Type B (designated supportive living)
Buffalo Grace Manor - Covenant Care
Lethbridge, Alberta. Operated by Covenant Care.
- Visits since 2023
- 20
- 19 of 20 visits
- Non-compliant visits since 2023
- 19
- 95% of visits
- Open non-compliances
- 11
- issued, in progress or ongoing
- Last assessed visit
- Jun 2026
- Non-compliant
Visits from January 1, 2023 to July 6, 2026, the comparison window. Only visits that assessed compliance are counted; consultations are not. Open means issued, in progress or ongoing when the file was taken; the other counts cover every year.
About this home
- Type
- Continuing Care Home Type B
- Subtype
- —
- Units
- 102
- City
- Lethbridge
- Address
- 446 Aquitania Blvd West, Lethbridge, Alberta, T1J5A8
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- Dec 2022 to Jun 2026
Every visit on record
Newest first. A visit that found nothing says so. Each finding shows the standard it was cited under, when it was issued, the date by which it had to be fixed, and where it stands.
June 29, 2026 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 24, 2026. Fix by June 25, 2026. Status: Rectified (March 24, 2026).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
May 28, 2026 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 24, 2026. Fix by June 25, 2026. Status: Rectified (March 24, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 14, 2026. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by June 25, 2026. Status: Rectified (November 27, 2025).
April 28, 2026 · CCHSS Inspection
Non-compliant
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 24, 2026. Fix by May 25, 2026. Status: Rectified (March 24, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
March 24, 2026 · CCHSS Inspection
Non-compliant
Risk Management — Managed risk agreements are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 24, 2026. Fix by April 24, 2026. Status: Rectified (March 24, 2026).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 14, 2026. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
February 19, 2026 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 25, 2026. Status: Rectified (November 27, 2025).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued November 27, 2025. Fix by March 23, 2026. Status: Rectified (January 14, 2026).
January 14, 2026 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (January 14, 2026).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (November 27, 2025).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (January 14, 2026).
Risk Management — Managed risk agreements are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 14, 2026. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (November 27, 2025).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 14, 2026. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by January 14, 2026. Status: Rectified (November 27, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 14, 2026. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by February 13, 2026. Status: Rectified (November 27, 2025).
November 27, 2025 · CCHSS Investigation
Non-compliant
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by January 8, 2026. Status: Rectified (November 27, 2025).
November 27, 2025 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Risk Management — Managed risk agreements are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (November 27, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.
An operator must ensure that instruction on the appropriate and safe use of the operator owned assis
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued November 27, 2025. Fix by May 27, 2027. Status: Rectified (January 14, 2026).
November 12, 2025 · Complaint Investigation
Non-compliant
Concerns and Complaints — Written processes for managing concerns and complaints
Evidence required of communication of the written process to residents, their representatives, visit
Issued July 11, 2024. Fix by November 30, 2025. Status: Rectified (October 2, 2024).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued November 12, 2025. Fix by February 11, 2026. Status: Rectified (November 12, 2025).
Concerns and Complaints — Concerns and complaints resolution
Evidence required of documented concerns received and the measures taken to resolve them.
Issued November 12, 2025. Fix by February 11, 2026. Status: Rectified (November 12, 2025).
October 1, 2024 · Complaint Investigation
Non-compliant
Concerns and Complaints — Written processes for managing concerns and complaints
Evidence required of communication of the written process to residents, their representatives, visit
Issued July 11, 2024. Fix by November 30, 2025. Status: Rectified (October 2, 2024).
Resident Safety and Security — Suitability, maintenance and inspection of emergency call/communication system
Evidence required that the emergency call/communication system is maintained, inspected and tested.
Issued July 11, 2024. Fix by November 30, 2024. Status: Rectified (November 21, 2024).
August 9, 2024 · CCHSS Inspection
Non-compliant
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.
Issued May 9, 2024. Fix by September 18, 2024. Status: Rectified (August 9, 2024).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued May 9, 2024. Fix by September 18, 2024. Status: Rectified (September 6, 2024).
July 17, 2024 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued May 9, 2024. Fix by August 7, 2024. Status: Rectified (July 23, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued June 19, 2024. Fix by August 7, 2024. Status: Rectified (July 23, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued May 9, 2024. Fix by August 7, 2024. Status: Rectified (July 23, 2024).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued June 19, 2024. Fix by August 7, 2024. Status: Rectified (July 23, 2024).
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.
Issued May 9, 2024. Fix by August 7, 2024. Status: Rectified (August 9, 2024).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued May 9, 2024. Fix by August 7, 2024. Status: Rectified (September 6, 2024).
July 11, 2024 · Complaint Investigation
Non-compliant
Concerns and Complaints — Written processes for managing concerns and complaints
Evidence required of communication of the written process to residents, their representatives, visit
Issued July 11, 2024. Fix by October 31, 2024. Status: Rectified (October 2, 2024).
Resident Safety and Security — Suitability, maintenance and inspection of emergency call/communication system
Evidence required that the emergency call/communication system is maintained, inspected and tested.
Issued July 11, 2024. Fix by October 31, 2024. Status: Rectified (November 21, 2024).
June 19, 2024 · CCHSS Inspection
Non-compliant
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued May 9, 2024. Fix by July 24, 2024. Status: Rectified (July 23, 2024).
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.
Issued May 9, 2024. Fix by July 24, 2024. Status: Rectified (August 9, 2024).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued June 19, 2024. Fix by July 10, 2024. Status: Rectified (July 23, 2024).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued May 9, 2024. Fix by July 24, 2024. Status: Rectified (July 23, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued June 19, 2024. Fix by July 10, 2024. Status: Rectified (July 23, 2024).
Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.
An operator must ensure that a client's health care needs are assessed using the appropriate InterRA
Issued May 9, 2024. Fix by June 19, 2024. Status: Rectified (June 19, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued May 9, 2024. Fix by July 24, 2024. Status: Rectified (July 23, 2024).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued May 9, 2024. Fix by July 24, 2024. Status: Rectified (September 6, 2024).
May 9, 2024 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (September 6, 2024).
Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.
An operator must ensure that a client's health care needs are assessed using the appropriate InterRA
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (June 19, 2024).
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (August 9, 2024).
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.
An operator must ensure that any change to a client's care plan is documented and communicated to th
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (July 23, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (July 23, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued May 9, 2024. Fix by June 14, 2024. Status: Rectified (July 23, 2024).
December 19, 2023 · CCHSS Audit
Non-compliant
Restraint Management — Policies and procedures for Secure Spaces are documented and implemented.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.
An operator must ensure that a client's health care needs are assessed using the appropriate InterRA
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Palliative and End-Of-Life Care — Palliative and End-of-Life care documentation in Care Plan.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (May 17, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Oral Care Assistance and Bathing Frequency — Policies and procedures to provide Clients the opportunity for assistance with oral care.
The policies and procedures in 14.1(a) must provide the client with the opportunity for assistance w
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Restraint Management — Documentation for restraint use.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Restraint Management — Secure Space usage is documented in Client's chart and Care Plan.
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
Oral Care Assistance and Bathing Frequency — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.
The policies and procedures in 14.1(b) must provide the client with the opportunity for bathing at a
Issued December 19, 2023. Fix by June 19, 2025. Status: Rectified (October 21, 2024).
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 5.3
Palliative and End-of-Life care documentation in Care Plan.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 15.1
Policies and procedures regarding safe water temperatures are documented and implemented.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 16.3
Documentation for restraint use.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 16.4
Policies and procedures for Secure Spaces are documented and implemented.
Issued December 19, 2023. Status: Ongoing.
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued December 19, 2023. Status: Ongoing.
July 20, 2023 · Inspection
Non-compliant
Nutritional Requirements — Quality and quantity of food, communication of menu/times
Evidence required that residents are aware of the times that meals, fluids and snacks are served, an
Issued July 20, 2023. Fix by September 30, 2023. Status: Rectified (August 8, 2023).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued July 20, 2023. Fix by September 30, 2023. Status: Rectified (August 8, 2023).
June 22, 2023 · CCHSS Audit
Non-compliant
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
CCHSS standard 5.3
Palliative and End-of-Life care documentation in Care Plan.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
CCHSS standard 16.3
Documentation for restraint use.
Issued June 22, 2023. Status: Resolved (November 17, 2023).
March 28, 2023 · Inspection
Non-compliant
Resident Safety and Security — Maintenance and inspection of security systems
Evidence required that the security system is maintained, inspected and tested.
Issued March 28, 2023. Fix by April 30, 2023. Status: Rectified (March 31, 2023).
January 6, 2023 · Inspection
Compliant
December 13, 2022 · Inspection
Non-compliant
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued December 13, 2022. Fix by January 6, 2023. Status: Rectified (January 6, 2023).
Cleaning Requirements — Clean and comfortable environment
Evidence required of a clean and comfortable environment.
Issued December 13, 2022. Fix by January 6, 2023. Status: Rectified (January 6, 2023).
Water Temperature — Training, maintenance and risk mitigation to ensure safe water temperatures
Evidence required that regularly scheduled checks are in place to ensure that safe water temperature
Issued December 13, 2022. Fix by January 6, 2023. Status: Rectified (January 6, 2023).
Questions to ask on a visit
Built from the standards this home was cited under, not from anything we found. Ask how it meets each one today.
- How does the home meet: Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.?
- How does the home meet: Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.?
Homes nearby
Straight-line distance between postal code centres (in rural Alberta, town centres). Each home’s share of non-compliant visits since 2023, on the same method as the city pages.
| Home | Type | Distance | Non-compliant |
|---|---|---|---|
| Heritage LodgeLethbridge · 74 units | Lodge | 1.6 km | 67%2 of 3 visits |
| Pemmican LodgeLethbridge · 100 units | Lodge | 1.7 km | 33%1 of 3 visits |
| Martha's HouseLethbridge · 150 units | Assisted living | 1.9 km | 100%1 of 1 visit |
| House CLethbridge · 8 units | Group home | 2.0 km | 50%1 of 2 visits |
| River HouseLethbridge · 10 units | Group home | 2.0 km | 100%1 of 1 visit |
| St. Michael's Health Centre (Covenant Health)Lethbridge · 48 units | Type B (designated supportive living) | 2.0 km | 100%8 of 8 visits |
Check the government’s record
Inspections are a snapshot. Visit, ask for the home’s latest inspection report, and ask the questions above. Concerns about a specific visit go to the home first, then to the Continuing Care Licensing Office (cclo@gov.ab.ca).
Source: Government of Alberta, Continuing Care Accommodation Standards compliance reporting on Open Alberta (Open Government Licence – Alberta), file of —, with visits to July 6, 2026. Results are as the government recorded them. An inspection is a snapshot. The official record and the finding text are on the government’s viewer; the dates and statuses here come from the file. How this is built.