CareTrail

Assisted living

Legacy Lodge

Lethbridge, Alberta. Operated by Choices in Community Living INC..

Visits since 2023
7
6 of 7 visits
Non-compliant visits since 2023
6
86% of visits
Open non-compliances
0
issued, in progress or ongoing
Last assessed visit
Feb 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.

The operator asked that the street address not be shown on the government’s viewer, so this page shows the city only.

About this home

Type
Supportive Living Accommodation
Subtype
Assisted Living Accommodation
Units
16
City
Lethbridge
Record source
ASTRAL (as the file gives it)
First and last visit on record
May 2013 to Feb 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.

  1. February 25, 2026 · 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 February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

    • Water Temperature — Safe water temperatures

      Evidence required that the hottest water temperature flowing out of the faucets in resident areas do

      Issued February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

    • Laundry — Condition of laundry facilities

      Evidence required that the equipment and the laundry area are appropriate, clean and in good repair.

      Issued February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

    • 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 February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

    • Water Temperature — Safe water temperatures

      Evidence required that the hottest water temperature flowing out of the faucets in resident areas do

      Issued February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

    • Laundry — Condition of laundry facilities

      Evidence required that the equipment and the laundry area are appropriate, clean and in good repair.

      Issued February 25, 2026. Fix by May 31, 2026. Status: Rectified (May 21, 2026).

  2. July 23, 2025 · CCHSS Inspection

    Non-compliant

    • 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 July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 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 July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 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 July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Restraint Management and Secure Spaces — Documentation for restraint use.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Medication Management — Policies and procedures in Medication Management are documented and implemented.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

    • Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks

      Issued July 23, 2025. Fix by October 15, 2025. Status: Rectified (July 25, 2025).

  3. September 19, 2024 · CCHSS Investigation

    Non-compliant

    • Medication Management — Policies and procedures in Medication Management are documented and implemented.

      Issued September 19, 2024. Fix by November 7, 2024. Status: Rectified (November 7, 2024).

    • Nutrition and Hydration Management — Nutrition and hydration interventions reviewed and documented in Care Plan.

      An operator must ensure that the directions for nutrition and hydration interventions for a Client a

      Issued September 19, 2024. Fix by November 7, 2024. Status: Rectified (November 14, 2024).

    • Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.

      Issued September 19, 2024. Fix by November 7, 2024. Status: Rectified (November 7, 2024).

    • Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.

      Issued September 19, 2024. Fix by November 7, 2024. Status: Rectified (November 7, 2024).

    • Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.

      Issued September 19, 2024. Fix by November 7, 2024. Status: Rectified (November 7, 2024).

  4. October 31, 2023 · Quality Monitoring Visit

    Compliant

  5. October 5, 2023 · Quality Monitoring Visit

    Non-compliant

    • standard not recorded in the file

      Issued October 5, 2023. Status: Resolved (October 31, 2023).

  6. June 13, 2023 · CCHSS Audit

    Non-compliant

    • CCHSS standard 1.8

      Client's Care Plan is reviewed.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 5.3

      Palliative and End-of-Life care documentation in Care Plan.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 9.2

      Policies and procedures for Staff training are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 9.3

      Policies and procedures for Staff training are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 10.1

      Managed risk agreements are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 11.1

      Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 12.1

      Policies and procedures in Medication Management are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 15.1

      Policies and procedures regarding safe water temperatures are documented and implemented.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 15.2

      Policies and procedures for water supply system and temperature checks

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 16.3

      Documentation for restraint use.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 16.6

      Secure Space usage is documented in Client's chart and Care Plan.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

    • CCHSS standard 18.1

      Policy and procedure for responding to concerns about the Health Care provided.

      Issued June 13, 2023. Status: Resolved (December 11, 2023).

  7. May 3, 2023 · Inspection

    Non-compliant

    • Maintenance Requirements — Preventative and corrective maintenance

      Evidence required of a scheduled preventative maintenance and repair program.

      Issued May 3, 2023. Fix by July 31, 2023. Status: Rectified (July 25, 2023).

    • Safety Requirements — Accommodation in safe condition

      Evidence required that the accommodation and grounds are safe and free of hazards.

      Issued May 3, 2023. Fix by May 31, 2023. Status: Rectified (May 31, 2023).

    • 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 3, 2023. Fix by May 31, 2023. Status: Rectified (May 31, 2023).

    • Resident Safety and Security — Incident reporting

      Please submit completed reportable incident form for the incident on DATE within one business day.

      Issued May 3, 2023. Fix by May 4, 2023. Status: Rectified (May 8, 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 May 3, 2023. Fix by May 31, 2023. Status: Rectified (May 31, 2023).

    • Cleaning Requirements — Clean and comfortable environment

      Evidence required of a clean and comfortable environment.

      Issued May 3, 2023. Fix by May 31, 2023. Status: Rectified (May 31, 2023).

    • Water Temperature — Safe water temperatures

      Evidence required that the hottest water temperature flowing out of the faucets in resident areas do

      Issued May 3, 2023. Fix by May 31, 2023. Status: Rectified (May 31, 2023).

    • Maintenance Requirements — Accommodation is maintained

      Evidence required that the accommodation, equipment and furnishings are well maintained and in good

      Issued May 3, 2023. Fix by July 31, 2023. Status: Rectified (September 7, 2023).

  8. April 25, 2022 · Quality Monitoring Visit

    Compliant

  9. March 31, 2022 · Complaint Investigation

    Compliant

  10. March 16, 2022 · Quality Monitoring Visit

    Non-compliant

    • standard not recorded in the file

      Issued March 16, 2022. Status: Resolved (April 25, 2022).

  11. October 19, 2021 · Quality Monitoring Visit

    Compliant

  12. September 22, 2020 · CMOH Inspection

    Non-compliant

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces

      Issued September 22, 2020. Fix by September 24, 2020. Status: Rectified (September 22, 2020).

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Entry Screening Process

      Issued September 22, 2020. Fix by September 24, 2020. Status: Rectified (September 25, 2020).

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning

      Issued September 22, 2020. Fix by September 24, 2020. Status: Rectified (September 25, 2020).

  13. September 22, 2020 · Complaint Investigation

    Compliant

  14. June 4, 2020 · Quality Monitoring Visit

    Compliant

  15. April 6, 2020 · Consultation

    Not assessed (consultation)

  16. September 11, 2019 · Inspection

    Compliant

  17. September 11, 2019 · Inspection

    Compliant

  18. March 20, 2019 · CCHSS Audit

    Non-compliant

    • CCHSS standard 1.2

      The care plan reflects the findings of the assessment and is kept up to date.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 1.8

      Client's Care Plan is reviewed.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 4.4

      Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 6.3

      Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 10.1

      Managed risk agreements are documented and implemented.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 12.1

      Policies and procedures in Medication Management are documented and implemented.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 15.1

      Policies and procedures regarding safe water temperatures are documented and implemented.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 16.1

      Policies and procedures regarding Restraint use are documented and implemented.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 16.3

      Documentation for restraint use.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 16.4

      Policies and procedures for Secure Spaces are documented and implemented.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

    • CCHSS standard 16.6

      Secure Space usage is documented in Client's chart and Care Plan.

      Issued March 20, 2019. Status: Resolved (March 6, 2020).

  19. September 21, 2018 · Inspection

    Compliant

  20. September 21, 2018 · Inspection

    Compliant

  21. October 25, 2017 · Inspection

    Compliant

  22. October 20, 2017 · Inspection

    Compliant

  23. September 21, 2017 · Inspection

    Compliant

  24. September 26, 2016 · Inspection

    Compliant

  25. September 24, 2015 · Inspection

    Compliant

  26. September 9, 2014 · Inspection

    Compliant

  27. September 18, 2013 · Inspection

    Compliant

  28. May 30, 2013 · CCHSS Regular Audit

    Non-compliant

    • Case Management and Care Coordination — Care coordinator roles and responsibilities are inclusive as defined by the Standards.

      (e) The roles and responsibilities of the care coordinator include, but are not limited to:_x000D_

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Client/Family Involvement in Care Planning — Policies & processes for client involvement & with clients permission others in care planning.

      (a) There are policies and processes in place which support, promote, and permit client involvement

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Communicable Disease and Infection Prevention and Control — Policies and processes are in place to address infection, prevention and control topics.

      (b) There shall be policies and processes in place which shall address, but are not limited to, the

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Communicable Disease and Infection Prevention and Control — Services are provided in accordance with all communicable disease, & IPC standards issued by AH .

      (a) Continuing care health services shall be provided in accordance with all communicable disease an

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Continuing Care Health Service Providers — Staff receive on-going education based on changing needs of clients & evidence based practice.

      (d) Staff receive on-going in-service education based on changing needs of clients and best practic

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Medication Management — Annual review is inclusive as defined by the Standard.

      (b) The annual review shall include, but is not limited to the following:_x000D_ - Clinical indica

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Medication Management — Medication is reconciled upon transfer from one level of service to another.

      (e) Medication is reconciled upon transfer from one level of service to another.

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Medication Management — Medication management policies and processes are inclusive as defined by the Standards.

      (f) Medication management policies and processes include:_x000D_ _x000D_ - Simple and easy to unde

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 2014).

    • Quality Improvement — Facility/program has a quality improvement program as defined by the Standards.

      (a) The facility or program has an established quality improvement program that includes:_x000D_ -

      Issued May 30, 2013. Fix by August 6, 2013. Status: Rectified (October 6, 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: Water Temperature — Training, maintenance, and risk mitigation to ensure safe water temperatures?
  • How does the home meet: Water Temperature — Safe water temperatures?
  • How does the home meet: Laundry — Condition of laundry facilities?
  • How does the home meet: Water Temperature — Training, maintenance and risk mitigation to ensure safe water temperatures?
  • How does the home meet: Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.?
  • How does the home meet: 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.?

Homes nearby

Distances from the centre of Lethbridge, since this page does not place the home itself. Straight-line, between postal code centres.

HomeDistanceNon-compliant
Amani HouseLethbridge · 4 unitsunder 1 km50%1 of 2 visits
Edith Cavell Care CentreLethbridge · 120 units1.0 km71%5 of 7 visits
House ALethbridge · 10 units1.0 km50%1 of 2 visits
House BLethbridge · 7 units1.0 km100%2 of 2 visits
House CLethbridge · 8 units1.2 km50%1 of 2 visits
Garden View LodgeLethbridge · 146 units1.3 km100%1 of 1 visit

Find homes near any postal code

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.