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 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, and dining room areas on 12/06/24 between 11:00 am and 12:23 pm noted the following in need of cleaning or repair:? a. Main Kitchen Area * Doors and door jambs throughout the kitchen had black and brown scuff marks or gouges on the wood and were observed to have chipped paint; * The back screen door was observed to have dust on the screen and black matter on the lower section of the door; * Cutting boards, including the one attached to the Sandwich Cooler Station, were observed to have score marks and gouges deeming them to be uncleanable; * Black and brown matter was observed throughout the baseboards of the kitchen as well as where the door jambs connected with the floor; * Areas under the large appliances had a thick build-up of black and brown matter; * There was a build-up of drips and splatters on the legs of the steam table; * The hood of the stove was in need of deep cleaning; * A section above the hood of the stove was missing and bare wood was exposed; * Vents located throughout the kitchen ceiling had dust accumulation observed on them and the ceiling around the vents; * The stand-up mixer had dried food debris present; * The industrial can opener had built up food matter on the blade; and * The outside of the dried storage bins had brown debris observed; and *Three garbage cans, observed in food prep areas, did not have lids. b. Dry Food Storage Area * Flooring throughout the area, including the threshold, had black and brown matter observed and was sticky to step on; * There was a crack in a linoleum tile within approximately a foot from the entry point; * Walls throughout the area had gouges and scuff marks observed; and * The door frame was observed to have gouges in the wood and chipped paint. c. Warewashing Area * Flooring underneath the warewashing machine and all of the sinks along the shared wall had black and brown debris present; * There was black matter observed on the wall behind the sink; and * There was debris build-up observed on the garbage disposal switch located to the right, under the sink. e. Memory Community Dining Room * Exit and entrance doors had black and brown scuff marks and/or were observed to have gouges and chipped paint; * The door leading into the kitchenette were observed to have black and brown scuff marks, gouges in the door frame, and chipped paint; and * The middle cupboard, under the dining room beverage station, had chipped laminate observed on the left upper corner. The areas in need of cleaning and repair were reviewed with Staff 1 (Dietary Manager) on 12/06/24. She acknowledged the findings.?

1. All areas of note in both kitchens have been deep cleaned. All doors in both kitchens have been cleaned. Baseboards and floors have been scrub mopped, walls and vents wiped down, legs of appliances cleaned, hood vents cleaned, stand-up mixer deep cleaned. Done by 12/13/24. Section above hood with exposed wood was fixed 12/15/24. Cutting boards replaed 1/2/25. Gouges and chipped paint, crack in linoleum near entry, middle cupboard with chipped laminate have been discussed with Maintenance Director and submitted to TELS (Completion date Week of Jan 20-24). 2. Weekly checks by the Dietary Manager and cleaning schedules for both kitchens will be signed by staff and turned in to DM for review and any follow up if needed. Hood cleaning with be completed by Oregon Hood Cleaning every 6 months and staff will clean hoods 3 months after each cleaning and will be tracked by DM. Vents will be checked and tracked by DM every 3 months. In-service instructions were given to employees regarding lids for trash cans and DM will check weekly. 3. System will be evaluated and tracked monthly as a part of the CQI process to include a review of the monthly kitchen sanitation audits. 4. The Arbor Administrator, Executive Director and RCC will be responsible for maintaining / and audit this system.

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 the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. This is a repeat citation. Findings include, but are not limited to:? Observations of the facility kitchen, food storage, and dining room areas on 03/18/25 between 11:15 am and 12:30 pm noted the following in need of cleaning or repair:? a. Main Kitchen Area * Doors and door jambs throughout the kitchen had black and brown scuff marks or gouges on the wood and were observed to have chipped paint; and * Areas under the large appliances had a thick build-up of black or brown matter. b. Dry Food Storage Area * The door frame was observed to have gouges in the wood and chipped paint. c. Warewashing Area * Flooring underneath the warewashing machine and all of the sinks along the shared wall had black and brown debris present; d. Memory Community Dining Room * The doors leading into the kitchenette were observed to have gouges in the door frame. The areas in need of cleaning and repair were reviewed with Staff 1 (Dietary Manager) and Staff 3 (ED) on 03/18/25. They acknowledged the findings.?

1. Gouges in wood doors in both kitchens are being filled in by Maintenance Director to be completed by 4/7/25. Door frame to dry storage area is cleaned and painted as of 3/31/25. Flooring underneath warewashing machine has been deep cleaned as of 3/25/25. Deep cleaning of black matter completed 3/27/25. Scrub mopping of baseboards and floor in main kitchen completed 3/27/25. 2. Weekly checks by the Dietary Manager and cleaning schedules will be signed by staff and turned in to DM for review and any follow up if needed. 3. System will be evaluated and tracked monthly as a part of the CQI process to include a review of the monthly kitchen sanitation audits. 4. The Executive Director, Arbor Administrator, and RCC will be responsible for maintaining and audit this system.

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 411-054-0105 (2-4) Inspections and Investigation: Insp Interval (Amended 12/15/21)(2) The facility shall not interfere with a good faith disclosure of information by an employee or volunteer concerning abuse or other action affecting a resident's safety or welfare, as described in OAR 411-054-0028(4).(3) Staff of the Department shall visit and inspect every facility at least but not limited to once every two years for a full in-person survey to determine whether the facility is maintained and operated in accordance with these rules.(a) For each year during which a facility does not have a full survey, the Department shall conduct an in-person inspection of the kitchen and other areas where food is prepared for residents.(b) Subsection (a) will not go into effect until July 1, 2022.(c) Facilities not in compliance with these rules must submit, within ten days of receipt of the inspection report, a plan of correction that satisfies the Department.(d) The Department may impose sanctions for failure to comply with these rules.(4) Department staff may consult with and advise the facility administrator concerning methods of care, records, housing, equipment, and other areas of operation. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to ensure their kitchen survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to: Refer to C240 and Z142.

see C 240

OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval (Amended 12/15/21)(2) The facility shall not interfere with a good faith disclosure of information by an employee or volunteer concerning abuse or other action affecting a resident's safety or welfare, as described in OAR 411-054-0028(4).(3) Staff of the Department shall visit and inspect every facility at least but not limited to once every two years for a full in-person survey to determine whether the facility is maintained and operated in accordance with these rules.(a) For each year during which a facility does not have a full survey, the Department shall conduct an in-person inspection of the kitchen and other areas where food is prepared for residents.(b) Subsection (a) will not go into effect until July 1, 2022.(c) Facilities not in compliance with these rules must submit, within ten days of receipt of the inspection report, a plan of correction that satisfies the Department.(d) The Department may impose sanctions for failure to comply with these rules.(4) Department staff may consult with and advise the facility administrator concerning methods of care, records, housing, equipment, and other areas of operation. 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 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: Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to: Refer to C240.

see 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: