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

Luther Court

Facility Type: Residential Care - 400

Follow-Up

July 8, 2024
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required: Ensure that all rooms and common areas are maintained in good state of repair
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 19, 2024
Observations: Licensing toured 5 bedrooms of persons in care and observed wall damage in two bedrooms.
3010 - RCR 68(4)
Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Corrective Actions Required: Ensure all employees comply with policies and procedures of the medication safety and advisory committee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 19, 2024
Observations: Licensing audited the medication cupboards and observed one narcotic that did not have an expiry date. Licensing audited the medication administration records and on four dates in March 2024, there was no signature or coding for one medication for one person in care by staff.