Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: BO4X

Provider Information


Pine Rose

475 S SHASTA PL
Burns, OR 97720

Provider ID
50M220
Administrator
Veronica Ayers
Phone
(541) 573-3029
Email
burnsadmin@goldenroseseniorliving.com

Inspection Details


Date
7/6/2023
Event ID
BO4X
Inspection type(s)
State Licensure
Deficiencies cited
2

Citation Details


C0000: Comment


Visit Number
1
Visit Date
7/6/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 07/06/23, 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.


Visit Number
2
Visit Date
10/5/2023
Corrected Date
N/A
Details

The findings of the first re-visit to the kitchen inspection of 07/06/23, conducted 10/05/23, are documented in this report. It was determined the facility was 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: Resident Services Meals, Food Sanitation Rule


Scope
L2 Widespread
Visit Number
1
Visit Date
7/6/2023
Corrected Date
N/A
Details

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:


Observations of the facility kitchen, food storage areas, food preparation and food service on 07/06/23 revealed:


* Splatters, spills, drips, and debris noted on:

- Shelving and appliances in the dry storage area;

- Interior of the refrigerators; and

- Interior of drawers and cupboards.

 

* Undated and unlabeled prepared foods in the refrigerators;

* Packaged foods not dated when opened;

* Eggs stored on the top shelf above ready to eat food; and

* Scoop with the handle in the food left in bulk bins.


The food storage concerns and areas in need of cleaning were reviewed with Staff 1 (Administrator). She acknowledged the findings.

Plan of Correction

C 240 OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule

1. A deep clean of the kitchen and dry storage will be completed to include all interior and exterior surfaces; refrigerators, shelves, drawers, cupboards, and appliances . Food items will be checked to ensure proper storage, sealing and date opening on any opened food items, unsure items will be disposed of and replaced with new/unopened items. Eggs will be stored below ready to eat foods.

 

2.Cleaning schedule check lists will be reviewed and updated to reflect daily, weekly and monthly cleaning. All staff will be provided training on food and sanitation procedures, food storage, as well as updated cleaning  schedules including sealing/labelinga, date opening and storage of opened food items. Food service/sanitizing requirements are included in staff orientation, compentiencies will be evaluated during orientation and periodiacally thereafter as well as at staff inservices and as needed.


3. The cleaning schedule check lists, cleanliness and proper storage of opened/unopened food items will be reviewed daily, then weekly to identify any challenges or concerns and/with completion of duties.


4.The Administrator or designee will be responsible to ensure the corrections are completed/monitored.


Visit Number
2
Visit Date
10/5/2023
Corrected Date
9/4/2023
Details

There are no detail notes for this visit.