The findings of the kitchen inspection, conducted 07/28/23, 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 revisit to the kitchen inspection of 07/28/23, conducted 10/09/23, 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 memory care kitchenette on 07/28/23 at 11:00 am through 3:00 pm revealed the following deficiencies:

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:

* Interior of ice machine with black/mold like substance; and

* Interior of oven in South kitchenette.

b. No designated hand washing sink available in North kitchenette. Dirty dishes were stacked in both sinks.

c. No sanitizing method available to sanitize thermometer between checking food temperatures before service. Observed temperatures not at required 135 degrees F thus potentially contaminating fully cooked products with potentially undercooked products.

d. Multiple food items observed not at 135 degrees F for service. Upon review of temperature records for service for 30 days, there were 27 times hot entrees were recorded below 135 degrees F. There were another 33 meals where no temperature was recorded for the meal.

e. Plate of sandwiches served from lunch along with plated mechanical plates for residents were observed sitting on counter top in South kitchenette at 2:00 pm. They were brought to the kitchenette at 11:15 am. Upon interview with Staff 2 (Food Service Director) s/he acknowledged the expectation would to have placed those items immediately in the refrigerator after meal service.

f. Staff serving/plating food for North unit were observed to dish up food, touch RTE (ready to eat) sandwiches, serve plates and drinks to residents, then return to plating up dishes with same pair of gloves. This practice potentially contaminated the ready to eat products and not in compliance with single use glove use where gloves are for one task only.

At approximately 3:00 pm, the surveyor reviewed above areas with Staff 1 (Executive Director) Staff 2 (Food Service Director) and Staff 3 (Administrator) They acknowledged the identified areas.  

C240

The following actions will be taken to correct the violations:

a. Interior of ice maching is professionally cleaned monthly by an outside provider. Dining Services Director/AED will monitor weekly for compliance. Interior of oven in South kitchenette will be deep cleaned and monitored weekly by Dining Services Director/AED.

b. A separate dish tub will be purchased and used to place dirty dishes until they are washed.  This will free up a sink for designated hand washing.  DSD/AED/AWD/RSD will monitor daily for compliance.

c. Thermometers will be cleaned using an alcohol swab inbetween ensuring that each food item is at the correct temperature.  DSD/AED/AWD/RSD will monitor daily for compliance.

d. Identified the thermometers being used were not functional.  New thermometers purchased immediately and implemented.  Temperature logs will be monitored daily by DSD/AED/AWD/RSD.

e. All cold items are place in the refrigerator after each meal service.  DSD/AED/AWD/RSD will monitor daily for compliance.

f. Inservice will be conducted with MC associates on proper glove usage and service temperatures. Associates will change gloves inbetween preparing  ready to eat foods.  DSD/AED/AWD/RSD will monitor daily for compliance.

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.

Refer to C240