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- Weight ChangesNutrition & diningOrder
Inspectors found that the home did not conduct an interdisciplinary assessment when a resident experienced a weight change of 7.5 per cent or more over three months. Although staff monitored the resident's weight and the plan of care included nutritional interventions and a direction to report weight changes to the physician, there was no evidence of a documented team assessment involving the physician, dietitian, nurse, and nutrition care manager, or of a review of whether the interventions were working.
- Accommodation ServicesEnvironment & safetyRemedied during inspection
Inspectors found that walls in a resident room were damaged with peeling paint and had not been repaired for at least one month. The home repaired the walls during the inspection.
- Home To Be Safe, Secure EnvironmentEnvironment & safety
Inspectors found that the home did not maintain a safe and secure environment in one area. On separate occasions, a trolley with repair tools and lift parts were left unattended in a hallway where residents were present without staff supervision.
- Plan Of CareCare planning
Inspectors found that the home did not provide fall prevention care as specified in a resident's plan of care. A resident at risk for falls who used a mobility device fell and was injured; at the time of the fall, the device's brake was not engaged and three interventions documented in the plan of care were not implemented.