Inspection Details: KIT008251


Date
12/4/2025
Event ID
KIT008251
Inspection type(s)
Kitchen
Deficiencies cited
2

Citation Details

C0240
Severity Level: 2
Visits: 2
Scope
L2 Widespread
Visit Number
1
Visit Date
12/4/2025
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 Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 12/04/25 at 10:30 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 several drawers and cabinets; * Exterior of trash cans; * Caulking behind the sink; * Flooring perimeter; and * Floor of dry storage closet. b. The following areas needed repair: * The lower cabinet to the right of the oven had a 1X2-inch area with missing laminate, exposing particle board; and * The half-door and adjacent molding, located near the dining room, had chipped and/or worn paint in several areas. The areas in the kitchen which required cleaning and repair were observed and discussed with Staff 1 (Administrator) on 12/04/25. The findings were acknowledged.

Plan of Correction

1A. All interior and exterior doors and cabinets were cleaned and sanitized, as well as floor in kitchen and pantry. 1B. Laminate replaced on lower cabinet. Half door repainted and chip repair. 2A. All interior and exterior cabinets have been added to deep clean schedule for wednesday NOC (10pm-6am). 2B. Paint and chip repair audits to be done weekly and any concerns added to maintenance log. 3A. Weekly 3B. Weekly 4A. Universal caregiver and Executive Director 4B. Executive Director and Maintenance.

Visit Number
2
Visit Date
2/20/2026
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
12/4/2025
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

See C240

Visit Number
2
Visit Date
2/20/2026
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: