Type B (designated supportive living)
Good Samaritan Society Park Meadows Village
Lethbridge, Alberta. Operated by The Good Samaritan Society (A Lutheran Social Service Organization).
- Visits since 2023
- 9
- 8 of 9 visits
- Non-compliant visits since 2023
- 8
- 89% of visits
- Open non-compliances
- 0
- issued, in progress or ongoing
- Last assessed visit
- Mar 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
- 120
- City
- Lethbridge
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- Dec 2013 to Mar 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.
March 4, 2026 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Act and Regulation Requirements — Staffing Plan in Place
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 4, 2026. Fix by May 27, 2026. Status: Rectified (March 4, 2026).
February 26, 2026 · Inspection
Non-compliant
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued February 26, 2026. Fix by May 25, 2026. Status: Rectified (February 26, 2026).
Safety Requirements — Accommodation is in safe condition
Evidence required that the accommodation and its grounds or common areas are safe and free of hazard
Issued February 26, 2026. Fix by May 25, 2026. Status: Rectified (February 26, 2026).
July 16, 2025 · CCHSS Inspection
Non-compliant
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Quality Improvement Reporting — Reporting reportable incidents.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (April 16, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Act and Regulation Requirements — Requirements for staffing plan are met at all times
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 26, 2025. Fix by September 28, 2026. Status: Rectified (March 26, 2025).
June 9, 2025 · CCHSS Inspection
Non-compliant
Quality Improvement Reporting — Reporting reportable incidents.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Act and Regulation Requirements — Requirements for staffing plan are met at all times
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (April 16, 2025).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
May 1, 2025 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Quality Improvement Reporting — Reporting reportable incidents.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Act and Regulation Requirements — Requirements for staffing plan are met at all times
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (April 16, 2025).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 26, 2025. Fix by June 20, 2025. Status: Rectified (March 26, 2025).
April 16, 2025 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 26, 2025. Fix by April 25, 2025. Status: Rectified (April 16, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Act and Regulation Requirements — Requirements for staffing plan are met at all times
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Quality Improvement Reporting — Reporting reportable incidents.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 26, 2025. Fix by May 1, 2025. Status: Rectified (March 26, 2025).
March 26, 2025 · CCHSS Inspection
Non-compliant
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Act and Regulation Requirements — Requirements for staffing plan are met at all times
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (March 26, 2025).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (March 26, 2025).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Oral care assistance and bathing frequency policies and procedures are implemented.
Issued March 26, 2025. Fix by April 3, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (April 16, 2025).
Quality Improvement Reporting — Reporting reportable incidents.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 26, 2025. Fix by April 30, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued March 26, 2025. Fix by June 24, 2025. Status: Rectified (March 26, 2025).
September 12, 2023 · Complaint Investigation
Compliant
July 19, 2023 · Inspection
Non-compliant
Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system
Evidence required that the emergency call/communication system is maintained, inspected and tested.
Issued July 19, 2023. Fix by August 31, 2023. Status: Rectified (August 31, 2023).
Menu Requirements — Menu substitutions communicated and made from same food group
Evidence required of the menu substitutions showing that the substitutions are from within the same
Issued July 19, 2023. Fix by August 31, 2023. Status: Rectified (August 31, 2023).
Laundry — Condition of laundry facilities
Evidence required that the equipment and the laundry area are appropriate, clean and in good repair.
Issued July 19, 2023. Fix by August 31, 2023. Status: Rectified (August 31, 2023).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued July 19, 2023. Fix by August 31, 2023. Status: Rectified (August 31, 2023).
September 27, 2022 · CCHSS Audit
Non-compliant
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 1.3
The care plan addresses the Client's needs, goals, and intervention details.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 10.1
Managed risk agreements are documented and implemented.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 15.1
Policies and procedures regarding safe water temperatures are documented and implemented.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 16.3
Documentation for restraint use.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 16.5
Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued September 27, 2022. Status: Resolved (March 23, 2023).
March 22, 2022 · Quality Monitoring Visit
Compliant
September 14, 2021 · CMOH Inspection
Compliant
September 14, 2021 · Inspection
Compliant
April 7, 2021 · Quality Monitoring Visit
Compliant
January 20, 2021 · Quality Monitoring Visit
Compliant
December 2, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued December 2, 2020. Status: Resolved (January 20, 2021).
October 29, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued October 29, 2020. Status: Resolved (January 20, 2021).
October 28, 2020 · CMOH Inspection
Compliant
May 4, 2020 · CMOH Inspection
Compliant
April 3, 2020 · Consultation
Not assessed (consultation)
December 12, 2019 · Inspection
Compliant
December 12, 2019 · Inspection
Compliant
January 23, 2019 · CCHSS Audit
Non-compliant
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 1.3
The care plan addresses the Client's needs, goals, and intervention details.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 5.3
Palliative and End-of-Life care documentation in Care Plan.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 10.1
Managed risk agreements are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 15.1
Policies and procedures regarding safe water temperatures are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 16.3
Documentation for restraint use.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 16.4
Policies and procedures for Secure Spaces are documented and implemented.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued January 23, 2019. Status: Resolved (August 20, 2019).
December 17, 2018 · Inspection
Compliant
December 17, 2018 · Inspection
Compliant
December 13, 2017 · Inspection
Non-compliant
Menu Requirements — Record of meals served
Evidence required of meals served and substitutions made.
Issued December 13, 2017. Fix by March 31, 2018. Status: Rectified (March 15, 2018).
October 17, 2017 · CCHSS Audit
Non-compliant
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Palliative and End-Of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Quality Improvement and Reporting — InterRAI assessment data collected and reported according to guidelines.
An operator must ensure that InterRAI assessment data is collected and submitted in accordance with
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Quality Improvement and Reporting — Reporting reportable incidents.
Reportable incidents must be reported in accordance with the process and guidelines set out by the M
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Restraint Management — Documentation for restraint use.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Restraint Management — Policies and procedures regarding Restraint use are documented and implemented.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Restraint Management — Restraint use is reviewed by the Interdisciplinary Team.
Operator must ensure that when a restraint is used, it is reviewed by the Interdisciplinary Team on
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Risk Management — Managed risk agreements are documented and implemented.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued August 9, 2016. Fix by December 18, 2017. Status: Rectified (February 5, 2018).
May 9, 2017 · Inspection
Non-compliant
Menu Requirements — Record of meals served
Evidence required of meals served and substitutions made.
Issued December 6, 2016. Fix by June 30, 2017. Status: Rectified (June 20, 2017).
December 6, 2016 · 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 6, 2016. Fix by April 30, 2017. Status: Rectified (April 24, 2017).
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 6, 2016. Fix by April 30, 2017. Status: Rectified (April 24, 2017).
Menu Requirements — Record of meals served
Evidence required of meals served and substitutions made.
Issued December 6, 2016. Fix by May 31, 2017. Status: Rectified (June 20, 2017).
September 21, 2016 · Inspection
Non-compliant
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued December 8, 2015. Fix by November 30, 2016. Status: Rectified (November 25, 2016).
Trust Accounts — Trust account records
Evidence required that trust account records are made available to residents/their representatives.
Issued December 8, 2015. Fix by November 30, 2016. Status: Rectified (November 25, 2016).
August 26, 2016 · Inspection
Non-compliant
Trust Accounts — Trust account records
Evidence required that trust account records are made available to residents/their representatives.
Issued December 8, 2015. Fix by September 30, 2016. Status: Rectified (November 25, 2016).
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued December 8, 2015. Fix by September 30, 2016. Status: Rectified (November 25, 2016).
April 6, 2016 · Inspection
Non-compliant
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued December 8, 2015. Fix by September 30, 2016. Status: Rectified (November 25, 2016).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (May 5, 2016).
Trust Accounts — Trust account records
Evidence required that trust account records are made available to residents/their representatives.
Issued December 8, 2015. Fix by September 30, 2016. Status: Rectified (November 25, 2016).
Menu Requirements — Record of meals served
Evidence required of meals served and substitutions made.
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (May 12, 2016).
December 8, 2015 · Inspection
Non-compliant
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (May 5, 2016).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued December 8, 2015. Fix by March 31, 2016. Status: Rectified (March 7, 2016).
Menu Requirements — Menu substitutions communicated and made from same food group
Evidence required of the menu substitutions showing that the substitutions are from within the same
Issued December 8, 2015. Fix by March 31, 2016. Status: Rectified (February 17, 2016).
Trust Accounts — Trust account records
Evidence required that trust account records are made available to residents/their representatives.
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (November 25, 2016).
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (November 25, 2016).
Menu Requirements — Record of meals served
Evidence required of meals served and substitutions made.
Issued December 8, 2015. Fix by May 31, 2016. Status: Rectified (May 12, 2016).
December 11, 2014 · Inspection
Non-compliant
Information Respecting the Supportive Living Accommodation — Signed residential services agreement
Evidence required that residential service agreements have been signed by the resident/representativ
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (December 16, 2014).
Menu Requirements — Menu substitutions communicated and made from same food group
Evidence required of the menu substitutions showing that the substitutions are from within the same
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (February 4, 2015).
Trust Accounts — Trust account records
Evidence required that trust account records are made available to residents/their representatives.
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (January 27, 2015).
Menu Requirements — Resident feedback into meals, fluids and snacks
Evidence required of obtaining residents' opinions and feedback regarding the meals, fluids and snac
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (February 11, 2015).
Continuation of Services — Practicability, communication and review of plans
Evidence required that the continuation of services plan is communicated and made available to resid
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (December 13, 2014).
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (January 27, 2015).
Risk Management — Review of managed risk agreements
Evidence required that the managed risk agreement(s) have been reviewed and, if necessary, amended.
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (December 18, 2014).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued December 11, 2014. Fix by March 31, 2015. Status: Rectified (March 12, 2015).
December 17, 2013 · 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 17, 2013. Fix by March 31, 2014. Status: Rectified (January 8, 2014).
Residents Personal Affairs — Communication of processes
Evidence required that the policies on involvement in residents' personal affairs have been communic
Issued December 17, 2013. Fix by May 31, 2014. Status: Rectified (April 1, 2014).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued December 17, 2013. Fix by July 31, 2014. Status: Rectified (June 18, 2014).
Cleaning Requirements — Regularly scheduled cleaning of all areas
Evidence required that the accommodation is cleaned on a regularly scheduled basis.
Issued December 17, 2013. Fix by May 31, 2014. Status: Rectified (April 16, 2014).
Personal Choice Services — Appropriate areas, qualifications, and resident needs considered
Evidence required of the personal choice service provider's certificate or licence. Evidence require
Issued December 17, 2013. Fix by May 31, 2014. Status: Rectified (April 1, 2014).
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: Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.?
- How does the home meet: Restraint Management and Secure Spaces — Documentation for restraint use.?
- 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: Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.?
- How does the home meet: Act and Regulation Requirements — Staffing Plan in Place?
- How does the home meet: Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.?
Homes nearby
Distances from the centre of Lethbridge, since this page does not place the home itself. Straight-line, between postal code centres.
| Home | Type | Distance | Non-compliant |
|---|---|---|---|
| Amani HouseLethbridge · 4 units | Group home | under 1 km | 50%1 of 2 visits |
| Edith Cavell Care CentreLethbridge · 120 units | Long-term care (Type A) | 1.0 km | 71%5 of 7 visits |
| House ALethbridge · 10 units | Group home | 1.0 km | 50%1 of 2 visits |
| House BLethbridge · 7 units | Group home | 1.0 km | 100%2 of 2 visits |
| House CLethbridge · 8 units | Group home | 1.2 km | 50%1 of 2 visits |
| Garden View LodgeLethbridge · 146 units | Lodge | 1.3 km | 100%1 of 1 visit |
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.