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:

To correct the rule violation for each example: - expired test strips for monitoring chemical pH for non-food were replaced. - the frying pans with scored Teflon coating have been removed from the kitchen. - the cutting boards have been replaced. - the soiled linens found under the dish washing sink were moved to an appropriate location. - signage was updated to reflect a designated handwashing sink in the kitchen. - the ice machine was thoroughly cleaned. - the dishwasher was repaired and the booster was replaced to ensure the water is heated to the correct temperature. - the microwave in memory care was cleaned and added to the daily cleaning schedule. - the personal items in the freezer in memory care were thrown out. - the refrigerator in memory care was cleaned out. - signage was updated to reflect handwashing sinks throughout memory care. The system will be corrected by re-educating staff: - Dietary staff will be re-educated on the following: * monitoring chemical pH. * labeling food with expiration dates. * ice machine cleaning and preventive maintenance - this task has been put into TELs. * dishwasher preventive maintenance - this task has been added to TELs. - Care staff will be re-educated on the following: - memory care cleaning schedule to include the microwave and refrigerator. * no personal items in the resident refridgerator or freezer. * labeling food with expiration dates. How often will these areas be evaluated? - Audits will be completed weekly for 4 weeks, monthly there after in CQI. Who is responsible for making sure the corrections are monitored/completed? - Executive Director or designee. - Dietary Manager or designee.

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.

See C 240.

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: