Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0001012700
Provider Information
Avamere at Park Place
8445 SW HEMLOCK STREET
Portland, OR 97223
- Provider ID
- 70M070
- Administrator
- Tatiana Misa
- Phone
- (503) 245-8985
- tmisa@avamerecommunities.com
Violation Details
- Date
- 10/6/2015
- Report number
- OR0001012700
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide proper food/nutrition
- Result
- Substantiated
- Findings
- Facility is running out of food at meal time and is not serving meals listed on the menu4110540030(1)(a)(B)4110540300(7)(e)(A)In September 2015, Staff 4 quit and was replaced by Staff 5 in the facility's kitchen. Staff 5 received his/her training while on the job and thus mistakes occurred:1)Ran out of a listed menu item(s) during mealtime(s);2)Issued a menu a week ahead of time but provided different items/meals than listed in the planned menu;3)Failed to provide three daily, nutritious, palatable meals (including modified special diets appropriate to residents needs and choices) with snacks available seven days per 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.Residents 1 6 were interviewed on October 7, 2015, October 12, 2015, October 19, 2015 & October 28, 2015 and all conveyed above referenced issues to the Compliance Specialist (CS).Staff 1 announced during an interview on October 19, 2015 that he/she submitted their resignation papers to the corporate office and will soon be replaced. Staff 1 was asked about issues in the kitchen. He/she indicated that Staff 4 quit several weeks earlier and the facility was forced to transfer Staff 5 from a sister facility to lead efforts in their kitchen.On October 12, 2015, Staff 3 was interviewed and acknowledged that the facility has been experiencing high turnover of staff; Staff 5 is new (only a few weeks on the job) and is learning the facilities ordering process. Staff 3 confirmed that Staff 5 will be trained in upcoming weeks and that the facility's dining services shall improve once Staff 5 receives proper training.Dining services was observed on October 7, 2015, October 12, 2015, October 19, 2015, October 28, 2015, November 10, 2015 and December 7, 2015. On October 12, 2015 & October 19, 2015, Compliance Specialist (CS) observed menu items running out before all residents were served for four different residents. On October 12, 2015, CS observed written menus not being posted ahead of time for a two week period; and several menu items posted a week ahead of time not served on the date it was listed to be served.During the compliance review Staff 2 was hired on October 26, 2015, and after he/she completed all of his/her training (Staff 2 replaced Staff 1), CS then met with Staff 2 and Staff 5 on December 7, 2015 to go over kitchen's inventory ordering and control. Staff 5 was asked to demonstrate how he/she determines how much food to make in order to avoid running out of food for a meal. During Staff 5 ' s explanation he/she sought assistance from Staff 2 in order to fully explain protocols/procedures. Staff 2 reminded Staff 5 how to track how each menu item does in order to predict how much of that item will be needed the next time that item is served. Lastly, Staff 5 was asked to demonstrate his/her knowledge around inventory control and he/she provided feedback to demonstrate his/her is learning and getting more comfortable with the process. Staff 2 indicated that both Staff 2 & Staff 5 recently met with a representative from the facility ' s food vendor to help train Staff 5 on inventory control and providing nutritious, palatable meals (including modified special diets that are appropriate to residents' needs and choices) in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines.