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 observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 10/22/24 at 11:30 am, the facility kitchen was observed to need cleaning in the following areas: * Hood vents above cooking equipment – dusty/greasy; * Wall behind cooking equipment – drips of grease; * Exterior of deep fat fryer – drips of grease; * Side of convection oven (next to deep fat fryer) – drips of grease; * Ceiling vent, ceiling area surrounding the vent and wall above spice shelf – heavy build up of dust; and * Walk in refrigerator fans and cooling unit – black dust build up. Other areas of concern included: * Colored cutting boards – finish worn off/uncleanable; * Three garbage cans did not have lids when not in use; and * Kitchen staff with beards lacked use of beard restraints. The areas of concern were observed and discussed with Staff 1 (Dining Services Director) and discussed with Staff 2 (Resident Care Manager) on 10/22/24. The findings were acknowledged.

OAR 411-054-0030 (1)(a): Resident Services Meals, Food Sanitation Rule We acknowledge that this regulation was not met as evidence of the findings found in the recent survey. to correct the violation, all areas cited in the survey have been thoroughly cleaned and sanitized. Additonally, we have ordered all new cutting boards and replacement lids for the three garbage cans that were not functioning properly. Lastly, all employees serving food have been instructed to wear a beard or hair restraint while in the kitchen at all times. We have corrected our system to avoid future violation by broadening our weekly cleaning checklist in the kitchen and including all areas cited during the survey visit. Equipment that was identified as uncleanable will be more closely monitored and replaced on a consistent schedule. Beard and hair restraints will be readily available for all kitchen team members. Dining Services Director will be responsible to ensure these standards are met going forward.

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 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.

Refer to Plan of Correction for 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: