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 01/09/25 at 10:40 am, the facility kitchen was observed to need cleaning in the following areas: * Microwave – interior had food splatters/debris; * Wall behind stove, grill and deep fat fryer – food and grease drips/spills; * Sides of deep fat fryer – food and grease drips/spills; * Hood vents and ceiling within the hood – grease/dust buildup; * Lower shelf below steam table – buildup of drips/spills; * Dishwashing area – top of dishwasher buildup of debris, equipment below dishwasher had buildup of spills/drips/debris, wall behind and below sink and spray hose significant buildup of black matter; * Ceiling, ceiling vent and light cover between prep counters (near walk in refrigeration units) – significant buildup of dust; and * Wall above prep counter across from refrigeration units – buildup of dust. Improper storage: * Speed cart stored in high traffic area near prep counters and walk in refrigerator – contained uncovered pies which had potential for cross contamination. The areas of concern were observed and discussed with Staff 1 (Dining Manager) and discussed with Staff 2 (DDO/Corporate Staff) and Staff 3 (Executive Director from anther facility assisting interim director) on 01/09/25. The findings were acknowledged.

1. Areas in need of cleaning as referenced in the statement of deficiencies have been cleaned. Speed cart cover has been ordered. 2. Education has been provided to dining staff on kitchen cleanliness, cross contamination and kitchen cleaning schedules. 3. Dining Services Manager or designee will monitor cleaning schedules daily for 30 days then twice weekly thereafter. Executive Director will conduct kitchen walk through 3 times a week for the next 60 days to monitor compliance and then weekly thereafter. 4. Executive Director & Dining Service Manager are responsible for this plan of correction.

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: