Inspection Details: KIT005574


Date
7/11/2025
Event ID
KIT005574
Inspection type(s)
Kitchen
Deficiencies cited
2

Citation Details

C0240
Severity Level: 2
Visits: 2
Scope
L2 Widespread
Visit Number
1
Visit Date
7/11/2025
Corrected Date
N/A
Details

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 clean and in good repair, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 07/11/25 at 10:00 am, the facility kitchen was observed to need cleaning and repair in the following areas: a. Food spills, splatters, debris, dirt and black matter was observed on or underneath the following: * Interior and exterior of numerous cabinets and drawers; * Floor between stove and cabinet; and * Perimeter of sink between basin and counter. b. The following areas needed repair: * The dish machine, when in use, was leaking water onto the floor. A towel was placed on the floor next to the machine to catch the dripping water; and * Several cabinet doors had chipped or worn-off paint in several areas. The areas which required cleaning and repair were observed and discussed with Staff 1 (Assistant Administrator) on 07/11/25. The findings were acknowledged.

Plan of Correction

1A.Deep clean of kitchen cabinets/drawers and floors completed on 7/15/2025 1B. Dishwasher 1 was repaired on 7/14/2025. Dishwasher 2 waiting on part to arrive will be fixed by 7/30/2025. Touch up paint completed 7/16/2025. 2A.Deep cleans of kitchen cabinets/drawers/floors to be done on Noc shift every Tuesday. Audit will be completed on Wednesdays. 2B. Dishwashers will be checked for aeras of concerns monthly. Touch up paint will be done quarterly. 3A. Weekly 3B. monthly dishwasher checks, quarterly touch up paint 4A. Care staff/Executive Director 4B. Maintenance/Executive Director

Visit Number
2
Visit Date
10/10/2025
Corrected Date
N/A
Details

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:

Z0142
Severity Level: 2
Visits: 2
Scope
L2 Widespread
Visit Number
1
Visit Date
7/11/2025
Corrected Date
N/A
Details

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 C 240.

Plan of Correction

Refer to C240

Visit Number
2
Visit Date
10/10/2025
Corrected Date
N/A
Details

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: