OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors (d) INTERIOR DOORS. Lever-type door handles must be provided on all doors used by residents.(e) EXIT DOORS. Exit doors may not include locks that delay evacuation except as specified by the building codes. Such locks may not be installed except with written approval of the Department.(A) Exit doors may not include locks that prevent evacuation.(B) If an electronic code must be entered to use an exit door that code must be clearly posted for residents, visitors, and staff use.(f) WALLS AND CEILINGS. Walls and ceilings must be cleanable in kitchen, laundry, and bathing areas. Kitchen walls must be finished smooth per OAR 333-150-0000 (Food Sanitation Rules).(g) ELEVATORS. A RCF with residents on more than one floor must provide at least one elevator that meets Oregon Elevator Specialty Code (OESC) requirements.(h) The interior of the facility must be free from unpleasant odors.(i) All interior and exterior materials and surfaces (e.g., floors, walls, roofs, ceilings, windows, and furniture) and all equipment necessary for the health, safety, and comfort of the resident will be kept clean and in good repair. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to ensure the environment was maintained in clean and good repair. Findings include, but are not limited to: Observations of the Maple and Oak memory care units, from 08/25/25 through 08/27/25, identified the following: * Significant carpet stains were observed throughout Maple and Oak cottages; and * There was a strong, pervasive urine odor detected in Oak cottage, which failed to dissipate over the course of the survey. On 08/27/25, the need to ensure the environment was maintained in clean and good repair was reviewed with Staff 1 (ED) and Staff 5 (Maintenance Services). They acknowledged the findings.

Deficiency:stained carpet and strong urine odor. Plan of correction 1. All community carpets were professionally cleaned with a odor nutralizer specific to urine on 8/28/2025. Areas with stains were treated with an acid wash on 8/28/2025. 2. Carpeting in all common areas on both Oak and Maple sides will be replaced to fully address the staining and odor. The community is currently accepting bids for carpet replacement. Once bid is selected , installation will occur within an estimated 10-12 weeks lead time. 3. Until the carpeting is replaced housekeeping supervisor will complete enviromental rounds to ensure the areas remain clean and odor free, this information will be shared with the Executive Director and any stains or odors will be addressed immediately. Carpets have been scheduled for twice monthly professional cleaning and application of odor nutralizer. These processess will ensure carpets remain clean and odor free and prevent reoccurrance of stain and odor concerns. 4. The Housekeeping Supervisor with oversight by the Executive Director will be responsible for ensuring corrections and completed and monitored.

OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors (d) INTERIOR DOORS. Lever-type door handles must be provided on all doors used by residents.(e) EXIT DOORS. Exit doors may not include locks that delay evacuation except as specified by the building codes. Such locks may not be installed except with written approval of the Department.(A) Exit doors may not include locks that prevent evacuation.(B) If an electronic code must be entered to use an exit door that code must be clearly posted for residents, visitors, and staff use.(f) WALLS AND CEILINGS. Walls and ceilings must be cleanable in kitchen, laundry, and bathing areas. Kitchen walls must be finished smooth per OAR 333-150-0000 (Food Sanitation Rules).(g) ELEVATORS. A RCF with residents on more than one floor must provide at least one elevator that meets Oregon Elevator Specialty Code (OESC) requirements.(h) The interior of the facility must be free from unpleasant odors.(i) All interior and exterior materials and surfaces (e.g., floors, walls, roofs, ceilings, windows, and furniture) and all equipment necessary for the health, safety, and comfort of the resident will be kept clean and in good repair. This Rule is not met as evidenced by:

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: 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: C 513.

Deficiency:stained carpet and strong urine odor. Plan of correction 1. All community carpets were professionally cleaned with a odor nutralizer specific to urine on 8/28/2025. Areas with stains were treated with an acid wash on 8/28/2025. 2. Carpeting in all common areas on both Oak and Maple sides will be replaced to fully address the staining and odor. The community is currently accepting bids for carpet replacement. Once bid is selected , installation will occur within an estimated 10-12 weeks lead time. 3. Until the carpeting is replaced housekeeping supervisor will complete enviromental rounds to ensure the areas remain clean and odor free, this information will be shared with the Executive Director and any stains or odors will be addressed immediately. Carpets have been scheduled for twice monthly professional cleaning and application of odor nutralizer. These processess will ensure carpets remain clean and odor free and prevent reoccurrance of stain and odor concerns. 4. The Housekeeping Supervisor with oversight by the Executive Director will be responsible for ensuring corrections are completed and monitored.

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: