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 main kitchen and dining room kitchenette areas on 05/19/25 from 11:00 am through 1:30 pm revealed the following: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, black matter and grease was visible on or underneath the following: * Kitchen drains * Interior of microwaves in main kitchen and all unit kitchenettes * Interior of unit ovens * Interior of reach in freezers in units * Industrial can opener housing * Floors under worktables * Stainless steel shelving holding pans * Stainless steel shelving by spices/binders * Box fan cage and blades near prep space * Exterior of convection oven and steamer * Fan cages in walk in cooler * Griddle top open grease reservoir area * Outside food storage area floor/shelves and canned goods with accumulation of dust/dirt/debris. b. Kitchen staff observed handling/preparing food and/or clean dishes without hair effectively restrained. c. Food observed stored in walk in cooler uncovered and exposed to potential contamination. Dry baked goods observed stored in baking rack in kitchen with food products open and exposed to potential contamination. d. Multiple potentially hazardous food items were noted stored in walk in cooler and/or reach in cooler that were not dated when opened. Multiple food items were found past the manufactures use by dates in unit refrigerators. e. Staff member in Saphire unit was observed reheating resident food in microwave. Staff was not able to correctly state proper reheat temperatures. Cook and Designated Person In Charge was also not able to correctly identify the proper reheat temperature. f. Refrigerator for holding resident food in Saphire unit did not contain a thermometer to ensure resident food was held at appropriate cold food temperatures. g. Care staff was observed entering kitchen area and did not wash hands or restrain hair upon entering. h. Multiple rags for surface cleaning/sanitation were observed stored out of the sanitation buckets on random counters/areas throughout the kitchen. i. Staff 2 was not able to correctly review proper cooling process to handle leftovers. The facility was observed to have a large number of leftovers in the refrigerators. The facility did not have an effective process to ensure food was properly cooled to ensure safe. Staff 2 Cook/PIC, toured kitchen with surveyor and acknowledged the areas identified. At approximately 1:30 pm, the surveyor and Staff 1 (Business Office Manager/Facility Designee) and Staff 3 (Health and Wellness Director) reviewed areas of concern. Staff 1 and 3 acknowledged the above areas needed to be cleaned and practices that needed addressed.

1) All areas of the kitchen including, but not limitied to, areas specified in the statement of deficiencies were cleaned at time of survey and then will be deep cleaned by all kitchen staff by compliance date and maintained by community staff following community cleaning schedule. New thermometer props ordered for each kitchenette Staff inserviced on cleanliness and dating and covering foods, and proper temperatures, per state regulations on 5/23/25. 2) Daily cleaning schedule is in place for neighborhood kitchenettes and for main kitchen and will be reviewed weekly. 3) Kitchen cleanliness will be monitored on a weekly basis. Food preperation will be monitored on a weekly basis. 4) The Executive Director, Dining Services Manager, and or designee will be responsible for monitoring continuned compliance.

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 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 above.

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: