Print Inspection: WPBM

The findings of the kitchen inspection, conducted 01/17/23, 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.

The findings of the revisit to the kitchen inspection of 01/17/23, conducted 04/11/23, 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.

The findings of the second revisit to the kitchen inspection of 01/17/23, conducted 06/02/23, 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.

Based on observation and interview, it was determined the facility failed to ensure the kitchen was clean and in good repair; and food was stored appropriately, in accordance with the Food Sanitation Rules OARs 333-150-0000.

Findings include, but are not limited to:

On 01/17/23 at 10:15 am, the facility kitchen was observed to need cleaning in the following areas:

* Multiple containers of bulk food in dry food storage had lids with food debris on them;

* Fans in the walk in refrigerator (had dust buildup);

* Microwave oven, inside had food splatters;

* Shelves below microwave and prep counter;

* Hood vents above the stove/grill, steamer and convection oven;

* Front of the stove/oven door; and

* Floor between stove and prep counter with microwave.

Food items not stored appropriately:

* Items in the walk-in refrigerator without dates/labels:  Sliced cheese (no date), Three unlabeled/undated containers (rice, casserole, breaded food item) and  Containers of food items on "leftover shelf" not labeled/dated (french toast, grated cheese, soup/pudding and sliced bread;

* Bulk food containers containing panko crumbs and rice cereal had scoops in the product; and

* Boxes stored on floor of walk in freezer.

Areas in need of repair:

* Flooring in front of stove (tear);

* Hole in the wall next to hood and above the prep area holding the microwave;  and

* Area of  raw plywood on wall above the walk in refrigerator.

The areas described above were discussed with Staff 1 (Administrator), Staff 2 (District Manager - Contractor for kitchen) and Staff 3 (Maintenance Director) on 01/17/23. The findings were acknowledged.

1. All items noted have been repaired and cleaned.

2.The Kitchen Manager for Health Services Group has created a cleaning schedule for all areas that need cleaning on a regular basis. A maintenance communication binder has been created so that kitchen staff can write down any areas of concern that may need repaired or replaced, this binder is located at the Rosewood Court nurses station.

3. The Kitchen Manager for HealthServices Group and their staff shall address necessary cleaning of the kitchen on a weekly basis, or as the cleaning schedule requires.

4. Kitchen Manager for Health Services Group will be required to see that the cleaning schedule is completed and monitored.

Based on observation and interview, it was determined the facility failed to ensure the kitchen was clean and in good repair, and food and/or equipment was stored appropriately in accordance with the Food Sanitation Rules OARs 333-150-0000. This is a repeat citation. Findings include, but are not limited to:

On 04/11/23 at 1:30 pm, the facility kitchen was observed to need cleaning in the following areas:

* Multiple containers of bulk food in dry food storage had lids with food debris on them;

* Fans in the prep area had dust buildup and was blowing in the direction of the food prep areas;

* Interior and exterior of microwave oven with food splatters/debris; interior of microwave with uncleanable surface and in need of replacement;

* Industrial mixer had food debris on the base;

* Shelves below microwave and prep counter;

* Stove top and knobs, grill top and knobs, oven doors and handles;

* Slicer with dried meat items on food contact surfaces in multiple areas;

* Walls behind stove, grill, oven and mixer with food splatters;

* Open shelving under prep area and under toaster;

* Fire sprinkler head in the food prep area had a large accumulation of dust on and around it; and

*Steam table sides and front had spills, splatters and drips

The following areas were not according to food code standards:

* Bulk food containers containing panko crumbs and cheerios had scoops stored in the product; and

* Slicer not covered when not in use.

The following areas were observed in need of repair:

* Flooring as you enter into the dishwashing area with a tear as well as the flooring near the back door under a desk area with a tear;

* Large piece of seal stripping for walk in cooler door was peeled off and dragging on the floor when door opened;

* Large area of wall in prep area with damage to dry wall;

* Hole in ceiling by sprinkler head;

* Cove base near the walk in cooler missing; and

* Large amount of ice build up on the walk-in freezer door/entry way.

Facility plan of correction indicated a maintenance log book would be utilized so that kitchen staff could alert maintenance department of needed repairs. No kitchen staff were aware of a log to write down maintenance concerns and they would let them know verbally if anything needed addressed. Staff 4 (Plant Operations Senior) was interviewed and confirmed there was not a separate log or system for kitchen staff to communicate maintenance needs. There were log books at each nurses station that could be utilized. S/he indicated the facility had discussed something for the kitchen staff but had not implemented it as of survey date.

Staff 2 (District Manager - Contractor for kitchen) was with surveyor during tour of kitchen and acknowledge the above areas needed attention.

At 2:00 pm the identified issues were discussed with Staff 1 (Assistant Administrator), Staff 2 (Oncoming Dietary Manager) and Staff 3 (Senior Plant Operations). The findings were acknowledged. Staff 1 shared that the facility had recently canceled the contract with the company managing/overseeing the kitchen and would be managing the oversight of the kitchen at the facility level and that the process was currently in transition.

1. All noted cleaning, maintenance and repairs from this re-survey have been addressed.

2.The previous kitchen company subcontractor has been terminated. We have hired a new Dietary/Kitchen Director. The Kitchen Director will be in house every day to make sure all cleaning and maintenance communications are resolved as needed.

3. Cleaning and maintenance will be evaluated on a weekly basis and addressed as needed.

4. Kitchen Director and Maintenance Directors will work together to make sure that the needed corrections will be monitored on a weekly basis.

Based on observation and interview, it was determined the facility failed to ensure their re-licensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C 240.

Please refer to C240.

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 240.

1. All items noted have been repaired and cleaned.

2.The Kitchen Manager for Health Services Group has created a cleaning schedule for all areas that need cleaning on a regular basis. A maintenance communication binder has been created so that kitchen staff can write down any areas of concern that may need repaired or replaced.

3. Kitchen Manager and staff shall add`1`ress necessary cleaning of the kitchen on a weekly basis, or as the cleaning schedule requires.

4. Kitchen Manager for Health Services Group will be required to see that the cleaning schedule is completed and monitored.

Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:

Refer to C 240.

1. All noted cleaning, maintenance and repairs from this re-survey have been addressed.

2.The previoust kitchen company subcontractor has been terminated. We have hired a new dietary/kitchen Director. The Kitchen Director will be in house every day to make sure all cleaning and maintenance communications are resolved as needed.

3. Cleaning and maintenance will be evaluated on a weekly basis and addressed as needed.

4. Kitchen Director and Maintenance Directors will work together to make sure that the needed corrections will be monitored on a weekly basis..