Description: A licensee must ensure that all rooms and common areas are maintained in a safe and clean condition.

Corrective Actions Required: Ensure that all rooms and common areas are maintained in a safe and clean condition.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 20, 2024

Observations: Licensing toured the facility and noted that all carpeted areas were stained and dirty in places of high traffic and use.

Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the Medication Administration Record (MAR) for persons in care. All PRN (as needed) medications administered had a result recorded on the back of the MAR.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

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:

Corrective Actions Taken By Licensee: Licensing audited the weight records for persons in care. There were weight records for the last three months for persons in care.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

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:

Corrective Actions Taken By Licensee: Licensing audited the medication cabinet. There were no expired medications located.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations: