OAR 411-054-0300 (3)(a-h) General Building Exterior (3) GENERAL BUILDING EXTERIOR.(a) All exterior pathways and accesses to the ALF's common-use areas, entrance, and exit ways must be made of hard, smooth material, be accessible, and maintained in good repair.(b) An ALF must take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. There must be locked storage for all poisons, chemicals, rodenticides, and other toxic materials. All materials must be properly labeled.(c) ALF grounds must be kept orderly and free of litter and refuse. Garbage must be stored in covered refuse containers.(d) As described in OAR chapter 411, division 057, memory care communities licensed as an ALF must be located on the ground floor.(e) An ALF must provide storage for all maintenance equipment, including yard maintenance tools, if not provided by third party contract.(f) An ALF must provide an accessible outdoor recreation area. The outdoor recreation area must be available to all residents. Lighting must be equal to a minimum of five foot candles. Memory care communities must provide residents with direct access to a secure outdoor recreation area as described in OAR chapter 411, division 57.(g) Outdoor perimeter fencing may not be secured to prevent exit unless the ALF has received written approval from the Department or the ALF is in compliance with OAR chapter 411, division 57 (Memory Care Communities) or OAR 309-032-1500 through 309-032-1565(Enhanced Care Services).(h) An ALF must have an entry and exit drive to and from the main building entrance that allows for a vehicle to pick up and drop off residents and mail deliveries without the need for vehicles to back up. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to maintain exterior pathways in good repair. Findings include, but are not limited to: On 12/17/25 at 10:35 am, during a walk-through of the facility with Staff 1 (ED) and Staff 3 (Maintenance) the following was identified: * Multiple drop-offs of two to three inches were noted along pathways around the perimeter of the facility and outside exterior doorways. The drop-offs posed a potential fall hazard for residents.; and * Multiple uneven and/or cracked pavement seams and/or sidewalk section were noted around the facility’s perimeter exterior pathways. This uneven pavement created potential trip hazards for residents. The need to ensure pathways around the facility were in good repair with no potential tripping hazards were shown to and discussed with Staff 1 and Staff 3 on 12/17/25 at 10:35 am and discussed with Staff 2 (Associate ED) on 12/17/25 at 3:00 pm. The staff acknowledged the findings.

1. Drop-Offs - DeSantis Landscaping has been contracted with to help fill areas where there are drop-offs from the sidewalk. In some reoccuring problem areas, a more permanent fill has been explored, such as rock. The project will be completed by the Compliance date of 2/16/2025. Our Maintenance Director has educated all employees on the maintenance team about this safety concern and they have been trained to observe the grounds for these issues while out and about around the campus. All maintenance employees are aware of the importance and how to report concerns. Our Maintenance Director along with our Associate Executive Director will routinely (at least quarterly) walk the grounds, specifically looking at drop offs and setting up repair for any areas of concern. 2. Sidewalks in Disrepair - CMVs Maintenance Director has an appoxy that can be used to fill oversized cracks and deteriorated sidewalks. The apoxy cannot be used in wet conditions. Our Maintenance Director is watching the weather closely and repairing sidewalks and walkways as soon as an opportunity presents itself. Our Maintenance Director has educated all employees on the maintenance team about this safety concern and they have been trained to observe the grounds for these issues while out and about around the campus. All maintenance employees are aware of the importance and how to report concerns. Our Maintenance Director, along with our Associate Executive Director will routinely (at least quarterly) walk the grounds, specifically looking at sidewalk and pathway conditions to ensure all exterior pathways and accesses to the ALF's common-use areas, entrance, and exit ways are made of hard, smooth material, accessible, and maintained in good repair.

OAR 411-054-0300 (3)(a-h) General Building Exterior (3) GENERAL BUILDING EXTERIOR.(a) All exterior pathways and accesses to the ALF's common-use areas, entrance, and exit ways must be made of hard, smooth material, be accessible, and maintained in good repair.(b) An ALF must take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. There must be locked storage for all poisons, chemicals, rodenticides, and other toxic materials. All materials must be properly labeled.(c) ALF grounds must be kept orderly and free of litter and refuse. Garbage must be stored in covered refuse containers.(d) As described in OAR chapter 411, division 057, memory care communities licensed as an ALF must be located on the ground floor.(e) An ALF must provide storage for all maintenance equipment, including yard maintenance tools, if not provided by third party contract.(f) An ALF must provide an accessible outdoor recreation area. The outdoor recreation area must be available to all residents. Lighting must be equal to a minimum of five foot candles. Memory care communities must provide residents with direct access to a secure outdoor recreation area as described in OAR chapter 411, division 57.(g) Outdoor perimeter fencing may not be secured to prevent exit unless the ALF has received written approval from the Department or the ALF is in compliance with OAR chapter 411, division 57 (Memory Care Communities) or OAR 309-032-1500 through 309-032-1565(Enhanced Care Services).(h) An ALF must have an entry and exit drive to and from the main building entrance that allows for a vehicle to pick up and drop off residents and mail deliveries without the need for vehicles to back up. This Rule is not met as evidenced by: