Inspection Details: KIT005803


Date
7/24/2025
Event ID
KIT005803
Inspection type(s)
Kitchen
Deficiencies cited
2

Citation Details

C0240
Severity Level: 2
Visits: 2
Scope
L2 Widespread
Visit Number
1
Visit Date
7/24/2025
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 maintained in accordance with the Oregon Food Sanitation Rules. Findings include, but are not limited to: On 07/24/25, observations of the facility's kitchen at 11:17 am identified the following: a. Food spills, splatters, debris, dirt, and/or black matter was observed on or underneath the following: * The exterior and handles of all freezers; * Walls and ceilings throughout the kitchen; * Legs and drawers of stainless steel prep counters and shelving; * Can opener casing; * Clean dish carts in the dishwashing area; * Wall behind the dishwasher; * Dish sprayer nozzle, handle, and cord; * Stainless steel shelving storing spice bottles; and * Interior and exterior of the microwave. b. Leftover food items in the refrigerator were dated but not labeled. c. The following areas/items needed repair/replacement: * Several patches of missing/chipped/flaked paint and areas covered in spackle, including above the ice scoop near the ice machine, above/behind/below the dishwasher, and under the food prep sink; and * Rubber spatulas were worn with pieces of rubber missing. The above areas were toured and discussed with Staff 1 (ED) at 12:56 pm on 07/24/25. She acknowledged the findings.

Plan of Correction

1a.A deep cleaning to be done to remove all food spills, splatters, debris, dirt and black matter from exterior and handles of all freezers, walls and ceilings, legs and draws of stainless steel prep counters and shelving, can opener casing, carts storing clean dishes, wall located behind the dishwasher, dish sprayer nozzle, handle and cord, stainless steel shelving storing spice bottles and interior and exterior of the microwave. b. All left over food items will be labeled and dated. c. All areas of missing/chipped/flaked paint will be repainted. New rubber spatulas were ordered and received and worn spatulas have been discarded. 2a. A preventative cleaning schedule/checklist to be implemented. b. Dietary staff to be in-serviced on proper food storage, dating, and labeling. c. Preventative maintenance checklist to be implemented to identify areas needing repair. 3a. Monthly. b. Daily. c. Quarterly. 4a.Dietary Director. b. Dietary Director/Sous Chef. c. Maintenance Director.

Visit Number
2
Visit Date
10/24/2025
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
7/24/2025
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 C240.

Plan of Correction

Refer to C240 plan of correction.

Visit Number
2
Visit Date
10/24/2025
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: