuse: Neglect.

Dec 9, 2015: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Nov 19, 2015: substantiated violation1 citation

Failed to provide safe environment

Rule Abuse: Neglect.

Sep 29, 2015: substantiated violation1 citation

Failed to adequately care plan related to falls

Rule Abuse: Neglect.

Jul 31, 2015: substantiated violation2 citations

Failed to properly plan care

Rule Abuse: Neglect.
Failed to provide safe environment

Rule Licensing Violation.

Jul 29, 2015: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jul 13, 2015: substantiated violation1 citation

Failed to provide safe environment

Rule Licensing Violation.

Jul 7, 2015: substantiated violation1 citation

Failed to provide a safe medication administration system

Rule Licensing Violation.

Jul 2, 2015: substantiated violation1 citation

Failed to assure resident rights

Rule Licensing Violation.

Jun 27, 2015: substantiated violation1 citation

Failed to assure resident rights

Rule Licensing Violation.

All 5 visits on record

Visits on record
Date	Visit	What the record says
Sep 24, 2026	Inspection (Kitchen)	2 deficiencies cited
Sep 5, 2025	Inspection (Re-Licensure)	11 deficiencies cited
Sep 12, 2024	Inspection (Re-Licensure)	24 deficiencies cited
Oct 3, 2023	Inspection (State Licensure)	2 deficiencies cited
Jul 6, 2022	Inspection (State Licensure)	No deficiencies cited

Is it licensed?

Residential care facility, licensed by the Oregon Department of Human Services for 44 residents.
Licensed to offer .
Accepts Medicaid.
Oregon provider ID 50M300.
Licensed for .

Oregon Department of Human Services, Aging and People with Disabilities, Providers and Regulatory actions. Released Nov 2, 2026. Updated daily.

Has the state acted against it?

24 regulatory actions on record: licence condition.
138 abuse findings in the last three years.

Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions and Substantiated violations. Released Nov 2, 2026. Updated daily.

On record, newest first
Date	What	Detail
Feb 13, 2026	Licence condition	Failed to provide safe environment. In effect Feb 13, 2026 to Aug 24, 2026.
Dec 24, 2024	Licence condition	Failed to provide safe environment. In effect Dec 24, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Oct 4, 2024	Licence condition	Failed to provide safe environment. In effect Oct 4, 2024 to Dec 1, 2025.
Jan 5, 2023	Licence condition	Failed to provide appropriate housekeeping services. In effect Jan 5, 2023 to May 1, 2025.
Jan 5, 2023	Licence condition	Failed to provide appropriate housekeeping services. In effect Jan 5, 2023 to May 1, 2025.
Jan 5, 2023	Licence condition	Failed to staff as indicated by ABST. In effect Jan 5, 2023 to May 1, 2025.
Jan 5, 2023	Licence condition	Failed to provide appropriate housekeeping services. In effect Jan 5, 2023 to May 1, 2025.

Who does the caring?

Oregon’s lists don’t include staffing levels.

Who holds the licence?

Oregon’s lists don’t name owners or licensees.

How is it rated?

Oregon links annual quality reports for assisted living and residential care facilities on its own site; they aren’t read here.

How does it compare nearby?

Among 7 facilities of this kind in Klamath County, the middle value for substantiated violations in the last three years was 10; this one had 211.

Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.

6 of the 7 in Klamath County, as the source lists them, by name
Place	Substantiated violations in the last three years
Crystal Terrace Memory Care This assisted living facility	211
Crystal Terrace	41
Klamath Falls Senior Living	75
Pacific Living Centers of Klamath Falls	2
Pelican Pointe	4
Trustwell Living at Rogue River Place	6
Pelican Pointe Assisted Living Community	10

What the record doesn’t say

Oregon doesn’t show complaints still being investigated, or findings under appeal.
Oregon’s lists name the kind of failure behind each violation, not the rule cited or the inspectors’ words; Oregon’s own record has the reports.
Oregon’s inspection list covers about the last five years; its violations go back to 2010.

Sources

Oregon Department of Human Services, Aging and People with Disabilities, Providers (Licensed Long-Term Care Settings Search export, Nov 2, 2026).

Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
Oregon Department of Human Services, Aging and People with Disabilities, Inspections (Licensed Long-Term Care Settings Search export, Nov 2, 2026).

Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations (Licensed Long-Term Care Settings Search export, Nov 2, 2026).

Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions (Licensed Long-Term Care Settings Search export, Nov 2, 2026).

Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).

If you believe something here is wrong, a correction starts with the agency whose record this copies: Oregon Department of Human Services, Aging and People with Disabilities. Oregon’s own record is on ltclicensing.oregon.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 2, 2026.

From the facility

The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.