The findings of the kitchen inspection, conducted 7/11/23, are documented in this report. It was determined the facility was in substantial compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

The findings of the re-visit to the kitchen inspection of 07/11/23, conducted 10/19/23, are documented in this report. The survey was conducted to determine compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

The findings of the revisit to the kitchen inspection of 07/11/23, conducted 12/27/23, are documented in this report. It was determined the facility was in substantial compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Based on observation, interview, and record review, it was determined the facility failed to maintain the kitchen in good repair and in a sanitary manner, and to ensure meals were served at appropriate temperatures and were palatable, in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

Observation of the three cottage kitchens and food storage areas on 7/11/23 at 10:15 am through 2:30 pm revealed the following:

a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, black matter and grease was visible on or underneath the following:

* Walls throughout kitchens;

* Interior of reach in coolers and freezers;

* Reach in cooler and freezer handles;

* Stainless steel shelving;

* Flooring in door thresholds, corners, edges, between and under equipment;

* Ceiling, vents and fire sprinklers;

* Interior and exterior of all plastic drawers;

* Interior of reach in fridges and freezers;

* Industrial can openers and housings;

* Interior of ovens;

* Interior of microwaves;

* Industrial and countertop mixer;

* Ceiling vents, fire sprinklers, light fixtures;

* Mobile and stationary heating carts;

* Cottage B hood vents; and

* Floor in electrical room where freezer located.

b. The following areas were found in need of repair:

* Caulking behind hand washing sink;

* Bottom shelves of metal tables rusted and corroded;

* Large metal grate to grease trap by ware washer was rusted/corroded;

* Holes in walls where large freezer located;

* Ceiling damage in room where large freezer located;

* Floor seam in Cottage C split/gapped; and

* Microwave in cottage C damaged on ceiling with visible rust.

c. Multiple cutting boards were found damaged and in poor repair.

d. Multiple potentially hazardous food items found not labeled or dated. Multiple food items found past their use by dates. Some food items found with visible food/water separation and or mold. Food items not separated when stored as required.

e. Facility not using pasteurized eggs for undercooked egg foods like poached, soft fried eggs.

f. Staff member preparing and/or serving food did not have hair/facial hair effectively restrained as required.

g. Scoops were found stored in bulk food item bins.

h. Clean dishes were found stored on dirty towels.

i. Kitchen staff observed to not wash hands after potentially contaminating hand when switching serving from one kitchen to the next. Kitchen staff observed handling clean dishes with potentially contaminated hands and touching food contact surfaces of those dishes.

j. Kitchen staff observed to have painted nails and was not wearing gloves when preparing or serving food.

k. The incorrect menu was posted for residents in Cottage C. Two residents receiving pureed food were served only the protein portion for their lunch (chicken). No starches/vegetables or dessert was offered. Kitchen staff stated s/he was not used to serving lunch for Cottage C.

Surveyor reviewed above areas with Staff 2 (Dining Services Manager) and s/he acknowledged the identified areas.  At approximately 2:00 pm the surveyor reviewed the areas in need of cleaning, repair and practices with Staff 1 (Executive Director). S/he acknowledged the areas.  

Based on observation, interview, and record review, it was determined the facility failed to maintain the kitchen in good repair and in a sanitary manner, and to ensure meals were served at appropriate temperatures and were palatable, in accordance with the Food Sanitation Rules, OAR 333-150-000. This is a repeat citation. Findings include, but are not limited to:

Observation of the three cottage kitchens and food storage areas on 10/19/23 at 12:15 am through 1:15 pm revealed the following:

a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, black matter and grease was visible on or underneath the following:

* Ceiling vents, light fixtures, smoke detectors;

* Industrial can openers and housings;

* Interior of ovens;

* Range top and grills; and

* Interior of microwaves.

b. The following areas were found in need of repair:

* Bottom shelves of metal tables rusted and corroded; and

* Floor seam in Cottage C split/gapped. Food particles and debris observed accumulating.

Surveyor reviewed above areas with Staff 2 (Dining Services Manager) and s/he acknowledged the identified areas.  At approximately 1:15 pm the surveyor reviewed the areas in need of cleaning, repair and practices with Staff 1 (Executive Director). S/he acknowledged the areas.  

Facility will implement routine (daily,

weekly  & Monthly) cleaning schedule to

address spills, splatters, loose food and trash

debris, dirt, dust, black matter and grease,

to include ceiling vents, light fixtures,

smoke detectors, industrial can openers

and housings, interior of ovens, range

tops and grills and interior of microwaves.

A cleaning log with be signed & dated and

maintained by the Culinary Services

Director & Maintenance Director for

compliance.

Metal tables will be replaced with new tables. Culinary Services Director and Maintenance Director will coordinate delivery, removal and installation of new tables.

Floor seam has been temporarily repaired using epoxy until our vendor can come to the community to do a full and complete repair. Full repair will be completed by qualified contractor.

During survey, there was a hole identified in the ceiling where some wiring was passing thru. We were asked to seal off these type of holes. Hole has now been sealed with caulking. We will continue to look for and fix any other holes similar to this to ensure compliance. Culianry Services Director and Maintenance Director will monitor this along with Executive Director.

Based on interview, observation, and review of documentation, it was determined the facility failed to ensure their kitchen survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C240.

Community has implemented this POC and submitted to licensing within the allotted 10-day time frame. Community ED will inspect and review POC with appropriate department heads weekly to ensure all deficiencies are corrected by the compliance date provided in the POC.

Based on observation, record review, and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to:

Refer to C 240.

Based on observation, record review, and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:

Refer to C240.

ED will opperate memory care community in compliance with OAR 411-057-0140