Long-term care (Type A)
Mary Immaculate Care Centre
Mundare, Alberta. Operated by Covenant Health.
- Visits since 2023
- 4
- 4 of 4 visits
- Non-compliant visits since 2023
- 4
- 100% of visits
- Open non-compliances
- 7
- 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 A
- Subtype
- —
- Units
- 30
- City
- Mundare
- Address
- 165018 Township Rd 534, Box 349, Mundare, Alberta, T0B3H0
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- Aug 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 7, 2026 · CCHSS Inspection
Non-compliant
Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Staff Training — Training materials are current.
An operator must ensure that training materials are current in relation to the legislation, regulati
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued May 7, 2026. Fix by July 30, 2026. Status: Issued (May 7, 2026).
November 25, 2025 · Inspection
Non-compliant
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 November 25, 2025. Fix by January 31, 2026. Status: Rectified (November 25, 2025).
Resident Safety and Security — Suitability, maintenance and inspection of emergency call/communication system
Evidence required that the emergency call/communication system is maintained, inspected and tested.
Issued November 25, 2025. Fix by January 31, 2026. Status: Rectified (November 25, 2025).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued November 25, 2025. Fix by January 31, 2026. Status: Rectified (November 25, 2025).
Nutritional Requirements — Menu approved by registered dietitian
Evidence required that the menu is reviewed and approved by a Registered Dietitian as meeting the nu
Issued November 25, 2025. Fix by January 31, 2026. Status: Rectified (November 25, 2025).
November 8, 2023 · 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 November 8, 2023. Fix by November 30, 2023. Status: Rectified (November 30, 2023).
July 12, 2023 · CCHSS Audit
Non-compliant
CCHSS standard 4.4
Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
CCHSS standard 16.3
Documentation for restraint use.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued July 12, 2023. Status: Resolved (November 22, 2023).
November 16, 2022 · 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 November 16, 2022. Fix by August 31, 2023. Status: Rectified (November 30, 2022).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued November 16, 2022. Fix by August 31, 2023. Status: Rectified (November 30, 2022).
March 30, 2021 · Quality Monitoring Visit
Compliant
February 11, 2021 · CMOH Inspection
Non-compliant
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
Issued February 11, 2021. Fix by February 17, 2021. Status: Rectified (February 17, 2021).
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Entry Screening Process
Issued February 11, 2021. Fix by February 17, 2021. Status: Rectified (February 17, 2021).
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Visitation
Issued February 11, 2021. Fix by February 11, 2021. Status: Rectified (February 17, 2021).
May 6, 2020 · Consultation
Not assessed (consultation)
September 10, 2019 · Inspection
Non-compliant
Duties of an Operator — Take all Concerns into Consideration
Provide evidence that all requests, concerns and proposed solutions expressed by a_x000D_ resident, a me
Issued August 21, 2019. Fix by October 31, 2019. Status: Rectified (September 17, 2019).
September 10, 2019 · Inspection
Non-compliant
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued August 21, 2019. Fix by November 30, 2019. Status: Rectified (October 24, 2019).
August 21, 2019 · Inspection
Non-compliant
Duties of an Operator — Provide Inspection Results
Provide evidence that information on inspection results have been provided to_x000D_ residents and their
Issued August 21, 2019. Fix by September 30, 2019. Status: Rectified (August 22, 2019).
Duties of an Operator — Designate a Facility Representative
Provide evidence that a person has been designated in writing as facility_x000D_ representatives for the
Issued August 21, 2019. Fix by September 30, 2019. Status: Rectified (August 22, 2019).
Duties of an Operator — Take all Concerns into Consideration
Provide evidence that all requests, concerns and proposed solutions expressed by a_x000D_ resident, a me
Issued August 21, 2019. Fix by September 30, 2019. Status: Rectified (September 17, 2019).
August 21, 2019 · Inspection
Non-compliant
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued August 21, 2019. Fix by September 30, 2019. Status: Rectified (October 24, 2019).
August 16, 2018 · Inspection
Compliant
August 16, 2018 · Inspection
Compliant
July 12, 2018 · CCHSS Audit
Non-compliant
CCHSS standard 19.2
Policies and procedures for tracking incidents and near-misses are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 1.1
An appropriate assessment tool for Client's Health Care needs is used.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 1.3
The care plan addresses the Client's needs, goals, and intervention details.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 1.4
Medical Status assessments are documented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 1.5
Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 4.1
Information is provided about Health Care, services and responsibilities.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 5.3
Palliative and End-of-Life care documentation in Care Plan.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 6.3
Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 9.3
Policies and procedures for Staff training are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 10.1
Managed risk agreements are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 14.1
Oral care assistance and bathing frequency policies and procedures are implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 15.1
Policies and procedures regarding safe water temperatures are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
CCHSS standard 16.3
Documentation for restraint use.
Issued July 12, 2018. Status: Resolved (November 6, 2018).
August 9, 2017 · Inspection
Compliant
August 19, 2016 · Inspection
Compliant
August 18, 2015 · Inspection
Non-compliant
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued August 18, 2015. Fix by October 31, 2015. Status: Rectified (October 22, 2015).
August 7, 2014 · Inspection
Compliant
March 21, 2014 · Complaint Investigation
Compliant
August 27, 2013 · Inspection
Compliant
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: Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.?
- How does the home meet: Staff Training — Documented compliance to training.?
- How does the home meet: Medication Management — Policies and procedures in Medication Management are documented and implemented.?
- How does the home meet: Staff Training — Training materials are current.?
- How does the home meet: Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.?
- How does the home meet: Staff Training — Policies and procedures for Staff training are documented and implemented.?
Homes nearby
Straight-line distance between postal code centres (in rural Alberta, town centres). Each home’s share of non-compliant visits since 2023, on the same method as the city pages.
| Home | Type | Distance | Non-compliant |
|---|---|---|---|
| Heritage HouseVegreville · 14 units | Assisted living | 21 km | 40%2 of 5 visits |
| Homestead Senior Citizen's LodgeVegreville · 70 units | Lodge | 21 km | 50%1 of 2 visits |
| 51st Street ResidenceVegreville · 4 units | Group home | 22 km | 0%0 of 2 visits |
| Vegreville ManorVegreville · 15 units | Type B (designated supportive living) | 22 km | 50%1 of 2 visits |
| Century Park LodgeVegreville · 40 units | Type B (designated supportive living) | 22 km | 89%8 of 9 visits |
| Vegreville Care CentreVegreville · 59 units | Long-term care (Type A) | 22 km | 75%3 of 4 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.