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 maintain the kitchen in good repair and in a sanitary manner in accordance with Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to: Observation of the facility kitchen was reviewed on 05/09/25 from 11:40 am through 1:45 pm and found the following: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following: * Plastic shelving in dish machine area * Kitchen drains * Walls behind prep areas * Wall by knife rack * Industrial mixer * Industrial can opener and housing * Metal bread rack * Metal large can rack * Interior of microwave * Nutri bullet blender * Windowsill * Stainless steel shelving * Spice shelving * Top of Steam table/Tray line * Drains * Exterior of bulk dry food storage bins * Reach in cooler seals * Wall under prep sink/window b. The following areas were in need of repair: * Reach in cooler door seal cracked/broken * Window screen with hole in screen and window open. * Metal racks in center of reach in coolers rusted * Hole in wall just below ceiling near stove hood/dry storage entry door c. Cook was observed to check food temperatures without sanitizing thermometer before or between foods potentially contaminated the food products. d. Multiple items in reach in coolers did not contain open/prepared, and/or use by dates. e. Multiple items were found stored in cold and dry good spaces uncovered and open to potential contamination. f. Multiple kitchen staff member was observed preparing food and or handling clean equipment without an effective hair or facial hair restraint. g. Multiple food contact surfaces of utensils/dishes/equipment were not covered/protected during storage exposing them to potential contamination. h. Food cooking and/or serving equipment was observed heavily scored and in need of replacement. i. Two bags of frozen raw chicken were observed thawing in the kitchen prep sink not according to approved methods outlined in rule. j. Menus were not observed posted in resident areas so that residents could access the weekly/daily menus. The facility did not have a current method to post/communicate meal changes to the residents. All menu items for that meal where not according to the menu provided to surveyor that was for that day/meal. k. Staff drinks were observed stored in reach in coolers with food for residents. Multiple staff drink cups/containers were observed throughout the kitchen space and were not of approved style as outlined in rule. At approximately 1:45, Staff 1 (Administrator) and Staff 2 (Dining Services Manager) were informed of the identified areas needing attention. Staff 1 and 2 acknowledged the areas.

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 maintain the kitchen in good repair and in a sanitary manner in accordance with Food Sanitation Rules, OAR 333-150-000. This is a repeat citation. Findings include, but are not limited to: Observation of the facility kitchen was reviewed on 08/20/21 from 1:15 pm through 2:00 pm and found the following: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following: * Walls behind prep areas * Industrial can opener and housing * Interior and exterior of blender * Windowsill * Stainless steel shelving * Spice shelving * Top of Steam table/Tray line * Juice machine * Air conditioner unit in window with heavy dust/dirt build up b. Multiple items in reach in coolers did not contain open/prepared, and/or use by dates. c. Multiple items were found stored in cold storage uncovered and open to potential contamination. d. Kitchen staff member was observed preparing food and or handling clean equipment without an effective hair restraint. e. Multiple food items were observed past 7 days from date prepared. Carton of heavy cream was found past manufactures use by date. f. Staff drinks were observed stored in reach in coolers with food for residents. Staff drink cups/containers were observed throughout the kitchen space and were not of approved style as outlined in rule. g. Table-top mixer and large mixer supplies food contact surfaces were not covered/protected from contamination when stored. Dust/dirt/debris was observed in/on these food contact surfaces. At approximately 1:40, Staff 1 (Administrator) informed of the identified areas needing attention and they acknowledged the areas remained out of compliance.

On Sept 8 while on site- I was made aware ot this needed POC. On September 10, 2025 ALL staff at The Iris were inserviced on all issues listed below and I was on site daily with DSM, MCD, ED training and reteaching them along with all staff, through 9/16. They are all aware of all citations that this community has now received twice and understand that this is unnaceptable. *Proper food preparation, storage and timlinesss of removing to trash *Personal food and drink in kitchen/prep areas/refridgerator *Kitchen cleanliness and daily cleaning task lists per shift were put into place. They are located in a red binder in the kitchen for cooks and server/dishwasher. *Proper hygeine in kitchen (Hair, hands, aprons) New handwashing signs hung at handwashing sink in kitchen. *Appliance cleanliness and staying covered when not in use Menu's and substitutions/notifications to residents must happen each time. *Soups, Salads and 2nd meal option is to be offered to all residents at lunch and at dinner. Memory Care Director will monitor and update as residents depart/move in *Special Diets and Diet board (board in kitchen has been updated to match current residents and their needs. *Binder created for Dining exception notices and diet preferences for each resident created as well located in kitchen by diet board accesible to all staff. Reception will print weekly at a glance menu's for activity department to deliver to each resident on Sunday's so that they are aware what the menu is for the week. DSM will ensure the correct one is printed/distributed. This menu is also now posted at podium inside secure door of memory care, visible at all times to residents. If any part of the posted menu changes, DSM will notify reception so that a new "menu of the day" can be placed at each table to notify residents of a change.

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 interview, observation and review of records, 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 C 240.

All items above have been put into place and the kitchen,storage racks, floors and surfaces in this kitchen at The Iris have been deep cleaned as of 9/10/2025. The DSM will monitor and control daily, cleanliness of this kitchen and will ensure consistant use of cleaning task lists. The ED will also monitor this kitchen and cleanliness atleast a 3x week basis. DSM will also include copies of all completed cleaning task lists and the community Dining Service QA audit once per week 1:1 meeting with the ED.

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 observations and interviews, 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.

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 observations and interviews, 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.

See 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: