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 08/05/26 at 10:00 am, the following was observed in the facility’s main kitchen (which provided food to both the ALF and MCC): a. Multiple prepared foods in the walk-in cooler and on a rack in the food prep area were labeled with dates past the facility’s three-day pull policy. b. Multiple items in the walk-in cooler were not labeled with preparation dates, including a roasted turkey breast in a gallon storage bag, and individual desserts in disposable containers. c. Multiple items in the walk-in cooler were uncovered, including cooked white rice, sliced roast beef, and baby carrots, exposing the food to potential contamination. d. A tub of sour cream in the server’s countertop refrigerator was past the manufacturer’s use-by date. The need to ensure foods were stored in accordance with the food sanitation rules was discussed with Staff 1 (Program Director) at 12:15. He acknowledged the findings.

In service training with all dining staff to educate on labeling and dating food items in the walk in refrigerator along with covering food items in refrigerator. This training will be conducted by the dining room supervisor along with Executive Director on 8/14/2026. Additional in services training will be conducted weekly and as needed basis until all deficiencies are corrected and systems for mainteainng compliance are learned by all dining staff. Daily, assignments will be given to specific staff members to ensure food is labeled and dated. This will be check off daily by Dining Room Supervisor or Culinary Director. This will begin immedidately and the kitchen will be ready for reinspection by 9/15/2026. When staff come on shift, food will be inspected for correct dates, labels. Ensure all food is covered properly. Discard any food past the three day pull policy and or by manufacturer's use by date. End of shift, supervisor will inspect to ensure compliance is met. Dining Room Supervisor and Culinary Director will be responsible to ensure complaince is met daily. We will have a daily check list and visual observation of the walk in frigerator. Daily, Executive Director will do an audit to ensure complaince is met.

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 C 240.

Refer to 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: