OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by: Based on observations and interview, it was determined the facility failed to maintain the kitchen in good repair and in a sanitary manner, and in accordance with the Food Sanitation Rules, OAR 333-150-000. include, but are not limited to: Observation of the main kitchen and four resident houses on 09/04/24 at 10:30 am through 1:30 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 main kitchen oven; * Exterior of both kitchen AC unit grates; * Metal storage rack in dry storage; * Kitchenette ovens in house 120 and 150 and, * Multiple cabinets in houses with food drips, spills or crumbs. b. The following areas were found in need of repair: * Caulking around sides of handwashing sink in kitchen with black debris. * Caulking in dish washing area with section of black debris. * Caulking behind sinks in resident houses with damage, back debris build up. * Door seals to reach in deli cooler and walk in cooler with large black substance build up. * Reach in refrigerators in house 130 and 160 not maintaining temperatures of 41 degrees Fahrenheit (F) or lower. * Microwaves in houses with damage to interior surfaces yielding an unsmooth uncleanable surface. * Multiple cabinets in resident houses with damage to interior surfaces exposing porous wood surfaces. * Thermometer in reach in refrigerator in house 120 damaged needing replaced. c. Multiple sauté pans with damage to cooking surfaces and in need of replacement. Multiple service trays with cracked/chipped/damaged edges and/or peeling/scratched/damaged surfaces. d. Refrigerator in house 130 noted to be at 44 degrees F at 12:05 pm and at 47 degrees F at 12:25pm. Food item temperatures stored inside we checked and found the following; milk at 49.7 degrees F and strawberry yogurt 46.5 degrees F. Care staff acknowledged they saw the fridge temperature was elevated when serving drinks to residents for lunch but had not had the chance yet to ask for permission to durn the temperature down. Staff could not remember what the temperature the fridge was at during breakfast or how long the fridge was at the elevated temperature. Staff indicated it was night shifts responsibility to monitor and record the temperature of the refrigerator. Staff turned up the cooling mechanism for the fridge at that time. Surveyor instructed staff to not serve residents food from the refrigerator and that they would let the Administrator know about the issue. House 160’s reach in refrigerator was noted to be at 49.2 degrees F at 12:35 pm. Items stored inside the fridge were checked and found the following: milk was at 47.4 degrees F and yogurt was at 48.3 degrees F. Care staff present did not know how long the fridge and food items had been at elevated temperatures. Staff voiced the refrigerator was at the coldest setting (four). Staff 1 (administrator) and staff 2 (Food Service Director) were immediately notified of the elevated temperatures and both indicated the food items would be discarded and refrigerators would be looked at by maintenance. Surveyor toured the main kitchen and reviewed resident house concerns with Staff 2 at approximately 12:45pm and they acknowledged the identified areas. At approximately 1:30 pm the surveyor reviewed the areas in need of cleaning, repair and practices with Staff 1 (Administrator) and they acknowledged the areas in need of correction.

All areas in the kitchen and kitchenettes have been repaired, cleaned or replaced. Review of the daily, weekly and monthly cleaning schedule for the kitchen/kitchenettes and areas were added/updated to cleaning schedule. Staff training provided on all areas for cleaning tasks. All refrigerators are on a monthly maintenance schedule, temerature logs were updated with guidelines for out of range temps and will be checked daily. If temps are out of range, food/drinks will be stored in another refrigerator or thrown away. Staff training provided on refrigerator temps and temping food. Daily, weekly and monthly depending on tasks. Administrator, Dietary Manager and Maintenance Director.

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). 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 observations and interviews, 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.

Refer to C240

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: