Inspection Details: NZJ8


Date
7/11/2024
Event ID
NZJ8
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
7/11/2024
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 07/11/24, are documented in this report. The survey was conducted to determine compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 and OARs 411 Division 57 for Memory Care Communities.


Tag numbers beginning with the letter C refer to the Residential Care and Assisted Living rules. Tag numbers beginning with the letter Z refer to the Memory Care Community rules.



Visit Number
2
Visit Date
3/4/2025
Corrected Date
N/A
Details

The findings of the revisit to the kitchen inspection of 07/11/24, conducted on 03/04/25, are documented in this report. The facility was found in substantial compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.




C0240
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
7/11/2024
Corrected Date
N/A
Details

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 OARs 333-150-0000. Findings include, but are not limited to:


On 07/11/24 at 11:00 am, the facility kitchen flooring was observed to need cleaning and repair in the following areas:


* Multiple areas were patched with areas missing flooring covering;


* Significant build up of black matter in corners, on cove base, underneath and behind prep counters, dishwashing area and equipment;


* Stained areas throughout the kitchen, including significant yellow stain in dishwashing area;


* Hard water stains under and around ice maker; and


* Significant build up of black/white matter in corner next to grease trap.


The flooring concerns were observed and discussed with Staff 1 (Food Service Director) and Staff 2 (Memory Care Administrator) on 07/11/24. The findings were acknowledged.

Plan of Correction

1. On 8/1/24, facitlity received proposal from flooring company to remove the old kitchen flooring and install new flooring throughout. We are awaiting a proposal from a 2nd flooring vendor for the project.  

2. We will install new state of the art flooring that is seamless, durable, and low-maintenance throughout the kitchen area.

3. The flooring will be monitored on a weekly basis to ensure that the violations of built up black matter, stains, missing patches of flooring, etc. will not reoccur.

4. Memory Care Administrator and Executive Chef.

Visit Number
2
Visit Date
3/4/2025
Corrected Date
2/7/2025
Details

There are no detail notes for this visit.

Z0142
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
7/11/2024
Corrected Date
N/A
Details

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.



Plan of Correction

Refer to C240.

Visit Number
2
Visit Date
3/4/2025
Corrected Date
2/7/2025
Details

There are no detail notes for this visit.