Print Inspection: RL000749

OAR 411-054-0200 (3) General Building Exterior (3) GENERAL BUILDING EXTERIOR.(a) All exterior pathways and accesses to the RCF common-use areas, entrance, and exit ways must be made of hard, smooth material, be accessible, and maintained in good repair.(b) A RCF must take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. There must be locked storage for all poisons, chemicals, rodenticides, and other toxic materials. All materials must be properly labeled.(c) RCF grounds must be kept orderly and free of litter and refuse. Garbage must be stored in covered refuse containers.(d) As described in OAR 411, division 057, memory care communities licensed as a RCF must be located on the ground floor. A CF cannot be endorsed as a memory care community.(e) A RCF must provide storage for all maintenance equipment, including yard maintenance tools, if not provided by a third-party contract.(f) A RCF must provide an accessible outdoor recreation area. The outdoor recreation area must be available to all residents. Lighting must be equal to a minimum of five foot candles. Memory Care Communities must provide residents with direct access to a secure outdoor recreation area as described in OAR chapter 411, division 057.(g) Outdoor perimeter fencing may not be secured to prevent exit unless the RCF has written approval from the Department for an exception or the RCF is in compliance with OAR chapter 411, division 057 (Memory Care Communities) or OAR 309-019-0100 through 309-019-0220.(h) A RCF must have an entry and exit drive to and from the main building entrance that allows for a vehicle to pick up and drop off residents and mail deliveries without the need for vehicles to back up. This Rule is not met as evidenced by: Based on observation, interview, and record review it was determined the facility failed to ensure an outdoor recreational area was accessible for all residents and failed to ensure all exterior pathways and accesses to the facility's common use areas were maintained in good repair. Findings include, but are not limited to: Observations of the secured courtyard on 10/15/24 and 10/16/24 showed the following: Wood edging along pathway was rotted, damaged and missing in multiple areas. These areas created a potential tripping/fall hazard for residents. A cement patio used by residents had two raised circular metal anchored plates, which created an uneven walking surface. Access to the secured courtyard was not accessible to all residents, as the two doors that exited out to the courtyard required a code to unlock the doors. In addition, the weather stripping between the doors and along the perimeter was not sealed and peeling off, causing large gaps and openings where insects, debris, and other containments could enter the building. The need to ensure residents had access to an outdoor recreation area and all exterior pathways and accesses to the facility’s common use areas were maintained in good repair was discussed with Staff 1 (MCC Director) and Staff 4 (Maintenance Director) on 10/17/24. They acknowledged the findings.

The community has hired a vendor to install 15ft sections of handrails to replace the wood edging along the pathway. The handrails will create a safer walking path for our resdients. landscaping is also scheduled to fill in any gaps around the handrails eliminating any drop offs. Moving forward the MCC and the MD will monitor the courtyard walkway edges monthly to insure that there are no gaps and that the handrails are secure for residents to use when using the walkway in the courtyard. This will also be discussed during our monthly CQI meetings for the next 3 months. The MD is also going to remove the circular metal anchored plates and fill the holes creating an even walking surface for our resdients and iliminating any fall hazards. The walking path itself will be monitored weekly by the MCC and MD to insure that the walking path is even and free from any tripping hazards. The exterior double doors will be replaced as a complete unit. New doors will be installed replacing the current exterior door frame with two new double doors, new threshold and new weather stripping. The MD will monitor the doors on a weekly basis insuring that the resdients can safely go in and out without any safety concerns or limitations. The MD will also monitor for any gaps or issues with the weather stripping making sure that there isnt any room for debris or critters from the outside to get into the building. This will also be monitored by the MD on a weekly basis.

OAR 411-054-0200 (3) General Building Exterior (3) GENERAL BUILDING EXTERIOR.(a) All exterior pathways and accesses to the RCF common-use areas, entrance, and exit ways must be made of hard, smooth material, be accessible, and maintained in good repair.(b) A RCF must take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. There must be locked storage for all poisons, chemicals, rodenticides, and other toxic materials. All materials must be properly labeled.(c) RCF grounds must be kept orderly and free of litter and refuse. Garbage must be stored in covered refuse containers.(d) As described in OAR 411, division 057, memory care communities licensed as a RCF must be located on the ground floor. A CF cannot be endorsed as a memory care community.(e) A RCF must provide storage for all maintenance equipment, including yard maintenance tools, if not provided by a third-party contract.(f) A RCF must provide an accessible outdoor recreation area. The outdoor recreation area must be available to all residents. Lighting must be equal to a minimum of five foot candles. Memory Care Communities must provide residents with direct access to a secure outdoor recreation area as described in OAR chapter 411, division 057.(g) Outdoor perimeter fencing may not be secured to prevent exit unless the RCF has written approval from the Department for an exception or the RCF is in compliance with OAR chapter 411, division 057 (Memory Care Communities) or OAR 309-019-0100 through 309-019-0220.(h) A RCF must have an entry and exit drive to and from the main building entrance that allows for a vehicle to pick up and drop off residents and mail deliveries without the need for vehicles to back up. This Rule is not met as evidenced by:

OAR411-004-0020(2)(b) Physical Setting: Individual Accessible (2) Provider owned, controlled, or operated residential settings must have all of the following qualities: (b) The setting is physically accessible to an individual. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to have the setting that was physically accessible to an individual. Findings include, but are not limited to: During a tour of the MCC environment on 10/15/24 and 10/16/24 the following was identified: There were two doors that exited out to a secure courtyard that required a code to unlock the doors. The doors were misaligned which caused difficulty with opening and closing the doors properly. This created a situation which limited resident's ability to freely access the recreation area. The need to have the setting physically accessible to residents was discussed with Staff 1 (MCC Director) and Staff 4 (Maintenance Director) on 10/17/24. They acknowledged the findings. Refer to C 510.

We have added a timer to the magnetic locks that will automatically unlock the courtyard doors between 8am and 7pm, but can be changed at any time. This will allow our resdients to freely go in and out of the doors without staff assistance, during daytime hours. This will also allow the door to be fully closed. During the later evening hours a staff member will be available to unlock the doors for the residents if they wish to exit to the courtyard. This will be completed and monitored weekly by the MCC and MD.

OAR411-004-0020(2)(b) Physical Setting: Individual Accessible (2) Provider owned, controlled, or operated residential settings must have all of the following qualities: (b) The setting is physically accessible to an individual. 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 C 510

Please refer to tag C0510 for POC.

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: