LICENSING: 30240 - RCR s.61 - A licensee must regularly monitor the physical environment of the community care facility, and the care and services provided by it, to ensure that the requirements of the Act and this regulation are being met.
Observation: During review of the doumentation for the hospice program the following was noted and discussed with both the Manager and Acting Patient Care Coordinator:
- Care Record 12 hours flow sheets was noted with 4 entries not fully completed. Specifics as to which entries were not charted/documented for were provided at the time of the inspection.
In addition, the admission assessment hospice residence document on page 2 at the bottom was not signed and dated. Specifics were provided as to who this was not documented for.
Corrective Action(s): Please regularly monitor the care and services of the community care facility to ensure that the requirements of the Act and this regulation are being met.
Date to be Corrected: December 17, 2021.
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: During review of the documentation for the hospice program the following was noted and discussed with both the Manager and Acting Patient Care Coordinator:
- 5 entries were not initialed by staff on the medication administration records and document starting with the title "Opiod..." Specifics as to which entries were not charted/initialed for were provided at the time of the inspection.
Corrective Action(s): Please ensure all employees comply with the policies and procedures of the medication and safety and advisory committee.
Date to be Corrected: December 17, 2021.
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