Print Inspection: KIT014345

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 maintain the kitchen in good repair and in a sanitary manner, in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to: Observation of the ALF kitchen on 09/17/26, from 10:50 am through 1:00 pm, revealed the following deficiencies: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and black and/or grey biological matter, was visible on or underneath the following: * Range top; * Range top drip pans; * Industrial can opener; * Ceiling vent above the ice machine; * Flooring between work spaces and walls; * Interior of the ice machine; * Walk-in cooler pipes; * Walk-in cooler fans and cages; * Walk-in cooler metal racks; * Door edges and seal to walk-in cooler; and * Walk-in cooler floors under racks and along the edge of the floor where it met the wall. wall/floor edges; b. The following was needed to be repaired: * Multiple metal racks in the walk-in cooler were rusty and observed with the protective coating was peeling off, and the racks did not have a smooth and cleanable surface; * Multiple pipes and hoses from the dish machine were inside the floor drain, not allowing for adequate back flow prevention; * The seal to the ice machine was damaged; and * The seal on the door to the walk-in cooler was damaged. c. A cook was observed preparing and serving food without wearing a facial hair restraint. At approximately 12:30 pm on 09/17/26, the surveyor reviewed the above areas with Staff 2 (Dietary Services Manager), who acknowledged the findings areas. At 1:00 pm, the surveyor reviewed the identified areas with Staff 1 (Administrator), who acknowledged the findings.

Areas found to be out of compliance referenced in Section 1, subsections A, B, & C. will be cleaned, corrected, repaired and replaced as applicable by 11/16/26. Dietary director and Executive director will use Quality Assurance Tools (Food Sanitation Audit, Monthly Quality Assurance Program Audit, and Cleaning Checklist) per Prestige policy to do monthly and weekly audits of Kitchen to ensure ongoing compliance with OAR 333-150-0000. Executive Director will be responsible for continued compliance through weekly meetings with dietary director, kitchen walkthroughs and quality assurance audits. Items referenced in section 1.a. in need of cleaning have been cleaned as of 10/5/26, with a deep clean of full kitchen and kitchenette scheduled for 10/25/26 and quarterly thereafter. Daily and Weekly Cleaning Lists have been updated to include all items referenced. Items referenced in section 1.b. are being addressed as follows: -New metal racks for walk in cooler were ordered on 10/5/26. Old racks will be removed and replaced with new upon their arrival. -Pipes and hoses hanging in drain will be shortened in length to allow adequate back flow prevention by 11/1/26. -Equipment Vendor will be out to repair seal on ice machine and walkin cooler by 10/16/26. Item referenced in section 1.c is being addressed as follows: -Presence and availabilty of facial hair restraints has been verified by Dietary director and Executive Director. Staff received verbal coaching for the use of facial hair restraints on 9/18/26. Use of facial hair restraints will be reinforced with staff retraining at staff meeting on 10/19/26. -Dietary director will receive retraining on kitchen sanitation audits and monthly quality assurance audits.