The summary is AI-generated and can contain mistakes. Always rely on the original Ministry report for decisions.
- Medication Management SystemMedicationOrder
Inspectors found that the home's medication handling policy was not consistently followed. Nursing staff did not always document pharmacy or prescriber approval when residents' medications were modified, and in one case a resident did not receive a medication as prescribed. The home has been ordered to retrain all nursing staff on medication policies, maintain training records, review and correct resident medication records to ensure they include proper documentation of medication changes and pharmacy approval, and document all corrections made.
- Plan Of CareCare planning
Inspectors found that the home did not revise a resident's care plan after completing an assessment that showed the resident's need for feeding assistance had changed and some interventions were no longer necessary.
- Dining And Snack ServiceNutrition & dining
Inspectors found that a resident did not receive an eating aid that was specified in their care plan during a mealtime observation.
- Medical Directives And Orders — DrugsMedication
Inspectors found that a resident's medication orders were not properly reviewed when the home's care plan was updated. The resident's plan stated their medications should be crushed, but a new medication order specified it should be given whole. The home gave the medication crushed anyway. When interviewed, management acknowledged that the medication should not have been crushed and that a doctor or pharmacist should have reviewed and updated the order.