I moved my mother here and I'm very pleased - the community feels like home with warm, inclusive, and genuinely caring staff. Melissa Brown runs outstanding, personalized activities that boost residents' mental and emotional wellbeing; meals, fitness classes, outings and memory-care are excellent. Communication was responsive and the transition was smooth; I would recommend this community for a loved one.
Loved one of resident
Sep 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Housekeeping and linen services
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Community services
Move-in coordination
Activities
Community-sponsored activities
Scheduled daily activities
Reviews
4.50·(96)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.6
Meals
4.2
Amenities
4.5
Value
2.7
Pros
Compassionate, resident-focused staff
Engaging, personalized activity program
Strong activity leadership (experienced director)
Wide amenity selection (pool, theater, gym)
Independent cottages with lake views
On-site therapy and fitness programs
Restaurant-style dining options
Accommodation for dietary allergies
Hands-on, accessible administration
Well-maintained grounds and interiors
Regular family communication and updates
Continuum of care options (independent, assisted, memory)
Frequent social outings and group classes
Close proximity to hospital and services
Clean and elegant common-area dining ambiance
Cons
Inconsistent meal quality and availability
Staffing shortages and leadership turnover
Medication-management and clinical oversight gaps
Inconsistent housekeeping and sanitation in some private rooms
Transportation safety and wheelchair-ride comfort deficiencies
Limited assisted-care services in independent cottages
Under-engagement and limited programming in memory-care unit
Rate increases and perceived value mismatch
Large multi-level layout that can be confusing or overwhelming
Summary of reviews
Crystal Terrace of Klamath Falls presents as a well-appointed senior living community with strong social programming and a staff culture that many families describe as compassionate and resident-centered. The activity program is a consistent strength: reviewers highlighted a wide range of classes, outings, therapeutic exercises, music and arts offerings, and a highly regarded activities leadership that emphasizes individualized engagement. The dining and amenity profile is also notable — the facility offers restaurant-style dining, accommodations for dietary allergies, on-site therapy and fitness resources, a theater, an indoor pool, and independent cottage living with attractive lake views.
Care and staffing are described in largely positive terms with many accounts of attentive, patient caregivers and supportive memory-care staff. Several staff members and managers were singled out for praise for hands-on leadership and strong family communication. At the same time, there are recurring operational concerns: reviewers cited staffing shortages and turnover that appear to affect service consistency, and specific clinical-process weaknesses were noted, including gaps in medication administration and monitoring. Families should evaluate clinical oversight and staffing stability when considering placement, particularly for residents with higher care needs.
Dining feedback is mixed. Numerous reviewers praised the quality, portioning, and presentation of meals and the restaurant-style dining experience, but others described inconsistent meal availability and variable meal preparation. For some residents this manifested as missed lunches or menu items not matching expectations. Transportation and logistics also emerge as an operational weakness: wheelchair transportation and vehicle-ride comfort were identified as problematic for some residents, suggesting potential gaps in transportation equipment or procedures.
Housekeeping and room-level cleanliness are generally satisfactory in public spaces, but several accounts point to sanitation and odor concerns in individual rooms and to inconsistent housekeeping attention. Memory-care programming appears less active than assisted-living offerings for some residents; reviewers described fewer engagement options and instances of residents being less involved. Financially, some families perceive a mismatch between rising rates and the value of services, and management turnover or limited executive accessibility were cited as stress points when families sought resolution for issues.
In summary, Crystal Terrace offers a robust social environment, substantial amenities, and many staff members who receive high marks for compassion and communication. Prospective residents and families should verify current staffing levels, medication-management protocols, transportation arrangements, and memory-care engagement during tours. Asking for recent staffing metrics, sample menus and typical meal-service routines, a walk-through of transportation vehicles, and examples of memory-care daily schedules will help assess whether the facility’s strengths align with a particular resident’s clinical and social needs.
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Location
Crystal Terrace of Klamath Falls is located at 1000 Town Center Dr, Klamath Falls, OR, 97601.
About Crystal Terrace of Klamath Falls
Crystal Terrace of Klamath Falls is a senior living community designed to enhance the quality of life for its residents within the breathtaking natural landscape of Klamath Falls, Oregon. Set on 22 acres of lush mountainside, the community offers stunning views of the Upper Klamath Lake and is meticulously landscaped with manicured gardens, winding walking paths, and charming cottages nestled among the greenery. The grounds of Crystal Terrace provide a tranquil and inspiring environment, adding to the sense of peace and relaxation that permeates daily life here.
Residents at Crystal Terrace have access to a broad spectrum of living options, including Independent Living, Assisted Living, and Memory Care, each tailored to suit individual needs and preferences. The community offers a variety of floor plans, some with full kitchens, washers and dryers, and others with efficient kitchenettes and access to laundry services. This flexibility allows residents to find the perfect space that feels like home while ensuring comfort and convenience in their daily routines. The maintenance-free lifestyle at Crystal Terrace frees residents from the burdens of household upkeep, granting them more time to enjoy life and focus on what matters most to them.
Amenities at Crystal Terrace are extensive and thoughtfully designed to cater to a wide range of interests and needs. Residents can enjoy a refreshing swim in the heated indoor swimming pool or stay active in the well-equipped fitness center. Social opportunities abound, with spaces such as the Fireside Bistro for engaging conversations and the elegant formal dining room for delicious meals prepared by a skilled culinary team. Movie nights are held in the cozy onsite theater, while a game of billiards in the activity room offers fun and friendly competition. Additional features include a beauty salon and barbershop, scheduled transportation services, pet-friendly accommodations, and regular housekeeping and laundry services to further support a comfortable lifestyle.
The atmosphere at Crystal Terrace centers on fostering a warm and welcoming environment where residents' health, safety, and well-being are the highest priorities. A dedicated caregiving team is available around the clock, providing personalized assistance and support when needed. Activities, support services, and menu choices are thoughtfully tailored to match the unique interests and needs of each resident, ensuring a sense of fulfillment and happiness every day. There is also a focus on providing comfort, support, and connections for residents with memory loss through specialized care programs.
Every day at Crystal Terrace of Klamath Falls is an invitation to experience the joy of resort-style senior living, surrounded by Oregon's natural beauty. With its extensive amenities, caring staff, and vibrant atmosphere, Crystal Terrace offers seniors an exceptional opportunity to live life to the fullest in a supportive and inspiring community.
Founded in 1990 and headquartered in Irvine, California, MBK Senior Living operates 38 communities across six western states. As a subsidiary of Fortune 500 company Mitsui & Co., MBK offers independent living, assisted living, and memory care services. Their Japanese-inspired philosophy centers on three core values: Ageless Exploration, Better Together, and Reason for Being.
People often ask...
Crystal Terrace of Klamath Falls offers competitive pricing, with rates starting at a cost of $3,805 per month.
Crystal Terrace of Klamath Falls offers independent living, assisted living, memory care, and continuing care retirement community.
There are 45 photos of Crystal Terrace of Klamath Falls on Mirador.
Yes, Crystal Terrace of Klamath Falls allows residents to age in place and adjust their level of care as needed.
The full address for this community is 1000 Town Center Dr, Klamath Falls, OR 97601.
No, Crystal Terrace of Klamath Falls does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Found that a resident with a history of falls was found on the floor with a facial injury after their pendant was missing for about a week, and staff did not ensure a functioning pendant, constituting abuse by neglect.
Abuse—Failed to provide service
02 Nov 2025Abuse: Neglect
02 Nov 2025Abuse: Neglect
Found neglect due to not following the care plan and inadequate meal supervision, leading to weight loss.
Abuse—Failed to follow care plan
25 Oct 2025Inspection
25 Oct 2025Inspection
Found that service plans did not reflect residents' needs and preferences, violating state rules.
Licensing—Failed to properly plan care
25 Oct 2025Inspection
25 Oct 2025Inspection
Investigated the allegation of failing to report potential or suspected abuse and determined it was substantiated.
Licensing—Failed to report potential or suspected abuse
22 Sept 2025Abuse: Neglect
22 Sept 2025Abuse: Neglect
Found abuse by neglect due to failure to provide service and inadequate wound care after hospital discharge, with a pressure injury discovered and a non-staff bandage and delay in reporting.
Abuse—Failed to provide service
15 Jul 2025Abuse: Neglect
15 Jul 2025Abuse: Neglect
Investigated a neglect allegation and found care planning deficiencies that contributed to seven falls. A $1000 fine was assessed.
Abuse—Failed to properly plan care
15 Jul 2025Abuse: Neglect
15 Jul 2025Abuse: Neglect
Found neglect due to failing to plan care and intervene to prevent falls, resulting in multiple falls; a $1000 fine was assessed.
Abuse—Failed to properly plan care
09 Jul 2025Inspection
09 Jul 2025Inspection
Found a deficiency for failing to provide documentation upon request. This is a licensing violation.
Licensing—Failed to provide safe environment
09 Jul 2025Inspection
09 Jul 2025Inspection
Investigated the allegation and determined that documentation was not provided upon request.
Licensing—Failed to cooperate with an investigation
09 Jul 2025Inspection
09 Jul 2025Inspection
Concluded the allegation of failing to cooperate with an investigation; documentation was not provided when requested.
Licensing—Failed to cooperate with an investigation
09 Jul 2025Inspection
09 Jul 2025Inspection
Investigated the allegation and found a failure to provide documentation upon request, resulting in a Level 2 licensing deficiency.
Licensing—Failed to provide safe environment
09 Jul 2025Inspection
09 Jul 2025Inspection
Investigated and determined a violation for failing to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
09 Jul 2025Inspection
09 Jul 2025Inspection
Investigated the allegation of failing to cooperate; documentation was not provided upon request.
Licensing—Failed to cooperate with an investigation
09 Jul 2025Inspection
09 Jul 2025Inspection
Investigated and found that documentation was not provided upon request; the allegation of failing to cooperate with an investigation was supported.
Licensing—Failed to cooperate with an investigation
09 Jul 2025Inspection
09 Jul 2025Inspection
Determined that the allegation of failing to provide a safe environment was sustained and that documentation was not provided upon request.
Licensing—Failed to provide safe environment
01 Jul 2025License Condition
01 Jul 2025License Condition
Investigated the allegation that care planning was improper and found deficiencies in care planning.
Regulatory Action—Failed to properly plan care
16 Jun 2025Inspection
16 Jun 2025Inspection
Investigated and identified a deficiency for not developing, maintaining, and implementing an acuity-based staffing tool as required by the rule.
Licensing—Failed to use an ABST
16 Jun 2025Inspection
16 Jun 2025Inspection
Investigated the allegation that service plans did not reflect residents' needs and preferences; found a deficiency in care planning.
Licensing—Failed to properly plan care
05 Jun 2025Inspection
05 Jun 2025Inspection
Investigated a medication administration issue and found orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
05 Jun 2025Inspection
05 Jun 2025Inspection
Found that an acuity-based staffing tool was not developed, maintained, or implemented as required by the rule.
Licensing—Failed to use an ABST
05 Jun 2025Inspection
05 Jun 2025Inspection
Found that medication records lacked resident-specific instructions and parameters for PRN medications.
Licensing—Failed to provide a safe medication administration system
05 Jun 2025Inspection
05 Jun 2025Inspection
Found that service plans did not reflect residents' needs or include their preferences, contrary to the applicable rule.
Licensing—Failed to properly plan care
18 May 2025Inspection
18 May 2025Inspection
Identified a deficiency for not maintaining an updated ABST that reflected resident needs, with inconsistencies between roster, care plans, and ABST data.
Licensing—Failed to use an ABST
15 May 2025Inspection
15 May 2025Inspection
Investigated a failure to maintain an up-to-date Acuity-Based Staffing Tool (ABST) that reflected resident care needs, finding inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 May 2025Inspection
01 May 2025Inspection
Investigated and found that the Acuity-Based Staffing Tool was not updated to reflect resident needs. Inconsistencies were identified between the resident roster, care plans, and the ABST data.
Licensing—Failed to use an ABST
01 May 2025Abuse: Neglect
01 May 2025Abuse: Neglect
Found an unwitnessed bathroom fall likely caused by a bathmat on the floor. Concluded that a safe environment was not provided, resulting in neglect.
Abuse—Failed to provide safe environment
30 Apr 2025Inspection
30 Apr 2025Inspection
Investigated an allegation and found the ABST did not reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
24 Apr 2025Licensure
24 Apr 2025Licensure
Identified multiple deficiencies across administration, resident care, medication administration, safety training, and building maintenance. Violations included inadequate incident investigations, incomplete service plans, inaccurate MARs, ABST updates, fire safety training, and exterior repair issues.
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—General Building Exterior
18 Apr 2025Abuse: Neglect
18 Apr 2025Abuse: Neglect
Determined neglect occurred by not following the care plan, resulting in a resident being on the floor for hours with a head injury.
Abuse—Failed to follow care plan
18 Apr 2025Inspection
18 Apr 2025Inspection
Identified deficiencies in ABST use with inconsistencies between roster, care plans, and ABST data, and insufficient staffing to meet resident needs.
Licensing—Failed to use an ABST
03 Apr 2025Inspection
03 Apr 2025Inspection
Investigated an ABST issue and found inconsistencies between the resident roster, care plans, and ABST data. Concluded that these issues violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
03 Apr 2025Abuse: Neglect
03 Apr 2025Abuse: Neglect
Substantiated a failure to provide a safe medication administration system, placing a resident at risk of insulin misadministration. A $188 fine was assessed.
Abuse—Failed to provide a safe medication administration system
30 Mar 2025Abuse: Neglect
30 Mar 2025Abuse: Neglect
Found deficient fall-risk care planning that led to injuries from falls.
Abuse—Failed to properly plan care
23 Mar 2025Inspection
23 Mar 2025Inspection
Found failure to provide documentation upon request, violating administrative rules. This constitutes a licensing violation.
Licensing—Failed to provide safe environment
17 Mar 2025Inspection
17 Mar 2025Inspection
Found deficiencies in the Acuity-Based Staffing Tool's ability to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
17 Mar 2025Abuse: Neglect
17 Mar 2025Abuse: Neglect
Determined abuse by neglect occurred due to failure to properly plan care for a known fall risk, resulting in five falls and injuries.
Abuse—Failed to properly plan care
17 Feb 2025Inspection
17 Feb 2025Inspection
Investigated a financial exploitation allegation; concluded that a resident was not protected from financial exploitation, resulting in violations of state rules.
Licensing—Failed to protect resident from financial exploitation
08 Jan 2025Abuse: Neglect
08 Jan 2025Abuse: Neglect
Investigated an abuse by neglect case found failure to provide a safe environment, with a $250 fine assessed.
Abuse—Failed to provide safe environment
20 Nov 2024Kitchen
20 Nov 2024Kitchen
Found violations of food sanitation rules due to improper storage, unlabeled and expired foods, missing temperature monitoring, and dirty kitchen areas.
Found that staff failed to protect a resident from emotional abuse.
Licensing—Failed to protect resident from mental or emotional abuse
21 May 2024Complaint
21 May 2024Complaint
Found insufficient awake direct care staffing to meet residents' 24-hour needs, causing delays in meal assistance and call-light responses. Noted residents waited for assistance and staff were reportedly unable to press call buttons on behalf of residents.
Deficiency—Staffing Requirements and Training: Staffing
13 Jan 2024Abuse: Neglect
13 Jan 2024Abuse: Neglect
Found neglect and abuse due to failure to properly plan care, contributing to anxiety-related risk and delayed medication response; a $500 fine was assessed.
Abuse—Failed to properly plan care
02 Nov 2023Inspection
02 Nov 2023Inspection
Concluded that qualified awake direct care staff were not provided in sufficient numbers to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
03 Oct 2023Licensure
03 Oct 2023Licensure
Found deficiencies in food sanitation and kitchen maintenance, including unclean surfaces and unlabeled foods.
Investigated a resident safety complaint and found that staff failed to provide a safe environment, resulting in abuse/neglect with a fine assessed.
Abuse—Failed to provide safe environment
15 Aug 2023Abuse: Neglect
15 Aug 2023Abuse: Neglect
Investigated a report of abuse and neglect; found a failure to provide a safe environment for a resident, with substantiated findings and a $250 fine.
Abuse—Failed to provide safe environment
05 Jul 2023Inspection
05 Jul 2023Inspection
Found insufficient qualified awake direct care staff to meet 24-hour needs, with delayed responses to call lights.
Licensing—Failed to provide appropriate staffing
05 Mar 2023Abuse: Neglect
05 Mar 2023Abuse: Neglect
Investigated found that the resident's care plan wasn't updated after a decline following a fall, leading to increased care needs. A later fall resulted in a broken hip.
Abuse—Failed to properly plan care
17 Oct 2022Abuse: Neglect
17 Oct 2022Abuse: Neglect
Investigated found that a staff member did not use a gait belt and did not follow the care plan, resulting in a resident fall and skin tear. Violations were cited and a fine was assessed.
Abuse—Failed to follow care plan
06 Jul 2022Licensure
06 Jul 2022Licensure
Determined substantial compliance with state rules governing meals and food sanitation.
Deficiency—Comment
22 Sept 2021Validation
22 Sept 2021Validation
Investigated and identified widespread deficiencies across administration oversight, resident care planning, health services coordination, staffing, and safety systems.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Staffing Rqmt and Training: Training Rqmts
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
21 Sept 2021Abuse: Neglect
21 Sept 2021Abuse: Neglect
Investigated an allegation of neglect; found that insufficient staffing allowed a single staff member to transfer a resident, creating a risk of harm, and a $250 fine was assessed.
Abuse—Failed to provide safe environment
05 Mar 2018Abuse: Neglect
05 Mar 2018Abuse: Neglect
Found a failure to provide a safe environment that led to physical injury.
Abuse—Failed to follow care plan
24 Apr 2017Abuse: Neglect
24 Apr 2017Abuse: Neglect
Investigated and found a failure to provide a safe environment that led to a resident-to-resident altercation with minor injuries.
Abuse—Failed to provide safe environment
31 Jan 2017Inspection
31 Jan 2017Inspection
Investigated an allegation and identified a deficiency in medication administration, noting orders were not carried out as prescribed.
Licensing—Failed to provide safe environment
08 Mar 2016Inspection
08 Mar 2016Inspection
Found a violation of care plan implementation after staff transferred a person needing two-person assistance with only one person, and the administrator did not ensure required services were carried out.
Licensing—Failed to follow care plan
08 Mar 2016Inspection
08 Mar 2016Inspection
Found that staff failed to protect a resident from rough treatment and did not treat residents with dignity and respect.
Licensing—Failed to protect resident from rough treatment
27 Nov 2015Inspection
27 Nov 2015Inspection
Investigated allegations of unsafe medication practices and found failure to follow physician's orders, creating a serious risk of harm due to an unsafe medication administration system.
Licensing—Failed to provide a safe medication administration system
27 Nov 2015Abuse: Neglect
27 Nov 2015Abuse: Neglect
Determined neglect for failing to intervene when a resident's condition changed, resulting in a pressure sore.
Abuse—Failed to intervene when resident's condition changed
30 Oct 2015Inspection
30 Oct 2015Inspection
Investigated and identified a deficiency for not having an established medication delivery system, tied to an allegation of failing to administer medication as ordered.
Licensing—Failed to administer medication as ordered
05 May 2015Abuse: Neglect
05 May 2015Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide oversight of changes in condition, resulting in an unsafe environment and a monetary sanction.
Abuse—Failed to provide oversight and monitoring of change of condition
10 Mar 2015Abuse: Neglect
10 Mar 2015Abuse: Neglect
Investigated a neglect allegation and found that the care plan was not followed, leading to increased confusion and health risk.
Abuse—Failed to care plan in accordance with assessment
20 Feb 2015Abuse: Verbal/Mental abuse
20 Feb 2015Abuse: Verbal/Mental abuse
Found verbal/mental abuse involved humiliation and harassment, putting the resident at risk of significant emotional harm.
Abuse—Failed to protect resident from mental or emotional abuse
04 Feb 2015Abuse: Neglect
04 Feb 2015Abuse: Neglect
Determined that a failure to provide appropriate care occurred, resulting in hospitalization.
Abuse—Failed to follow care plan
22 Jul 2014Abuse: Neglect
22 Jul 2014Abuse: Neglect
Found neglect for failing to follow the care plan and provide a safe environment.
Abuse—Failed to follow care plan
24 Feb 2014Abuse: Neglect
24 Feb 2014Abuse: Neglect
Found failure to follow the care plan that could cause minor harm or potential for moderate harm.
Abuse—Failed to follow care plan
01 Jan 2014Abuse: Neglect
01 Jan 2014Abuse: Neglect
Found a safety failure that led to physical injury and a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
18 Nov 2013Abuse: Neglect
18 Nov 2013Abuse: Neglect
Investigated an allegation of neglect related to falls; determined there was a failure to adequately plan care for falls, and a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
02 Nov 2013Abuse: Neglect
02 Nov 2013Abuse: Neglect
Found a failure to protect a resident from physical injury related to falls. A related neglect allegation resulted in a $300 fine.
Abuse—Failed to adequately care plan related to falls
27 Jan 2013Abuse: Neglect
27 Jan 2013Abuse: Neglect
Found neglect due to inadequate care resulting in serious injury; a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
27 Jan 2013Inspection
27 Jan 2013Inspection
Investigated the allegation of inadequate screening or assessment and found a deficiency involving the use of wrongful restraints.
Licensing—Failed to perform adequate screening or assessment
12 Aug 2012Abuse: Financial abuse
12 Aug 2012Abuse: Financial abuse
Found that residents were not protected from theft. The financial exploitation allegation was substantiated.
Abuse—Failed to protect resident from financial exploitation
13 Mar 2011Abuse: Neglect
13 Mar 2011Abuse: Neglect
Investigated a neglect allegation and found the care plan was not followed, with a $300 fine assessed.
Abuse—Failed to follow care plan
26 Jul 2010Abuse: Financial abuse
26 Jul 2010Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to provide a safe environment. Residents' personal belongings were not adequately protected from theft.
Abuse—Failed to provide safe environment
01 Jan 2010Abuse: Neglect
01 Jan 2010Abuse: Neglect
Investigated an allegation of neglect and found a failure to protect a resident from theft of medication.
Abuse—Failed to provide safe environment
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