LODGE AT BROADMEAD - Inspection Report
Inspection Information:
Facility TypeHospital Act Sites - 100
Inspection TypeRoutine
Inspection DateNovember 27, 2019

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code Category/Description
3000PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
Observation: RCR 35(1)(b) Medication cart was observed to be unlocked. Cart was immediately secured.
Corrective action: Ensure safe and secure locations for medications of persons in care at all times. Follow -Up inspection to be conducted. To be corrected immediately. ;
To be corrected by:
3000PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
Observation: RCR 35(1)(c) Observed 3 Utility rooms with signage indicating they were to be locked at all times that were not secure. Rooms were immediately locked.
Corrective action: Ensure secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials; Follow-up inspection to be conducted. To be corrected immediately.
To be corrected by:
3000PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
Observation: RCR 62(4) It was observed that not all dining rooms had the weekly menu posted.
Corrective action: Ensure that the menu for each weekly period is displayed in a prominent place in each dining area. To be corrected by February 27, 2020.
To be corrected by:
3020POLICIES & PROCEDURES
POLICIES & PROCEDURES
Observation: RCR 85(1)(b) A number of policies and procedures were observed that did not have evidence that they had been reviewed within the past year.
Corrective action: Ensure that a review and, if necessary, revision of the policies and procedures occurs at least once each year; Follow-up inspection to be conducted. To be corrected by February 27, 2020.
To be corrected by:
3030CARE & SUPERVISION
CARE & SUPERVISION
Observation: RCR 81(3)(d) Care plans from each unit were observed. One care plan did not include a recreation and leisure plan.
Corrective action: Ensure a recreation and leisure plan is included for all residents. Follow-Up inspection to be conducted. To be corrected by February 27, 2020. ;
To be corrected by:
3030CARE & SUPERVISION
CARE & SUPERVISION
Observation: RCR 82 Evidence of appropriate monitoring as per care plan was missing for one resident.
Corrective action: Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Follow-up inspection to be conducted. To be corrected by February 27, 2020.
To be corrected by: