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, interview, and record review, it was determined the facility failed to ensure food was stored, and the kitchen was maintained, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: Observations of the facility kitchen, food storage areas, food preparation, and food service with Staff 1 (Executive Director) on 11/19/24 revealed: Multiple food containers were stacked on the refrigerator shelves preventing air circulation. The thermometer in the reach in refrigerator on the right side of the kitchen was at 50 degrees Fahrenheit. The temperatures of the refrigerator were documented above 42 degrees on multiple occasions in November 2024. Multiple foods in the refrigerator were tested with the facility digital thermometer and were above 42 degrees. Staff 1 agreed to dispose of the protein-based items in the refrigerator and move items to the other refrigerator in the kitchen. The garbage can in the kitchen had no lid. Staff 1 explained the lid was broken and the garbage can needed to be replaced. The food storage findings were reviewed with Staff 1 on 11/19/24. She acknowledged the findings.

1. Food containers are no longer stacked on top of each other, Refridgerator was replaced, Trash can was replaced with one that has a lid. 2. We will have an all-staff training on proper food storage, what to do if temps are out of range, and to notify management if equipment breaks or is not functioning. 3. Weekly inspection of kitchen logs, binder, and environment including inside of fridge. 4. Assistant Executive Director, Maintenance Dir., and Executive 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 observation, interview, and record review, 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 C 240

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: