Footsteps at Sherwood.

“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 10/01/25 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: Areas in need of cleaning in the main kitchen included: * Soda machine – tray with murky liquid; * Deep fryer – sides/front grease drips/spills/floor beneath food debris/grease; * Lower shelf between deep fryer and flat top grill – debris/grease; * Door below service line – exterior drips/spills; * Convection oven behind service line – side/door drip/spills; * Wall behind/above service line – brown matter/drips/spills; * Hot hold box – exterior spills/smears; * Ice maker – front drips/spills, hard water build up, vents dusty; * Ceiling vent in dishwashing area – dust build up; * Hood vents in main kitchen and satellite kitchen – dusty/greasy; * Walk in refrigerator – fans on condenser dusty, ceiling near condenser splatters; * Freezer on the service line – bottom shelf with food debris, exterior side grease drips, exterior door and vents smears, drips, spills; * Refrigerator next to hand washing sink – exterior door drips/spills; * Refrigerator under convection oven – exterior drips/spills, interior spills/food debris; * Refrigerator at end of service line – side spills/drips; and * Two door refrigerator next to ice maker – bottom shelf food debris, interior doors splatter/spills. Areas in need of cleaning in the satellite kitchen included: * Ceiling vent above stove – dusty; * Oven doors and sides – spills/drips; and * Two door refrigerator – bottom shelf spills/debris. Other areas of concern included: * White cutting boards on refrigerator units – stained/scored; * Lack of thin stemmed thermometer; and * Garbage cans not covered when not in use. The areas of concern were observed and discussed with Staff 1 (Food & Beverage Director) and discussed with Staff 2 (Executive Director) on 10/01/25. 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 10/01/25 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: Areas in need of cleaning in the main kitchen included: * Soda machine – tray with murky liquid; * Deep fryer – sides/front grease drips/spills/floor beneath food debris/grease; * Lower shelf between deep fryer and flat top grill – debris/grease; * Door below service line – exterior drips/spills; * Convection oven behind service line – side/door drip/spills; * Wall behind/above service line – brown matter/drips/spills; * Hot hold box – exterior spills/smears; * Ice maker – front drips/spills, hard water build up, vents dusty; * Ceiling vent in dishwashing area – dust build up; * Hood vents in main kitchen and satellite kitchen – dusty/greasy; * Walk in refrigerator – fans on condenser dusty, ceiling near condenser splatters; * Freezer on the service line – bottom shelf with food debris, exterior side grease drips, exterior door and vents smears, drips, spills; * Refrigerator next to hand washing sink – exterior door drips/spills; * Refrigerator under convection oven – exterior drips/spills, interior spills/food debris; * Refrigerator at end of service line – side spills/drips; and * Two door refrigerator next to ice maker – bottom shelf food debris, interior doors splatter/spills. Areas in need of cleaning in the satellite kitchen included: * Ceiling vent above stove – dusty; * Oven doors and sides – spills/drips; and * Two door refrigerator – bottom shelf spills/debris. Other areas of concern included: * White cutting boards on refrigerator units – stained/scored; * Lack of thin stemmed thermometer; and * Garbage cans not covered when not in use. The areas of concern were observed and discussed with Staff 1 (Food & Beverage Director) and discussed with Staff 2 (Executive Director) on 10/01/25. 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 10/01/25 at 10:45 am, the facility kitchen was observed to need cleaning in the following areas: Areas in need of cleaning in the main kitchen included: * Soda machine – tray with murky liquid; * Deep fryer – sides/front grease drips/spills/floor beneath food debris/grease; * Lower shelf between deep fryer and flat top grill – debris/grease; * Door below service line – exterior drips/spills; * Convection oven behind service line – side/door drip/spills; * Wall behind/above service line – brown matter/drips/spills; * Hot hold box – exterior spills/smears; * Ice maker – front drips/spills, hard water build up, vents dusty; * Ceiling vent in dishwashing area – dust build up; * Hood vents in main kitchen and satellite kitchen – dusty/greasy; * Walk in refrigerator – fans on condenser dusty, ceiling near condenser splatters; * Freezer on the service line – bottom shelf with food debris, exterior side grease drips, exterior door and vents smears, drips, spills; * Refrigerator next to hand washing sink – exterior door drips/spills; * Refrigerator under convection oven – exterior drips/spills, interior spills/food debris; * Refrigerator at end of service line – side spills/drips; and * Two door refrigerator next to ice maker – bottom shelf food debris, interior doors splatter/spills. Areas in need of cleaning in the satellite kitchen included: * Ceiling vent above stove – dusty; * Oven doors and sides – spills/drips; and * Two door refrigerator – bottom shelf spills/debris. Other areas of concern included: * White cutting boards on refrigerator units – stained/scored; * Lack of thin stemmed thermometer; and * Garbage cans not covered when not in use. The areas of concern were observed and discussed with Staff 1 (Food & Beverage Director) and discussed with Staff 2 (Executive Director) on 10/01/25. 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:”

“Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint. Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint.”

“Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint. Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint.”

“Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint. Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the unannounced complaint investigation conducted 07/21/25. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57. No deficiencies were identified in relation to the complaint.”

“The findings of the kitchen inspection, conducted 11/29/23, are documented in this report. It was determined that 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 11/29/23, are documented in this report. It was determined that 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 11/29/23, are documented in this report. It was determined that 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 11/29/23, are documented in this report. It was determined that 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 11/29/23, are documented in this report. It was determined that 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 11/29/23, are documented in this report. It was determined that 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.”