Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Evergreen Seniors Home

Facility Type: Residential Care - 400

Routine

July 4, 2023
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3010 - RCR 40(1)(b)
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 demonstrates the competence required for the duties to which the employee is assigned.
Corrective Actions Required: Ensure that the performance of employees is reviewed regularly to ensure they demonstrate competence for the duties assigned.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 4, 2023
Observations: Licensing audited staff files. None of the staff files contained a performance evaluation.
3070 - RCR 83(4)(a)
Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,
Corrective Actions Required: Ensure that a person in care is weighed at least monthly and their weight recorded.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 4, 2023
Observations: Licensing reviewed the weight records for persons in care. Most persons in care were missing at least one weight record in the past six months, with some missing several weight records.
3080 - RCR 72(b)
Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Corrective Actions Required: Ensure that a person in care's medication is returned to the pharmacy when the expiry date on the medication has passed.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 4, 2023
Observations: Licensing inspected 3 medication storage cabinets. Several expired medications were located and removed by the manager.