Timberwood Court Specialty Care Community.

“Based on observation and interview, it was determined the facility failed to ensure the environment was maintained in clean and good repair. Findings include, but are not limited to: Observations of the Maple and Oak memory care units, from 08/25/25 through 08/27/25, identified the following: * Significant carpet stains were observed throughout Maple and Oak cottages; and * There was a strong, pervasive urine odor detected in Oak cottage, which failed to dissipate over the course of the survey. On 08/27/25, the need to ensure the environment was maintained in clean and good repair was reviewed with Staff 1 (ED) and Staff 5 (Maintenance Services). They acknowledged the findings. Deficiency:stained carpet and strong urine odor. Plan of correction”

“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 513. Deficiency:stained carpet and strong urine odor. Plan of correction”

“Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows: · Oak side: o Day shift: 3.55 care staff; o Swing shift: 3.18 care staff; and o Night shift: 1.54 care staff. · Maple side: o Day shift: 2.40 care staff; o Swing shift: 2.26 care staff; and o Night shift: 1.16 care staff. A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs. An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers. It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred. Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows: · Oak side: o Day shift: 3.55 care staff; o Swing shift: 3.18 care staff; and o Night shift: 1.54 care staff. · Maple side: o Day shift: 2.40 care staff; o Swing shift: 2.26 care staff; and o Night shift: 1.16 care staff. A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs. An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers. It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred.”

“Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows: · Oak side: o Day shift: 3.55 care staff; o Swing shift: 3.18 care staff; and o Night shift: 1.54 care staff. · Maple side: o Day shift: 2.40 care staff; o Swing shift: 2.26 care staff; and o Night shift: 1.16 care staff. A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs. An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers. It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred. Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows: · Oak side: o Day shift: 3.55 care staff; o Swing shift: 3.18 care staff; and o Night shift: 1.54 care staff. · Maple side: o Day shift: 2.40 care staff; o Swing shift: 2.26 care staff; and o Night shift: 1.16 care staff. A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs. An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers. It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred.”

“The findings of the kitchen inspection, conducted 05/09/24, 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 kitchen inspection, conducted 05/09/24, 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 05/09/24, conducted 07/18/24, 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. The findings of the revisit to the kitchen inspection of 05/09/24, conducted 07/18/24, 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 maintain the kitchen in good repair and in a sanitary manner in accordance with Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to: Observation of the facility kitchen and unit kitchenettes were reviewed on 05/09/24 from 11:30 am through 3:00 pm and found the following: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following: * Popcorn machine interior and kettle; * Maple and oak kitchenette drawers/cupboards; * Maple and oak kitchenette ovens and range top burners; * Kitchen drains; * Areas of ceiling in main kitchen; * Kitchen ceiling vents/light fixtures; * Countertop mixer; and * Exterior of meal delivery carts. b. The following areas were in need of repair: * Main kitchen ceiling with peeling/chipped paint; * Drawers in units with exposed porous wood; and * Wood shelving under steam table with exposed porous wood. c. Interview with Staff 2 (Person in Charge) revealed inadequate knowledge in employee illnesses/symptoms that required exclusion. Staff 2 was not able to correctly identify all protein cook to temperatures. Staff 2 was not able to correctly discuss proper cooling processes. d. Multiple cutting boards and cutting surfaces were found heavily stained and scored. Multiple grill spatulas were found with handles damaged and no longer smooth cleanable surfaces and in need of replacement. Utility cart storing chemicals was rusted and non smooth/cleanable surface. e. Multiple food items in reach in fridges and freezers did not contain open dates or use by dates. One item in unit fridge was found past it's identified use by date (sliced cheese use by date: 5/7/24). f. Oak unit refrigerator did not have a thermometer to monitor cold food storage temperatures. Both Oak and Maple unit refrigerators storing resident food and drinks containing potentially hazardous food items did not have process where cold food temps were monitored by facility staff to ensure food items held at 41 degrees or below as required. Staff 1 (Executive Director) verified there was no current process to monitor the refrigerator temperatures. h. Maple kitchenette had single service items (spoons/straws) that were stored open to potential contamination with food contact surfaces exposed. i. Staff 2 was observed washing dishes. Staff 2 did not undergo a hand wash step when going between washing dirty dishes to handling clean dishes. Staff 2 was also observed wiping clean sanitized dishes with a towel on the food contact surfaces to help them dry. This towel used to wipe the sanitized dishes was placed on the waist of Staff 2 and was exposed to potential dirty spray while washing dishes. At approximately 2:00 pm and 2:45 pm, surveyors reviewed above areas with Staff 2 (Dining Services Director), Staff 3 (Maintenance Director) and Staff 1 (Executive Director), who acknowledged the identified areas. 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 Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to: Observation of the facility kitchen and unit kitchenettes were reviewed on 05/09/24 from 11:30 am through 3:00 pm and found the following: a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following: * Popcorn machine interior and kettle; * Maple and oak kitchenette drawers/cupboards; * Maple and oak kitchenette ovens and range top burners; * Kitchen drains; * Areas of ceiling in main kitchen; * Kitchen ceiling vents/light fixtures; * Countertop mixer; and * Exterior of meal delivery carts. b. The following areas were in need of repair: * Main kitchen ceiling with peeling/chipped paint; * Drawers in units with exposed porous wood; and * Wood shelving under steam table with exposed porous wood. c. Interview with Staff 2 (Person in Charge) revealed inadequate knowledge in employee illnesses/symptoms that required exclusion. Staff 2 was not able to correctly identify all protein cook to temperatures. Staff 2 was not able to correctly discuss proper cooling processes. d. Multiple cutting boards and cutting surfaces were found heavily stained and scored. Multiple grill spatulas were found with handles damaged and no longer smooth cleanable surfaces and in need of replacement. Utility cart storing chemicals was rusted and non smooth/cleanable surface. e. Multiple food items in reach in fridges and freezers did not contain open dates or use by dates. One item in unit fridge was found past it's identified use by date (sliced cheese use by date: 5/7/24). f. Oak unit refrigerator did not have a thermometer to monitor cold food storage temperatures. Both Oak and Maple unit refrigerators storing resident food and drinks containing potentially hazardous food items did not have process where cold food temps were monitored by facility staff to ensure food items held at 41 degrees or below as required. Staff 1 (Executive Director) verified there was no current process to monitor the refrigerator temperatures. h. Maple kitchenette had single service items (spoons/straws) that were stored open to potential contamination with food contact surfaces exposed. i. Staff 2 was observed washing dishes. Staff 2 did not undergo a hand wash step when going between washing dirty dishes to handling clean dishes. Staff 2 was also observed wiping clean sanitized dishes with a towel on the food contact surfaces to help them dry. This towel used to wipe the sanitized dishes was placed on the waist of Staff 2 and was exposed to potential dirty spray while washing dishes. At approximately 2:00 pm and 2:45 pm, surveyors reviewed above areas with Staff 2 (Dining Services Director), Staff 3 (Maintenance Director) and Staff 1 (Executive Director), who acknowledged the identified areas. Providers plan of correction for the tag of C240 and memory care tag Z142 is as follows. A. Food debris, splatters, loose food, trash, dirt, dust and or black matter that was visable on the following areas has been cleaned and made in good repair. ~The popcorn machine has been cleaned and stored in an offsight location at this time. ~Maple and Oak kitchenette drawers and cupbaords have been wiped down and food debris removed. This task has been added to the nightly cleaning list for  care partners to complete nightly. This will be over seen each night by the supervisor on duty. ~Maple and Oak kitchenette ovens and burners are to have debris removed and cleaned nightly as needed to remove food debris and spills. This task has been added to the nightly cleaning task list and will be over seen nightly by the supervisor on duty. ~Kitchen drains have been cleaned and task added to weekly zonal cleaning for the kitchen cleaning. This will be monitored by the Dining Serviced Director. ~Areas in kitchen ceiling in main kitchen have been cleaned and patched and repainted. Cleaning of kitchen ceiling will be done monthly by maintenance director. ~Kitchen ceiling vents and light fixtures were taken down and cleaned and repainted. Maintenance director will check and clean monthly. ~Countertop mixer has been deep cleaned with food debris removed. A plastic dust cover was purchased and is in place while not in use to keep dust off the machine. Cleaning of this item has been added to the weekly zonal cleaning for this item. This will be overseen by the Dining Services Manager. ~Exterior of meal delivery cart was deep cleaned and debris was removed. This task has been added to the daily cleaning task list for the kitchen and will be overseen by the Dining Services Director. B.The following areas were in need of repair. ~Main Kitchen ceiling had peeling and chipped paint. The areas have been”

“Based on observations and interviews, 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. Based on observations and interviews, 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. see C 240 see C 240 There are no detail notes for this visit.”