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 a sanitary manner and ensure food was prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). Findings include, but are not limited to: On 08/13/25, from 10:40 am to 2:02 pm, interviews with staff and observations of the facility kitchen, memory care kitchenette, food storage areas, food preparation, and food service were conducted. The following was identified: 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: * Walls throughout the facility kitchen; * Flooring under, around, in-between, and behind large equipment, ice machine, sinks, food and non-food preparation areas, and ware wash area; * Industrial can opener blade and casing; * Food traps and/or water drains located under the ware wash machine and under the memory care steam table; and * The interior of the cabinet drawer located under the microwave memory care kitchenette. b. The following areas were noted in need of repair: * The walls and base board located under and around the ware wash area and ice machine had cracked, broken, and/or missing material and was not maintained in a way to ensure proper sanitization and infection control practices; * The ware wash area had different sized metal sheets attached to the wall and beside the ware wash machine and observed to have holes, missing and loose screws, and was not tightly sealed to the wall or maintained in a way to ensure proper sanitization and infection control practices; * The walls around kitchen entrances had cracked, broken, and/or missing material; * There was a wooden pallet under the ware wash area with broken and exposed material; * The exterior of the kitchenette cabinet drawer located under the microwave in the memory care, had a piece of material missing on the left side; and * The interior of the kitchenette cabinet located under the steam table in the memory care, had a large square section of material, around the steam table drain, was unfinished and had exposed material. On 08/13/25 at 1:35 pm, Staff 2 (Dining Service Director) and Staff 3 (Cook) toured the kitchen with the surveyor and reviewed the areas identified above. The need to ensure the kitchen was maintained in a sanitary manner and food was prepared and served in accordance with Food Sanitation Rules was reviewed with Staff 1 (Executive Director) on 08/13/25 at 1:49 pm. She acknowledged the findings.

1. The following areas will receive a deep clean: Walls, flooring, industrial can opener, food traps and/or water drains, interior of cabinaets and drawers. The following areas will be repaired to ensure that they are able to be properly sanitized: walls around kitchen entrance, pallet under ware wash area, exterior of cabinet drawer under microwave and interior of cabinet under the steam table in the memory care kitchen. 2. The kitchen staff will receive additional training on the Kitchen Cleaning Checklist. 3. The Dining Services Director will review weekly per the QA- Dining Services Review Schedule. 4. The Executive Director will be responsible for ensuring 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 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.

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: