PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31850 - RCR s.62(4) - A licensee who provides a type of care described as Long Term Care must display in a prominent place in each dining area the menu for each weekly period.
Observation: It was observed in all dining rooms that the weekly menus are not posted. It was noted that of late, the meal delivery system has changed to tray service in place of serving meals from the servery however the requirement to post menus remains the same.
Corrective Action(s): Ensure the menus are posted in each dining area.
Date to be Corrected: February 5, 2021
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Review of the medication and administration record (MAR) found there to be several instances where the medication appeared to have been administered, however the staff failed to initial as required. Also observed were several instances where PRN medication was administered, however its effectiveness was not documented.
Corrective Action(s): Please ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: February 5, 2021
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: Upon inspection of the record of care sheets, it was observed that all sheets were missing entries. Of concern is the record of care sheets should represent an accurate account of care being provided to the persons in care..
Corrective Action(s): Ensure that policies are implemented by employees, specifically related to documentation of care provided.
Date to be Corrected: February 5, 2021
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