Description: A licensee who provides a type of care described as Long Term Care must display in a prominent place in each dining area the menu for each weekly period.

Corrective Actions Required: Ensure that weekly menus are posted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: January 17, 2022

Observations: Licensing toured the facility and observed the menu was not posted in three unit. The walls had recently been painted.

Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation,

Corrective Actions Required: Ensure performance reviews are conducted on a regular basis for each employee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: January 17, 2022

Observations: Licensing reviewed 16 staff files. Four files did not contain a current/recent performance review in the past two years.

Description: A licensee must keep, for each person in care, a record showing the following information: name, sex, date of birth, medical insurance plan number and immunization status

Corrective Actions Required: Ensure all care files have immunization information on file for each person in care.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: January 17, 2022

Observations: Licensing reviewed 13 care files. One care file did not contain immunization information.

Description: A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care

Corrective Actions Required: Ensure that all care plans are updated when there is a change in condition or the person in care.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: January 17, 2022

Observations: Licensing reviewed 13 care files, including three files with persons in care who have wounds. Two care plans did not correspond with what was in the Medication Administration Record (MAR) for instructions on the wound care. One care plan had not been updated as the wound had healed and no longer being dressed as indicated in the care plan.