PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation:
Inspection of the facility showed that the
The walls in the hallways had damages and rub marks where wheelchairs and beds had been pushed against them
Floor in the utility room has lifting and cracking flooring
Room 403 has chipped and missing paint and drywall on wall corners and seam in the floor is separating
Room 407 has wall damage behind the bed - chipped paint and drywall
Broken kitchen cupboard hinge
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair
Date to be Corrected: June 25, 2019
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: Review of the MAR binder showed that in 3 persons MAR records there were missing responses for PRN medications
Corrective Action(s): Ensure that response information for PRN's is documented in a timely manner after administration of the medication
Date to be Corrected: June 25, 2019
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Review of 4 Person in cares records showed no evidence of compliance with the provinces immunization and TB program
Corrective Action(s): Ensure all PIC's have record of immunization and TB on file at admission to the facility
Date to be Corrected: June 25, 2016
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