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 kitchen practices and protocols were in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 03/24/26, between 10:30 am and 12:45 pm, the facility kitchen was observed, and the following was identified: 1. Sanitation: * PH test strips were not available to monitor sanitizer of dish washer; * Fine tip thermometer was not available; and * Food/beverage was not covered throughout delivery to resident rooms. 2. Menus: * A seven-day menu was not made available to all residents. 3. Food Storage: * Multiple food items that were expired and/or not dated were found in the reach-in refrigerator. The surveyor found an undated bag of raw chicken breasts floating in the juices from thawing in the refrigerator. Staff 1 (PIC / Dining Services Manager) reported that they would be cooked and served the next day. The surveyor requested that staff discard them. The surveyor found multiple leftovers that were expired and requested that staff discard them. The areas of concern were observed and/or discussed with Staff 1 (PIC/Dining Services Manager) and Staff 2 (Resident Care Coordinator). Staff acknowledged the findings at approximately 12:45 pm on 03/24/26.

1) Community Dining Services Manager and Executive Director will perform weekly audits to ensure violation is corrected. 2) System correction will be ensured through weekly audits of areas of concerns perfomed the the Communites Dining Services Manager and Executive Director. 3)The areas needing correction will be evaluated weekly through internal audit performed by the Communites Dining servies Manager and Executive Director. 4) The Communities Dining Servies Manager and Eecutive Director will be resposible for monitoring and completing corrections.

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.

1) - Community has purchased newfine tip Thermometer and will ensure use. - Community has purchased PH test strips and will ensure use. - Community has purshaced Food coverings for meal delivery and will ensure there use. - Community has posted 7 day menu. - Community wil ensure that all food items are labeled and dated after opening. 2) Community will ensure sytems will be corrected by conducting weekly evaluations of concerns along with additional Training for all Kitchen Staff. 3) The areas in need of correction will be evaluated weekly by the Communities Dining Services Manager and Executive Director. 4) The Communites Dining Services Manager and Executive Director.