Inspection Report
Kitchen
Capacity: 50
Deficiencies: 9
Sep 25, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2022-2025 with deficiency history and licensing violations.
Findings
Across multiple inspections, the facility showed repeated deficiencies related to kitchen cleanliness and food sanitation rules, building maintenance issues, and failure to implement an Acuity Based Staffing Tool. Some deficiencies were corrected on follow-up visits, while others remained uncorrected.
Complaint Details
Complaint investigation conducted on 2023-02-15 identified deficiencies related to licensing compliance and failure to implement an Acuity Based Staffing Tool.
Deficiencies (9)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure the kitchen was maintained in accordance with Oregon Food Sanitation Rules including buildup of dust, grease, worn spatulas, expired sanitizer test strips, and lack of alcohol wipes. |
| C0000 - Comment: Findings of kitchen inspection documented; facility found in substantial compliance on re-visit. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Kitchen needed cleaning in multiple areas including floor debris, oven handle buildup, can opener debris, fan cage dirt, and rust on beverage machine grate. |
| C0010 - Licensing Complaint Investigation: Deficiencies identified during complaint investigation related to compliance with state and local laws and regulations. |
| C0361 - Acuity-Based Staffing Tool: Failed to fully implement and update an Acuity Based Staffing Tool; residents not entered and staffing plan discrepancies. |
| C0000 - Comment: Findings of re-licensure survey documented; facility in substantial compliance on re-visit. |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to ensure all interior materials and surfaces were clean and in good repair including torn linoleum floors, flaking paint, dusty ceiling vent, and sticky kitchen cabinets. |
| C0655 - Call System: Failed to provide exit door alarms or acceptable systems to alert staff when residents exit the assisted living facility. |
| C0000 - Comment: Kitchen inspection found substantial compliance. |
Report Facts
Inspections on page: 5
Total deficiencies: 5
Licensing violations: 13
Notices: 1
Licensed beds: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Acknowledged findings related to building repairs and call system deficiencies |
| Staff 3 | Maintenance Director | Acknowledged findings related to building repairs and call system deficiencies |
| Staff 1 | Executive Chef | Acknowledged kitchen sanitation deficiencies on 2023-08-31 |
| Staff 2 | Regional Culinary Director | Acknowledged kitchen sanitation deficiencies on 2023-08-31 |
| Staff 1 | S1 (Compliance Specialist) | Acknowledged Acuity Based Staffing Tool deficiencies on 2023-02-15 |
| Staff 4 | Cook | Did not know location of sanitizer test strips during 2025-08-26 kitchen inspection |
| Staff 3 | Independent Living Kitchen Manager | Located expired sanitizer test strips during 2025-08-26 kitchen inspection |
| Staff 1 | ED (Executive Director) | Discussed kitchen sanitation findings on 2025-08-26 |
| Staff 2 | RN | Discussed kitchen sanitation findings on 2025-08-26 |
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