The findings of the kitchen inspection conducted 12/20/22, are documented in this report. The survey was conducted to determine compliance with OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-15-0000.
The findings of the first revisit to the kitchen inspection of 12/20/22, conducted 02/28/23 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 second revisit to the kitchen inspection of 12/20/22, conducted 06/06/23, 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 and interview, it was determined the facility failed to ensure the kitchen was in good repair, clean and appropriate storage was maintained in accordance with the Food Sanitation Rules 333-150-0000. Finding include, but are not limited to:
On 12/20/22 at 10:10 am, the facility kitchen was observed to need repair, cleaning and appropriate storage in the following areas:
Ceiling lighting concerns throughout the kitchen included:
* Lights were out/not operating at the kitchen entrance;
* Two of three lights in the dry storage area did not have light bulbs installed; and
* Light covers were broken and/or cracked, contained dead flies, dust and debris.
An approximate three inch hole was in the wall between the ice machine and the beverage bar.
Operating fan in the walk in refrigerator had a build up of dust/grease. Improper storage of the following:
* Ice machine had a scoop stored in the ice bin;
* Fifty pound bag of rice was sitting directly on the kitchen floor; and
* A cardboard box of concentrate was sitting directly on walk in freezer floor.
The areas above were observed and discussed with Staff 1 (Executive Director) and Staff 2 (Kitchen Manager) on 12/20/22. The findings were acknowledged.
The plan of correction for Memory Care is be appart of the monthly meetings regarding kitchen sanitation and cleanliness with will be directed by ESD and ED monthly, next sanitiation meeting will be held during ALL staff on the 10th and the 25th of the month(if lands on weekend will be that Friday). We have changed the containers that the silverware were in, all are in containers with lids. We have changed the doorknob to a locking knob. Snacks will be available to all residents around the clock. We are utilizing GROVE Menu for all meal preperations to ensure we are giving the residents the correct amount of nutritents. Alternative menu will be available during all meal times. We have ordered a menu display board, where we will be displaying all meals, and will be updating board daily when menu items change. We will be posting Weekly menu with the Menu display board as well. Met with kitchen staff on 1/16/2023 regarding the cleanliness of the kitchen. Kitchen has routine cleaning schedules they are to follow. Which this will avoid cardboard boxes direct floor. All food items have been removed from floor and found correct placement for storage.
Based on observation and interview, it was determined the facility failed to ensure the kitchen was in good repair in accordance with the Food Sanitation Rules 333-150-0000. Finding include, but are not limited to:
On 02/28/23 at 12:40 pm, the facility kitchen was observed to need repairs in the following areas:
Ceiling lighting concerns throughout the kitchen included:
* One of two light bulbs was out/not operating at the kitchen entrance;
* One of three lights in the dry storage area did not have light bulbs installed, covers were missing; and
* Light covers were broken and/or cracked, contained dead flies, dust and debris.
Staff 1 (Environmental Services Director) stated in an interview at 12:50 pm on 02/28/23, light covers had been ordered, per the invoice, were ordered 02/28/23. Staff one also indicated extra bulbs were available and would be placed in the light fixtures.
We follow Grove Menu that the Dining Manager goes in and makes sure we have the appropriate recommendation for palatable meals. We have an alternitive menu available if requested. The community has three hydration and nutrition stations; the stations are stocked three times a day. These stations provide seasonal fruits and fresh vegtables, individualized snack bags as well as fresh fruit infused water. Community encourages residents to be involved with developing menu ideas and creating menus. We hold a Community Chef Chat once a month that the residents are able to suggest or request meal items. The daily menu is posted on the left side of the kitchen in a green frame, below that is a hanging file with weekly menus that are available to all staff, residents and families. Weekly menus are updated on Fridays by the Dining Service Director. All light bulbs have been replaced with working bulbs. ESD ordered light covers in Jan 2023 due to the delay in back ordered they canceled the order without notifying Pheasant Pointe on 2/28/2023 we purchased covers for the lights in the kitchen and currently waiting for them to arrive to install them. The hole in the wall between the ice machine and the beverage bar has been repaired. From tracking packages we will be compliant 03/13/2023.
Based on observation and interview, it was determined the facility failed to ensure the kitchen inspection survey plan of correction was implemented and satisfied the Department. Findings include but are not limited to:
Refer to C 240 and Z 142.
Pheasant Pointe failed to be complaint from last POC. We were working with the projects team to get the light fixtures repaired but time got ahead of us. On 2/28/2023 we were finally able to place the order for the covering. Hole on the wall has now been repaired. As of today 03/14/2023 all lights are covered with new covers no cracks and the dry storage room has bulb covers. All dry food items are off the ground either on shelves or a milk crate. Alternative menu is available.
2.repairs and cleaning completed as soon as noticed needing. menus and alternative menus are posted and available.
3.Weekly walk through are being done.
4. ED, memory care director, Maintences, kitchen staff.
Based on observation 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 C240.
The plan of correction for Z142 will be completing ongoing training and will meet requirements by 2/1/2023.
Refer to C240.
Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Finding include, but are not limited to:
Refer to C 240.
All training are current and still ongoing.
Refer to C240/C455