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 05/01/25 at 11:00 am, the facility kitchen was observed to need cleaning and repair in the following areas: * Top of dishwashing machine – significant build of debris (food/chemicals) ; * Dishwashing room caulking on wall of dirty side – significant build up of black matter; * Commercial stand mixer food guard – food splatters; * Ice maker vent – build up of dust; * Top of steamer – dusty; * Wall behind steamer – grease drips/spills; * Sides of deep fat fryer – grease drips/spills; * Ceiling vent above two door refrigerator – significant build up of dust; and * Shelf containing spices above microwave – dusty/debris. Other concern: * Staff with facial hair not using beard restraints. The areas of concern were observed and discussed with Staff 1 (Dining Service Manager) and discussed with Staff 2 (Executive Director) on 05/01/25. The findings were acknowledged.

1. All areas identified during survey in needing cleaning or repair were corrected on 5/7/25 2. All areas identified in needing of cleaning were added to the daily/weekly/monthly cleaning checklists and all associates will be educated on their use on 5/23/25 3. The Dining Services Manager or designee will review cleaning completion 3 times weekly for the next 30 days, and weekly thereafter as part of standard operations. 4. The Executive Director or designee is 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: