Print Inspection: KIT009233

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 kitchen practices and protocols were in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 02/09/26, between 10:15 am and 1:15 pm, the facility kitchen was observed to need cleaning and repair in the following areas: Areas in need of cleaning and/or repair: * Fridge gasket in Claire kitchenette - loose, detached, preventing seal/door closure; * Cutting boards - heavily scored, stained, non-cleanable; * Floor under the two sinks - missing and/or loose tiles, exposed concrete, porous, non-cleanable surfaces; and * Dish machine - wash temperature below minimum required during survey, and for two consecutive days prior to survey, and staff continued to use the machine. During an observation on 02/09/26 at approximately 11:30am, Staff 1 (PIC/Dining Services Manager) demonstrated the dish machine did not meet minimum temperature requirements. Staff 1 verified that the machine had not met temperature requirements for two consecutive days prior to survey and staff had continued to use the machine. Staff planned to use the three-compartment sink for ware washing until the repair was made. During an observation on 02/09/26 at approximately 12:15 pm, surveyor observed refrigerator temperatures in the Claire kitchenette to be above the maximum required temperature and noticed the gasket was detached, keeping the door ajar. Staff 1 and Staff 3 (Maintenance Director) reported that they were unaware of the detached gasket. The surveyor observed documentation of temperatures above maximum temperature for approximately five days. Staff planned to adjust the temperature of the refrigerator, discard any potentially hazardous food, monitor temperatures, and make repairs. During record review of the temperatures of the refrigerator in the Bridge kitchenette, the surveyor noticed several temperatures above the maximum required temperatures. Staff 1, Staff 2 (Executive Director), and Staff 3 reported that they were unaware of the refrigerator being above the required temperature. Staff planned to adjust and monitor the refrigerator temperatures. The areas of concern were observed and/or discussed with Staff 1 (PIC/Dining Services Manager), Staff 2 (Executive Director), and Staff 3 (Maintenance Director). Staff acknowledged the findings at approximately 1:15 pm on 02/09/26.

Facility will ensure adherance to kitchen practices and protocols in accordance with the Food Sanitation Rules OAR 333-150-000 by doing the following: - Replacing both kitchenette fridge seals and evaporator fans and cleaning the consendor motors. Motors will be cleaned every six months, and fridge gaskets will be checked every two months by Maintenance Supervisor and replaced as needed. - Purchasing new cutting boards, which will be replaced at least annually unless sooner is indicated by visible wear and tear. - Exposed concrete underneath the two-sink from a prior drain pipe repair will be replaced with a new drain. Vendor has been contacted and project is anticipated to be completed by end of March 2026. - Dishwashing machine thermostat was adjusted by EcoLab to meet temperature sanitation requirements. To prevent this violation from occurring again, staff will check the thermometer prior to each wash cycle to ensure wash temperature is at least 150 degrees and rinse temperature is at least 180 degrees. If temperature falls outside of these ranges, staff will utilize the three-sink method. - Monitoring kitchenette refrigerators by using remote app with temperature sensors, as well as ensuring refrigerators in kitchenettes are locked after each meal. Executive Director, Dining Services Coordinator and Maintenance Supervisor will be responsible to see that corrections are completed and monitored.

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 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.

See 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: