Sunset Villa.

“Based on interview and record review, it was determined the facility failed to promptly investigate injuries of unknown cause and report to the local SPD office if abuse could not be ruled out for 2 of 2 sampled residents (#s 1 and 2) reviewed for injuries of unknown cause. Findings include, but are not limited to:”

“Based on observation and interview, it was determined the facility failed to maintain infection prevention and control protocols related to dining services. Findings include, but are not limited to: On 07/22/25 between 9:55 am and 12:15 pm, interviews with staff and observations of the facility kitchen, food preparation, and food service were conducted, and the following was identified: a. Multiple direct care staff were observed to cook and/or serve residents meals without the use of a protective barrier over potentially contaminated clothing. b. At 10:30 am, a CG was observed helping a resident eat. During the observation, the CG touched the resident’s food with bare hands then handed it to the resident to eat. c. At 11:10 am, a CG entered the kitchen. She made toast for a resident. The CG handled the bread with bare hands while preparing it for the resident. The need to ensure the facility maintained effective infection prevention and control protocols to provide a safe and sanitary environment when preparing resident meals and during meal service was reviewed with Staff 1 (Administrator) on 07/22/25 at 12:15 pm. He acknowledged the findings. 1-2. Staff will receive training on the expectation to wear protective barrier while providing dining services for our residents. The expectation is that when staff enter the kitchen with the intention to prepare or serve any food, that they will wash their hands, put on gloves and put on a protective barrier such as an apron to protect from any cross contamination and protect the residents. Staff will also be expected to wear gloves when serving, preparing food and assisting residents with eating. Administration has supplied several aprons to wear when entering kitchen. 3-4.This will be monitored by the administration and continued training will occur by our trainer at hire, and quarterly reviews. OAR 411-054-0050(1-5) Infection Prevention & Control (Amended 03/18/2022)(1) Facilities must establish and maintain infection prevention and control protocols to provide a safe, sanitary and comfortable environment. This includes protocols to prevent the development and transmission of communicable diseases.(2) Each facility must designate an individual to be the facility ' s "Infection Control Specialist" responsible for carrying out the infection prevention and control protocols and serving as the primary point of contact for the Department regarding disease outbreaks. The Infection Control Specialist must:(a) Be qualified by education, training and experience or certification; and(b) Complete specialized training in infection prevention and control protocols within three months of being designated under this paragraph, unless the designee has received the specialized training within the 24-month period prior to the time of the designation. The Department will describe trainings that will be acceptable to meet the specialized training requirement in rule, by January 1, 2022.(3) Each facility must establish infection prevention and control protocols and have an Infection Control Specialist, trained as required in this rule, by July 1, 2022.(4) Facilities must comply with masking requirements as prescribed in OAR 333-019-1011 or, if applicable, OAR 437-001-0744, to control the spread of COVID-19.(5) Facilities must comply with vaccination requirements for COVID-19 as prescribed in OAR 333-019-1010.Stat. Auth.: ORS 410.070, 443.004, 443.012, 443.450Stats. Implemented: ORS 443.004, 443.400-443.455, 443.991 This Rule is not met as evidenced by:”

“Based on observation, interview and record review, 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 C231 and C295. Please refer to correction actions on tags C231 and C295 as previously done. 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:”

“The findings of the kitchen inspection, conducted 06/24/24, 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 kitchen inspection, conducted 06/24/24, 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 kitchen inspection, conducted 07/31/23, 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. The findings of the kitchen inspection, conducted 07/31/23, 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.”