Avamere at Sherwood.

“Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 02/03/26 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: * Wall and caulking behind spray hose in dishwasher area above splash guard – build up of black matter; * Wall below dishwashing sink – drips/spills black/brown matter build up; * Shelf below steam table – accumulation of food and debris; * Doors and handles on convection oven and stove – spills/grease build up/sticky matter; * Steamer table and slates for holding trays below – debris build up/spills/food crumbs; * Flooring underneath and behind cooking equipment and under food storage shelving throughout the kitchen – debris/food matter; * Sides of stove and convection oven – drips/spills/grease build up; and * Garbage can lid – food spills/splatters. Other concern included: * Commercial can opener blade – finish worn off. The areas of concern were observed and discussed with Staff 1 (Dietary Services Manager) and discussed with Staff 2 (Memory Care Administrator) on 02/03/26. The findings were acknowledged by Staff 1 and Staff 2 at 12:15 pm and 12:30 pm respectively.”

“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 C240.”

“Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 02/03/26 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: * Wall and caulking behind spray hose in dishwasher area above splash guard – build up of black matter; * Wall below dishwashing sink – drips/spills black/brown matter build up; * Shelf below steam table – accumulation of food and debris; * Doors and handles on convection oven and stove – spills/grease build up/sticky matter; * Steamer table and slates for holding trays below – debris build up/spills/food crumbs; * Flooring underneath and behind cooking equipment and under food storage shelving throughout the kitchen – debris/food matter; * Sides of stove and convection oven – drips/spills/grease build up; and * Garbage can lid – food spills/splatters. Other concern included: * Commercial can opener blade – finish worn off. The areas of concern were observed and discussed with Staff 1 (Dietary Services Manager) and discussed with Staff 2 (Memory Care Administrator) on 02/03/26. The findings were acknowledged by Staff 1 and Staff 2 at 12:15 pm and 12:30 pm respectively.”

“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 C240.”

“Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 02/03/26 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: * Wall and caulking behind spray hose in dishwasher area above splash guard – build up of black matter; * Wall below dishwashing sink – drips/spills black/brown matter build up; * Shelf below steam table – accumulation of food and debris; * Doors and handles on convection oven and stove – spills/grease build up/sticky matter; * Steamer table and slates for holding trays below – debris build up/spills/food crumbs; * Flooring underneath and behind cooking equipment and under food storage shelving throughout the kitchen – debris/food matter; * Sides of stove and convection oven – drips/spills/grease build up; and * Garbage can lid – food spills/splatters. Other concern included: * Commercial can opener blade – finish worn off. The areas of concern were observed and discussed with Staff 1 (Dietary Services Manager) and discussed with Staff 2 (Memory Care Administrator) on 02/03/26. The findings were acknowledged by Staff 1 and Staff 2 at 12:15 pm and 12:30 pm respectively.”

“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 C240.”

“Based on interview and record review, it was determined the facility failed to ensure the ABST evaluation was updated with significant changes of condition and/or quarterly at the same time the resident’s service plan was updated for 2 of 3 sampled residents (#s 1 and 2) whose ABSTs were reviewed; and that time for staff meal breaks was not included in the total scheduled staff time per shift. Findings include, but are not limited to: The facility’s ABST data and posted staffing plan were reviewed on 08/20/25 at 11 am. The following was identified:”

“Based on interview and record review, it was determined the facility failed to conduct fire drills in accordance with Oregon Fire Code. Findings include, but are not limited to: Six months of fire drills records were requested and reviewed with Staff 1 (Administrator) and Staff 6 (Director of Maintenance) at 12:40 pm on 08/19/25. The following was identified: a. There was no documented evidence fire drills were conducted and recorded every other month. b. A fire drill conducted 07/08/25 lacked the following required documentation: * Number of residents evacuated; * Evacuation time period needed; and * Problems encountered and comments relating to residents who resisted or failed to participate in the drills. The need to ensure fire drills were conducted and recorded in accordance with the Oregon Fire Code was discussed with Staff 1 (ED) at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on observation and interview, it was determined the facility failed to ensure individual privacy in his or her own unit for multiple unsampled residents. Findings include, but are not limited to: During environmental observations on 08/19/25, multiple shared units were observed to have a shared bathroom without the ability to lock the door. In a tour with Staff 1 (Administrator) on 08/20/25 at 11 am, it was confirmed the shared units did not have a lockable bathroom door. The need to ensure residents were provided with individual privacy in his or her own unit was discussed with Staff 1 08/21/25 at 11:30 am. She acknowledged the findings.”

“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 363, C 420, and HCBS 1517. Refer to C363, C420 and H1517 POCs. 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 interview and record review, it was determined the facility failed to ensure 4 of 4 newly hired staff (#s 8, 10, 11, and 12) completed all required preservice orientation and dementia training prior to beginning job responsibilities and 3 of 3 newly hired staff (#s 10, 11, and 12) demonstrated competency in all job areas within 30 days of hire. Findings include, but are not limited to: Staff training records were requested and reviewed with Staff 1 (Administrator) at 12:36 pm on 08/20/25. The following was identified: a. There was no documented evidence Staff 8 (Server), hired 07/01/25, Staff 10 (CG), hired 06/17/25, Staff 11 (MT), hired 07/10/25, and Staff 12 (CG), hired 03/11/25, completed the following prior to beginning job responsibilities: * Resident rights and values of CBC care; * Abuse reporting requirements; * Fire safety and emergency procedures; * Infectious disease prevention; * Department-approved HCBS training; * Department-approved LGBTQIA2S+ course; and * Preservice dementia training, including topics that must be completed prior to providing personal care to residents. b. There was no documented evidence Staff 10, Staff 11, and Staff 12 demonstrated competency within 30 days of hire one or more of the following areas: * Role of service plans in providing individualized care; * Providing assistance with ADLs; * Changes associated with normal aging; * Identification, documentation, and reporting of changes of condition; * Conditions that require assessment, treatment, observation, and reporting; * General food safety, serving, and sanitation; and * Other duties including medication pass. In an interview at 12:36 pm on 08/20/25, Staff 1 stated Staff 11 no longer worked at the facility as of the same day so was not passing medications. The need to ensure staff completed all required preservice orientation and dementia training and demonstrated competency in assigned job duties within 30 days of hire was discussed with Staff 1 at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on interview and record review, it was determined the facility failed to ensure the ABST evaluation was updated with significant changes of condition and/or quarterly at the same time the resident’s service plan was updated for 2 of 3 sampled residents (#s 1 and 2) whose ABSTs were reviewed; and that time for staff meal breaks was not included in the total scheduled staff time per shift. Findings include, but are not limited to: The facility’s ABST data and posted staffing plan were reviewed on 08/20/25 at 11 am. The following was identified:”

“Based on interview and record review, it was determined the facility failed to conduct fire drills in accordance with Oregon Fire Code. Findings include, but are not limited to: Six months of fire drills records were requested and reviewed with Staff 1 (Administrator) and Staff 6 (Director of Maintenance) at 12:40 pm on 08/19/25. The following was identified: a. There was no documented evidence fire drills were conducted and recorded every other month. b. A fire drill conducted 07/08/25 lacked the following required documentation: * Number of residents evacuated; * Evacuation time period needed; and * Problems encountered and comments relating to residents who resisted or failed to participate in the drills. The need to ensure fire drills were conducted and recorded in accordance with the Oregon Fire Code was discussed with Staff 1 (ED) at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on observation and interview, it was determined the facility failed to ensure individual privacy in his or her own unit for multiple unsampled residents. Findings include, but are not limited to: During environmental observations on 08/19/25, multiple shared units were observed to have a shared bathroom without the ability to lock the door. In a tour with Staff 1 (Administrator) on 08/20/25 at 11 am, it was confirmed the shared units did not have a lockable bathroom door. The need to ensure residents were provided with individual privacy in his or her own unit was discussed with Staff 1 08/21/25 at 11:30 am. She acknowledged the findings.”

“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 363, C 420, and HCBS 1517. Refer to C363, C420 and H1517 POCs. 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 interview and record review, it was determined the facility failed to ensure 4 of 4 newly hired staff (#s 8, 10, 11, and 12) completed all required preservice orientation and dementia training prior to beginning job responsibilities and 3 of 3 newly hired staff (#s 10, 11, and 12) demonstrated competency in all job areas within 30 days of hire. Findings include, but are not limited to: Staff training records were requested and reviewed with Staff 1 (Administrator) at 12:36 pm on 08/20/25. The following was identified: a. There was no documented evidence Staff 8 (Server), hired 07/01/25, Staff 10 (CG), hired 06/17/25, Staff 11 (MT), hired 07/10/25, and Staff 12 (CG), hired 03/11/25, completed the following prior to beginning job responsibilities: * Resident rights and values of CBC care; * Abuse reporting requirements; * Fire safety and emergency procedures; * Infectious disease prevention; * Department-approved HCBS training; * Department-approved LGBTQIA2S+ course; and * Preservice dementia training, including topics that must be completed prior to providing personal care to residents. b. There was no documented evidence Staff 10, Staff 11, and Staff 12 demonstrated competency within 30 days of hire one or more of the following areas: * Role of service plans in providing individualized care; * Providing assistance with ADLs; * Changes associated with normal aging; * Identification, documentation, and reporting of changes of condition; * Conditions that require assessment, treatment, observation, and reporting; * General food safety, serving, and sanitation; and * Other duties including medication pass. In an interview at 12:36 pm on 08/20/25, Staff 1 stated Staff 11 no longer worked at the facility as of the same day so was not passing medications. The need to ensure staff completed all required preservice orientation and dementia training and demonstrated competency in assigned job duties within 30 days of hire was discussed with Staff 1 at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on interview and record review, it was determined the facility failed to ensure the ABST evaluation was updated with significant changes of condition and/or quarterly at the same time the resident’s service plan was updated for 2 of 3 sampled residents (#s 1 and 2) whose ABSTs were reviewed; and that time for staff meal breaks was not included in the total scheduled staff time per shift. Findings include, but are not limited to: The facility’s ABST data and posted staffing plan were reviewed on 08/20/25 at 11 am. The following was identified:”

“Based on interview and record review, it was determined the facility failed to conduct fire drills in accordance with Oregon Fire Code. Findings include, but are not limited to: Six months of fire drills records were requested and reviewed with Staff 1 (Administrator) and Staff 6 (Director of Maintenance) at 12:40 pm on 08/19/25. The following was identified: a. There was no documented evidence fire drills were conducted and recorded every other month. b. A fire drill conducted 07/08/25 lacked the following required documentation: * Number of residents evacuated; * Evacuation time period needed; and * Problems encountered and comments relating to residents who resisted or failed to participate in the drills. The need to ensure fire drills were conducted and recorded in accordance with the Oregon Fire Code was discussed with Staff 1 (ED) at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on observation and interview, it was determined the facility failed to ensure individual privacy in his or her own unit for multiple unsampled residents. Findings include, but are not limited to: During environmental observations on 08/19/25, multiple shared units were observed to have a shared bathroom without the ability to lock the door. In a tour with Staff 1 (Administrator) on 08/20/25 at 11 am, it was confirmed the shared units did not have a lockable bathroom door. The need to ensure residents were provided with individual privacy in his or her own unit was discussed with Staff 1 08/21/25 at 11:30 am. She acknowledged the findings.”

“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 363, C 420, and HCBS 1517. Refer to C363, C420 and H1517 POCs. 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 interview and record review, it was determined the facility failed to ensure 4 of 4 newly hired staff (#s 8, 10, 11, and 12) completed all required preservice orientation and dementia training prior to beginning job responsibilities and 3 of 3 newly hired staff (#s 10, 11, and 12) demonstrated competency in all job areas within 30 days of hire. Findings include, but are not limited to: Staff training records were requested and reviewed with Staff 1 (Administrator) at 12:36 pm on 08/20/25. The following was identified: a. There was no documented evidence Staff 8 (Server), hired 07/01/25, Staff 10 (CG), hired 06/17/25, Staff 11 (MT), hired 07/10/25, and Staff 12 (CG), hired 03/11/25, completed the following prior to beginning job responsibilities: * Resident rights and values of CBC care; * Abuse reporting requirements; * Fire safety and emergency procedures; * Infectious disease prevention; * Department-approved HCBS training; * Department-approved LGBTQIA2S+ course; and * Preservice dementia training, including topics that must be completed prior to providing personal care to residents. b. There was no documented evidence Staff 10, Staff 11, and Staff 12 demonstrated competency within 30 days of hire one or more of the following areas: * Role of service plans in providing individualized care; * Providing assistance with ADLs; * Changes associated with normal aging; * Identification, documentation, and reporting of changes of condition; * Conditions that require assessment, treatment, observation, and reporting; * General food safety, serving, and sanitation; and * Other duties including medication pass. In an interview at 12:36 pm on 08/20/25, Staff 1 stated Staff 11 no longer worked at the facility as of the same day so was not passing medications. The need to ensure staff completed all required preservice orientation and dementia training and demonstrated competency in assigned job duties within 30 days of hire was discussed with Staff 1 at 10:40 am on 08/21/25. She acknowledged the findings.”

“Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 01/30/25 at 10:50 am, the facility kitchen was observed to need cleaning in the following areas: * Flooring throughout the kitchen, including underneath/behind prep counters, cooking equipment, storage racks, dishwasher and sink units – spills/drips/splatters/grease/food debris/build up of black matter; * Wall and caulking surrounding the dirty dishes side of the dishwasher – significant build up of black matter; * Operating air conditioning unit vent above ice maker – significant build up of dust; * Exterior doors and handles of reach in refrigerator – spills/drips; * Commercial can opener – blade finish worn off/build up of black matter surrounding casing; * Hood area above and behind stove top and grill – significant build up grease/dust; * Shelves below steam table – drips/spills/splatter; *Oven and convection oven doors, knobs and handles – drips/spills/sticky/dust build up; * Sides of oven – drips/spills/grease; * Interior of refrigerator on steam table line – food debris/spills/splatter; Other areas of concern include: * Ceiling light above three sink area – uncovered. * Improper storage: - Two sheet pans of individual servings of cake uncovered in high traffic area; and - Two boxes of disposable cups and lids on floor in hallway between kitchen and MC unit. The areas of concern were discussed with Staff 1 (Dining Services Manager) and discussed with Staff 2 (Interim Executive Director) on 01/30/25 The findings were acknowledged. OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a 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; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). 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 C240. 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 C240. 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 ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 01/30/25 at 10:50 am, the facility kitchen was observed to need cleaning in the following areas: * Flooring throughout the kitchen, including underneath/behind prep counters, cooking equipment, storage racks, dishwasher and sink units – spills/drips/splatters/grease/food debris/build up of black matter; * Wall and caulking surrounding the dirty dishes side of the dishwasher – significant build up of black matter; * Operating air conditioning unit vent above ice maker – significant build up of dust; * Exterior doors and handles of reach in refrigerator – spills/drips; * Commercial can opener – blade finish worn off/build up of black matter surrounding casing; * Hood area above and behind stove top and grill – significant build up grease/dust; * Shelves below steam table – drips/spills/splatter; *Oven and convection oven doors, knobs and handles – drips/spills/sticky/dust build up; * Sides of oven – drips/spills/grease; * Interior of refrigerator on steam table line – food debris/spills/splatter; Other areas of concern include: * Ceiling light above three sink area – uncovered. * Improper storage: - Two sheet pans of individual servings of cake uncovered in high traffic area; and - Two boxes of disposable cups and lids on floor in hallway between kitchen and MC unit. The areas of concern were discussed with Staff 1 (Dining Services Manager) and discussed with Staff 2 (Interim Executive Director) on 01/30/25 The findings were acknowledged. OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a 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; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). 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 C240. 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 ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 01/30/25 at 10:50 am, the facility kitchen was observed to need cleaning in the following areas: * Flooring throughout the kitchen, including underneath/behind prep counters, cooking equipment, storage racks, dishwasher and sink units – spills/drips/splatters/grease/food debris/build up of black matter; * Wall and caulking surrounding the dirty dishes side of the dishwasher – significant build up of black matter; * Operating air conditioning unit vent above ice maker – significant build up of dust; * Exterior doors and handles of reach in refrigerator – spills/drips; * Commercial can opener – blade finish worn off/build up of black matter surrounding casing; * Hood area above and behind stove top and grill – significant build up grease/dust; * Shelves below steam table – drips/spills/splatter; *Oven and convection oven doors, knobs and handles – drips/spills/sticky/dust build up; * Sides of oven – drips/spills/grease; * Interior of refrigerator on steam table line – food debris/spills/splatter; Other areas of concern include: * Ceiling light above three sink area – uncovered. * Improper storage: - Two sheet pans of individual servings of cake uncovered in high traffic area; and - Two boxes of disposable cups and lids on floor in hallway between kitchen and MC unit. The areas of concern were discussed with Staff 1 (Dining Services Manager) and discussed with Staff 2 (Interim Executive Director) on 01/30/25 The findings were acknowledged. OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a 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; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by:”

“The findings of the kitchen inspection, conducted 09/27/23, 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 kitchen inspection, conducted 09/27/23, 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 09/27/23, conducted on 01/29/24, 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 09/27/23, conducted on 01/29/24, 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 ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged. Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged.”

“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. 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.”

“The findings of the kitchen inspection, conducted 09/27/23, 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 kitchen inspection, conducted 09/27/23, 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 09/27/23, conducted on 01/29/24, 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 09/27/23, conducted on 01/29/24, 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 ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged. Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged.”

“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. 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.”

“The findings of the kitchen inspection, conducted 09/27/23, 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 kitchen inspection, conducted 09/27/23, 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 09/27/23, conducted on 01/29/24, 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 09/27/23, conducted on 01/29/24, 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 ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged. Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 09/27/23 at 11:05 am, the facility kitchen was observed to need cleaning in the following areas: * The walk in refrigerator floor had black matter in the corners; * The walk in freezer door handle had orange matter; * The ceiling vent near entrance had dust build up; * The wall behind the stove had build up of grease; * The front of deep fat fryer had grease build up; * The wall beside deep fat fryer had splattered grease and black matter; * The lower shelves throughout the kitchen had food debris and splatters; * The top and cover of ice machine had spills/debris/drips; * The area behind and the shelves underneath the steamer, next to the stove had debris/dust; and * The exterior doors of the reach in refrigerator had streaks/splashes/drips. The ceiling light fixture in the prep area was uncovered. Boxes of Styrofoam cups and food containers were sitting directly on the floor in kitchen service area. The findings were discussed with Staff 1 (Dietary Manager) and Staff 2 (Memory Care Administrator) on 09/27/23. The findings were acknowledged.”

“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. 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.”