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 main kitchen and the four unit kitchenettes occurred on 08/07/25 from 11:00am thru 1:30 pm and identified 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: * All unit kitchenette cabinets under the sink with black debris buildup * Kitchenette corner cabinets in multiple units b. The following areas needed repair: * All unit kitchenette cabinets under the sink with significant water damage to cabinets, piping with black debris buildup and/or evidence of water leakage. * Microwave in Rockies unit observed with burn damage and multiple unsmooth/non cleanable areas and was in need of replacement. * Pipe entering/exiting main kitchen ceiling with gaps around piping c. Main hand wash sink in main kitchen area did not have a splash guard to prevent potential contamination. Clean dishes and a toaster were observed stored right next to sink. Another sink in the back of the kitchen had rags/clothes/debris stored in the sink bowl/basin area rendering it unusable. Staff 2 (Dining Services Director) acknowledged the sink in the back of the kitchen was not used very often by staff. At 1:00 pm, surveyor reviewed identified areas with Staff 1 (Administrator). Staff 1 acknowledged areas needing correction.

Under the kitchette sinks that was found to be deficent will be corrected by the maintiance director cleaning the pipes and replacing the sections of pipe that are leaking. Rubber mats will be placed on the floor under the sinks. Checking this area for clealiness will be added to the RCC daily check sheet. The Microwave in the rockies has been replaced All microwaves are added to the NOC shift cleaning checklist and will be monitored by the RCC The Gap around the pipe entering the kitchen celing will be filled in by the Maintiance director Using spray foam insulator. A splash guard will be placed at the hand washing sink to help avoid potential contamination. The DSD will monitor for effectiveness. The sink in the back of the kitchen will not be used to store anything any longer. The DSD will monitor daily for 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.

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: