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- TrainingStaffing & trainingOrder
Inspectors found that a group of staff members who provide direct care to residents were not assigned mandatory training in a care program in 2025 as required by law. The home must now ensure these staff complete this training and maintain written records of who received it, what was covered, and when.
- Transferring And Positioning TechniquesRestraints & mobilityOrder$1,100 fine
Inspectors found that staff and a volunteer assisted residents in wheelchairs using unsafe techniques. The residents had cognitive impairments and physical limitations that increased their risk of injury. The home has been ordered to retrain staff and volunteers on wheelchair safety and to conduct weekly audits for four weeks to ensure safe techniques are being used.
- Nutritional Care And Hydration ProgramsNutrition & diningOrder
Inspectors found that the home did not have a clear system to monitor whether residents at nutritional risk were eating and drinking enough. Staff did not consistently follow the home's existing policies for tracking food and fluid intake, which put residents at risk of not having their nutrition and hydration needs met.
- Plan Of CareCare planning
Inspectors found that a resident's written plan of care did not include clear instructions for staff on how to use, care for, or remove a medical device.