Long-term care (Type A)
Good Samaritan Society Pembina Village
Evansburg, Alberta. Operated by The Good Samaritan Society (A Lutheran Social Service Organization).
- Visits since 2023
- 4
- 4 of 4 visits
- Non-compliant visits since 2023
- 4
- 100% of visits
- Open non-compliances
- 15
- 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 A
- Subtype
- —
- Units
- 40
- City
- Evansburg
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- May 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 30, 2026 · CCHSS Inspection
Non-compliant
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Palliative Care and End-of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Quality Improvement Reporting — Quality improvement policies and programs are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Act and Regulation Requirements — Requirements of Staffing Plan are Met at All Times
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
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 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Risk Management — Managed risk agreements are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued March 30, 2026. Fix by June 30, 2026. Status: Rectified (March 30, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued March 30, 2026. Fix by June 30, 2026. Status: Issued (March 30, 2026).
July 2, 2024 · CCHSS Inspection
Non-compliant
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Quality Improvement Reporting — Policies and procedures for reportable incidents are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
Standardized Assessment and Person-Centred Care Planning — Medical Status assessments are documented.
Issued July 2, 2024. Fix by October 3, 2024. Status: Rectified (October 28, 2024).
April 11, 2023 · CCHSS Audit
Non-compliant
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 15.1
Policies and procedures regarding safe water temperatures are documented and implemented.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 15.2
Policies and procedures for water supply system and temperature checks
Issued April 11, 2023. Status: Resolved (August 15, 2023).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued April 11, 2023. Status: Resolved (August 15, 2023).
February 13, 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 February 13, 2023. Fix by March 31, 2023. Status: Rectified (March 30, 2023).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued February 13, 2023. Fix by March 31, 2023. Status: Rectified (March 30, 2023).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued February 13, 2023. Fix by April 14, 2023. Status: Rectified (March 31, 2023).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued February 13, 2023. Fix by March 31, 2023. Status: Rectified (March 30, 2023).
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 February 13, 2023. Fix by April 14, 2023. Status: Rectified (March 31, 2023).
April 12, 2022 · Quality Monitoring Visit
Compliant
March 11, 2022 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued March 11, 2022. Status: Resolved (April 12, 2022).
November 5, 2020 · CMOH Inspection
Compliant
November 2, 2020 · Quality Monitoring Visit
Compliant
August 13, 2020 · CMOH Inspection
Compliant
April 28, 2020 · Quality Monitoring Visit
Compliant
April 9, 2020 · Consultation
Not assessed (consultation)
April 30, 2019 · Inspection
Compliant
April 30, 2019 · Inspection
Compliant
May 8, 2018 · Inspection
Compliant
May 15, 2017 · Inspection
Compliant
March 15, 2017 · CCHSS Audit
Compliant
May 12, 2016 · Inspection
Compliant
July 10, 2015 · Complaint Investigation
Non-compliant
Cleaning Requirements — Regularly scheduled cleaning of all areas
Evidence required that the accommodation is cleaned on a regularly scheduled basis.
Issued May 5, 2015. Fix by September 30, 2015. Status: Rectified (September 2, 2015).
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 May 5, 2015. Fix by January 31, 2016. Status: Rectified (January 8, 2016).
Maintenance Requirements — Preventative and corrective maintenance
Evidence required of a scheduled preventative maintenance and repair program.
Issued May 5, 2015. Fix by October 31, 2015. Status: Rectified (October 7, 2015).
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 May 5, 2015. Fix by August 31, 2015. Status: Rectified (July 24, 2015).
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 May 5, 2015. Fix by August 31, 2015. Status: Rectified (July 24, 2015).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 5, 2015. Fix by August 31, 2015. Status: Rectified (July 24, 2015).
May 5, 2015 · Inspection
Non-compliant
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 May 5, 2015. Fix by July 31, 2015. Status: Rectified (July 24, 2015).
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 May 5, 2015. Fix by July 31, 2015. Status: Rectified (July 24, 2015).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 5, 2015. Fix by July 31, 2015. Status: Rectified (July 24, 2015).
Maintenance Requirements — Preventative and corrective maintenance
Evidence required of a scheduled preventative maintenance and repair program.
Issued May 5, 2015. Fix by July 31, 2015. Status: Rectified (October 7, 2015).
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 May 5, 2015. Fix by July 31, 2015. Status: Rectified (January 8, 2016).
Cleaning Requirements — Regularly scheduled cleaning of all areas
Evidence required that the accommodation is cleaned on a regularly scheduled basis.
Issued May 5, 2015. Fix by July 31, 2015. Status: Rectified (September 2, 2015).
May 20, 2014 · Inspection
Non-compliant
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 28, 2013. Fix by December 31, 2014. Status: Rectified (December 1, 2014).
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 May 20, 2014. Fix by September 30, 2014. Status: Rectified (August 21, 2014).
May 28, 2013 · Inspection
Non-compliant
Safety and Security — Policies and procedures
Evidence required of the site specific policies and procedures in place regarding resident safety an
Issued May 28, 2013. Fix by July 31, 2013. Status: Rectified (July 19, 2013).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 28, 2013. Fix by May 31, 2014. Status: Rectified (December 1, 2014).
Cleaning Requirements — Regularly scheduled cleaning of all areas
Evidence required that the accommodation is cleaned on a regularly scheduled basis.
Issued May 28, 2013. Fix by July 31, 2013. Status: Rectified (July 3, 2013).
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: Staff Training — Policies and procedures for Staff training are documented and implemented.?
- How does the home meet: Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.?
- How does the home meet: Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.?
- How does the home meet: Palliative Care and End-of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.?
- How does the home meet: Quality Improvement Reporting — Quality improvement policies and programs are documented and implemented.?
- How does the home meet: Act and Regulation Requirements — Requirements of Staffing Plan are Met at All Times?
Homes nearby
Distances from the centre of Evansburg, since this page does not place the home itself. Straight-line, between postal code centres.
| Home | Type | Distance | Non-compliant |
|---|---|---|---|
| Sunshine Place LodgeEvansburg · 35 units | Lodge | under 1 km | 100%2 of 2 visits |
| Extendicare MayerthorpeMayerthorpe · 50 units | Long-term care (Type A) | 40 km | 75%3 of 4 visits |
| Mayerthorpe Healthcare CentreMayerthorpe · 20 units | Long-term care (Type A) | 40 km | 67%2 of 3 visits |
| Pleasant View LodgeMayerthorpe · 15 units | Type B (designated supportive living) | 40 km | 100%5 of 5 visits |
| Points West Living Drayton ValleyDrayton Valley · 50 units | Type B (designated supportive living) | 43 km | 100%1 of 1 visit |
| Shangri-La LodgeDrayton Valley · 83 units | Lodge | 43 km | —no visits in the window |
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.