OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable (d) INTERIOR DOORS. Lever-type door handles must be provided on all doors used by residents.(e) EXIT DOORS. Exit doors may not include locks that delay evacuation except as specified by building codes. Such locks may not be installed except with written approval of the Department.(A) Exit doors may not include locks that prevent evacuation.(B) If an electronic code must be entered to use an exit door that code must be clearly posted for residents, visitors, and staff use.(f) WALLS AND CEILINGS. Walls and ceilings must be cleanable in kitchen, laundry, and bathing areas. Kitchen walls must be finished smooth per OAR 333-150-0000 (Food Sanitation Rules).(g) ELEVATORS. An ALF with residents on more than one floor must provide at least one elevator that meets Oregon Elevator Specialty Code (OESC) requirements.(h) The interior of the facility must be free from unpleasant odors.(i) All interior and exterior materials and surfaces (e.g. floors, walls, roofs, ceilings, windows, and furniture) and all equipment necessary for the health, safety, and comfort of the resident must be kept clean and in good repair. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to ensure the environment was clean and maintained in good repair. Findings include, but are not limited to: The facility was toured on 09/28/26 at 10:20 am and the following was observed: a. Interior main areas: *Carpet staining throughout common areas including main hallways, dining room and staircase; *Carpet staining in front of and/or inside resident units 116, 157, 166, 208, 211, 220 and 232;[BL1.1][SB1.2][MN1.3] *Surface of railing in main stairwell had uncleanable surface; *Gouges in wall and/or missing paint in multiple areas of the entryway; *Hole in ceiling tile above resident unit 117; *Drip marks on the wall outside resident units 170 and 172; *Two rust-colored benches with cracked vinyl in hall three; *Stained flooring around the toilet in the first floor restroom near the bistro; and *Stairwell near resident unit 231 had unused furniture and medical equipment including oxygen tank and concentrator and box spring. b. Bistro area: *Wall near the exit door was gouged and missing paint; *Countertops and cabinet fronts were stained; *Cabinets and drawers had dirt and debris inside; *Blue arm chair was stained. c. Dining room: *Chairs had dirt and debris covering the legs and cracked vinyl seats; *Windowsills had dirt and debris build-up and peeling and chipped paint; *Floor to ceiling curtains stained; *Door to exterior courtyard at back of dining room was scuffed and does not close fully; *Dirt and debris buildup along baseboards and cord covers especially notable near mailboxes; *Large wall vent near the wet bar with dirt and debris; *Wet bar had dirty and stained cabinet fronts and drawers and one drawer that was broken. d. Exterior: *Peeling paint; *Spiders webs and debris covering siding and windows; and *Chipped, broken and/or rotted wood around windows. The need to ensure the interior and exterior of the building was clean and maintained in good repair was reviewed during a tour of the environment with Staff 1 (ED) and Staff 13 (Regional Director of Operations) on 09/30/26 at 1:40 pm. They acknowledged the findings.

a. All carpeted common areas, including main hallways, the dining room, and staircase, will be professionally cleaned to remove staining. Carpet in front of and/or inside residents units 116,157,166,208,211,220, and 232 will also be cleaned.The Maintenance Director will assess carpet for damage or staining that cannot be adequately removed and arrange for the resident to move into an empty room so flooring can be replaced. The Maintenance Director will assess the railings and ensure the surface is smooth,cleanable and in good repair. Any damage or uncleanable surface will be repaired and restained. Damaged areas, including gouges,missing paint and corner damage in the entryway and other identified locations, will be repaired, patched, corner guards added or surface repainted. Drip marks on the walls outside residents unit 170 and 172 will be cleaned, and the walls will be repainted if necessary. The damage to the ceiling tile above resident unit 117 will be replaced with an appropriate ceiling tile. The two rust-colored benches with cracked vinyl in hall three have been removed and replaced with a couch. The stained flooring in the bathroom around the toilet in the first floor restroom will be replaced with a cleanable, appropriate flooring material. Unused furniture and medical equipment near resident unit 231, has been removed from the stairwell and disposed of. b. The gouged wall near the exit door will be repaired, patched, repainted and a kickplate added to the door. Stained countertops and cabinet fronts will be cleaned and assessed for repair, painted and resurfaced. All cabinets and drawers in the bistro will be thoroughly cleaned to remove accumulated dirt an debris and shelf liner added. Blue armchair has been removed and disposed of. c. All dining room chairs will be thoroughly cleaned, including the legs and undersides. Chairs with cracked vinyl seats will be repaired or replaced. Damaged chairs will be removed from service until corrected. All dining room windowsills will be cleaned to remove accumulated dirt and debris. Peeling and chipped paint will be scraped, prepared, and repainted to provide smooth,cleanable surface. Stained floor-to-ceiling curtains will be removed and disposed of. The dining room courtyard door will be cleaned, repaired, painted, kickplate added and adjusted to ensure it closes completely. All baseboards and cord covers, including those near the mailboxes, will be thoroughly cleaned. The large wall vent near the wet bar will be cleaned to remove accumulated dirt and debris. All wet bar cabinet fronts and drawers will be thoroughly cleaned to remove dirt, staining, repainted and shelf liner added to drawers. The broken drawer will be repaired. d. Areas of peeling paint on the building exterior will be evaluted, properly prepared, and repainted. Exterior siding and windows will be power-washed or cleaned using appropriate methods to remove spider webs,dirt, and debris. All identified areas of chipped,broken or rotten wood around windows will be inspected and repaired or replaced. Repaired areas will be properly sealed and painted to prevent further deterioration. The Maintenance Director, ED, Dining Director and Housekeeping will implement a preventive maintenance and enviromental cleaning program to ensure the interior and exterior of the community remain clean sanitary and in good repair. Housekeeping and Serving staff will receive education regarding cleaning expectations, including furniture, windowsills, baseboards, vents, cabinets, drawers and other frequently overlooked areas. Maintenance staff will receive education regarding timely identification, reporting, and correction of damaged surfaces, furniture,flooring, doors, and exterior building components. The Maintenance Director, ED, Dining Director and Housekeeping will conduct documented enviromental inspections weekly for four weeks, then monthly thereafter. The ED will review inspection findings and maintenance work orders monthly to verify corrective actions are completeed and identify and recurring concerns. Any identified deficiencies will be assigned for correction and tracked until resolved. Responsible Parties: ED, Maintenance Director, Housekeeping and Dining Director.