Print Inspection: KIT003557

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 in good repair, clean and appropriate storage was maintained in accordance with the Food Sanitation Rules 333-150-0000. Findings include, but are not limited to: On 03/28/25 at 10:5 am, the facility kitchen was observed to need repair, cleaning and appropriate storage in the following areas: * Multiple open bags of sugar in the dry storage area; * A large bag of cornmeal not stored in a manner to prevent rodents or pest infestation in dry storage area; * Potatoes stored in cardboard boxes in dry storage area; *The ice machine had a scoop in the bin and debris build up inside; * Rolling cart with built up food debris on handle and trays; * Shelving inside multiple cupboards with uncleanable surfaces; * Utensil drawer broken with uncleanable edge; * Drawer containing cloth covers with broken edge that was also an uncleanable surface. The areas above were observed and discussed with Staff 1 (Executive Director) on 03/28/25. She acknowledged the findings.

1.OAR 411-054-0030. Identified areas will be corrected to include: * Sugar and cornmeal will be stored and labeled in 5 gallon buckets to prevent infestation of rodents & pests. * Potatoes will be stored and labled in crates on shelf in dry storage area. * Kitchen staff will be trained on proper food storage. * There will be a documented scheduled cleaning bi-monthly and the scoop will be stored on a hook outside the ice machine. Documented training will be provided to the staff on proper cleaning of the ice machine and placement of the scoop. * Task sheets will be updated to include cleaning and sanitizing rolling carts after each meal/snacks. * Adhesive liner will be applied to the inside of the cupboards to ensure cleanable surfaces * The broken utensil drawer, and the drawer with clothcovers and broken edges will be repaired to ensure they are in good repair with cleanable surfaces. 2. Staff will be provided with training on identifying areas in need of repair, and reporting any areas of concern in the maintenance request binder, so that they can be repaired in a timely manner. Identified areas of concerns will be added to the kitchens daily task sheet. Maintenance will repair and sign off when completed all maintenance requests. He will have a monthly check off task sheet for kitchen environmental conditions. 3.The areas needing correction will be evaluated daily, weekly, bi-weekly, monthly, and yearly with QAPI 4.The Administrator/Designee, and Maintenance Director will be responsible for corrections and monitoring to ensure compliance.

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, interview, and record review, 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.

Refer to C240

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: