Type B (designated supportive living)
Leisure Way Community Group Home & Consulting Services INC.
Cypress County, Alberta. Operated by Leisure Way Community Group Home and Consulting Services INC..
- Visits since 2023
- 5
- 4 of 5 visits
- Non-compliant visits since 2023
- 4
- 80% of visits
- Open non-compliances
- 10
- issued, in progress or ongoing
- Last assessed visit
- May 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
- 16
- City
- Cypress County
- Address
- 11404 Range Road 52, Cypress County, Alberta, T1B0K7
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- Apr 2013 to May 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.
May 20, 2026 · CCHSS Inspection
Non-compliant
Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 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 May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Health Care Providers — Active registration is verified and documented for Regulated Health Care Professionals.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued May 20, 2026. Fix by August 12, 2026. Status: Issued (May 20, 2026).
May 7, 2026 · 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 May 7, 2026. Fix by May 29, 2026. Status: Rectified (May 7, 2026).
Maintenance Requirements — Preventative and corrective maintenance
Evidence required of a scheduled preventative maintenance and repair program.
Issued May 7, 2026. Fix by July 31, 2026. Status: Issued (May 7, 2026).
Nutritional Requirements — Menu approved by qualified professional
Evidence required that the menu is reviewed and approved by a Registered Dietician or a Food & N
Issued May 7, 2026. Fix by July 31, 2026. Status: Issued (May 7, 2026).
October 15, 2024 · CCHSS Inspection
Compliant
June 27, 2024 · CCHSS Inspection
Non-compliant
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Act and Regulation Requirements — Clinical Staff On Site
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Staff Training — Training materials are current.
An operator must ensure that training materials are current in relation to the legislation, regulati
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Restraint use is reviewed by the Interdisciplinary Team.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Risk Management — Managed risk agreements are documented and implemented.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 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 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Sharing of Client Information — Sharing of Client's Health Information with other Operators providing Health Care.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 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 June 27, 2024. Fix by September 27, 2024. Status: Rectified (October 16, 2024).
May 10, 2023 · Inspection
Non-compliant
Resident Safety and Security — Incident reporting
Please submit completed reportable incident form for the incident on DATE within one business day.
Issued May 10, 2023. Fix by June 30, 2023. Status: Rectified (June 29, 2023).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 10, 2023. Fix by July 31, 2023. Status: Rectified (July 31, 2023).
Nutritional Requirements — Menu approved by qualified professional
Evidence required that the menu is reviewed and approved by a Registered Dietician or a Food & N
Issued May 10, 2023. Fix by October 31, 2023. Status: Rectified (October 31, 2023).
Menu Requirements — Resident feedback into meals, fluids and snacks
Evidence required of obtaining residents' opinions and feedback regarding the meals, fluids and snac
Issued May 10, 2023. Fix by July 31, 2023. Status: Rectified (July 31, 2023).
November 15, 2022 · CCHSS Audit
Non-compliant
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued November 15, 2022. Status: Resolved (February 2, 2023).
November 3, 2021 · Quality Monitoring Visit
Compliant
October 7, 2021 · Quality Monitoring Visit
Compliant
August 31, 2021 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued August 31, 2021. Status: Resolved (October 7, 2021).
July 27, 2021 · CMOH Inspection
Compliant
April 7, 2020 · Consultation
Not assessed (consultation)
April 16, 2019 · Inspection
Compliant
April 16, 2019 · Inspection
Non-compliant
Social or Leisure Activities — Qualifications of personnel
Evidence required that the qualifications of social and leisure personnel who plan, develop, coordin
Issued April 16, 2019. Fix by April 30, 2020. Status: Rectified (April 23, 2019).
July 25, 2018 · Inspection
Compliant
April 10, 2018 · 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 April 10, 2018. Fix by July 31, 2018. Status: Rectified (July 20, 2018).
Menu Requirements — Resident consultation on meal times
Evidence required that residents are consulted, every 6 months at minimum, regarding meal times and
Issued April 10, 2018. Fix by July 31, 2018. Status: Rectified (July 20, 2018).
May 16, 2017 · CCHSS Audit
Compliant
April 5, 2017 · Inspection
Compliant
April 6, 2016 · Inspection
Non-compliant
Menu Requirements — Variety, choice and resident food preferences
Evidence required that residents are provided a choice from at least one food group at every meal fr
Issued April 6, 2016. Fix by October 31, 2016. Status: Rectified (October 11, 2016).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued April 6, 2016. Fix by October 31, 2016. Status: Rectified (October 11, 2016).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued April 6, 2016. Fix by October 31, 2016. Status: Rectified (October 17, 2016).
July 24, 2015 · 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 July 24, 2015. Fix by May 1, 2016. Status: Rectified (April 13, 2016).
Case Management and Care Coordination — Clients have a health care provider responsible for coordinating & integrating services.
(d) Each client has a regulated health care provider who is responsible for coordinating and integr
Issued July 24, 2015. Fix by April 1, 2016. Status: Rectified (March 4, 2016).
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 July 24, 2015. Fix by April 1, 2016. Status: Rectified (March 29, 2016).
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 July 24, 2015. Fix by April 1, 2016. Status: Rectified (March 29, 2016).
Integrated Care Planning — Clients shall have an annual health team conference, including an evaluation & update of care plan.
(e) At minimum, each continuing care client has an annual health service team conference to review,
Issued July 24, 2015. Fix by November 30, 2015. Status: Rectified (January 29, 2016).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued July 24, 2015. Fix by May 31, 2016. Status: Rectified (October 18, 2016).
Quality Improvement and Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued July 24, 2015. Fix by January 23, 2017. Status: Rectified (March 3, 2017).
Quality Improvement and Reporting — Quality improvement policies and programs are documented and implemented.
An operator must establish, implement, and maintain documented quality improvement policies and prog
Issued July 24, 2015. Fix by May 31, 2016. Status: Rectified (May 27, 2016).
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 July 24, 2015. Fix by January 23, 2017. Status: Rectified (March 2, 2017).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued July 24, 2015. Fix by May 31, 2016. Status: Rectified (May 27, 2016).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued July 24, 2015. Fix by January 23, 2017. Status: Rectified (March 3, 2017).
Standardized Assessments — RAPS/CAPS reviewed and considered when preparing the client care plan.
(h) RAPS/CAPS, are reviewed and considered when preparing the client care plan.
Issued July 24, 2015. Fix by November 30, 2015. Status: Rectified (January 29, 2016).
Therapeutic Nutrition and Hydration — Client’s identified needs shall be addressed in the care plan. Needs are defined by the Standards.
(c) Clients needs shall be addressed in accordance with the care planning process where the assessm
Issued July 24, 2015. Fix by April 1, 2016. Status: Rectified (March 4, 2016).
April 9, 2015 · Inspection
Compliant
April 23, 2014 · 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 April 23, 2014. Fix by July 31, 2014. Status: Rectified (July 14, 2014).
April 23, 2013 · Inspection
Non-compliant
Social or Leisure Activities — Resident needs, feedback and opinions considered
Evidence required that residents' opinions have been considered in the planning of social or leisure
Issued April 23, 2013. Fix by June 30, 2013. Status: Rectified (June 27, 2013).
Menu Requirements — Resident feedback into meals, fluids and snacks
Evidence required of obtaining residents' opinions and feedback regarding the meals, fluids and snac
Issued April 23, 2013. Fix by June 30, 2013. Status: Rectified (June 27, 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: Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.?
- How does the home meet: Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks?
- 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.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.?
- How does the home meet: Medication Management — Policies and procedures in Medication Management are documented and implemented.?
- How does the home meet: Health Care Providers — Active registration is verified and documented for Regulated Health Care Professionals.?
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 |
|---|---|---|---|
| Masterpiece Southland Meadows LTD.Medicine Hat · 81 units | Type B (designated supportive living) | 22 km | 80%4 of 5 visits |
| Medicine Hat Care CommunityMedicine Hat · 126 units | Type B (designated supportive living) | 23 km | 80%4 of 5 visits |
| Core Association - SouthridgeMedicine Hat · 6 units | Group home | 24 km | 100%1 of 1 visit |
| The Meadowlands Retirement ResidenceMedicine Hat · 129 units | Assisted living | 24 km | 25%1 of 4 visits |
| Meadow Ridge Seniors VillageMedicine Hat · 92 units | Type B (designated supportive living) | 24 km | 100%4 of 4 visits |
| Wellington Retirement Residence (the)Medicine Hat · 50 units | Type B (designated supportive living) | 24 km | 80%4 of 5 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.