Long-term care (Type A)

Millwoods Shepherd's Care Centre

Tawa, Edmonton, Alberta. Operated by Shepherd's Care Foundation.

Visits since 2023: 3; 2 of 3 visits
Non-compliant visits since 2023: 2; 67% of visits
Open non-compliances: 0; issued, in progress or ongoing
Last assessed visit: Oct 2025; 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: 147
City: Edmonton
District: Mill Woods and Meadows · Tawa
Address: 6620 28 Avenue, Edmonton, Alberta, T6K2R1
Record source: ASTRAL (as the file gives it)
First and last visit on record: May 2013 to Oct 2025

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.

October 16, 2025 · CCHSS Inspection
Non-compliant
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 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 October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Continuity of Health Care — Documented emergency preparedness, pandemic and contingency plan.
  An operator must establish, implement, and maintain documented emergency preparedness, pandemic, and
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 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 October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Standardized Assessment and Person-Centred Care Planning — Client's or representative's lack of participation in the Care Plan is documented.
  Where a client or the client's legal representative, if applicable, is unable or unwilling to partic
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Medication Management — Policies and procedures in Medication Management are documented and implemented.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Standardized Assessment and Person-Centred Care Planning — Medical Status assessments are documented.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
- Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
  Issued October 16, 2025. Fix by January 8, 2026. Status: Rectified (October 16, 2025).
July 30, 2024 · Complaint Investigation
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 July 30, 2024. Fix by August 30, 2024. Status: Rectified (August 2, 2024).
October 5, 2023 · Quality Monitoring Visit
Compliant
December 6, 2022 · CCHSS Audit
Non-compliant
- CCHSS standard 1.4
  Medical Status assessments are documented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 1.8
  Client's Care Plan is reviewed.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 10.1
  Managed risk agreements are documented and implemented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 11.1
  Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 12.1
  Policies and procedures in Medication Management are documented and implemented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 15.1
  Policies and procedures regarding safe water temperatures are documented and implemented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 16.1
  Policies and procedures regarding Restraint use are documented and implemented.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
- CCHSS standard 16.3
  Documentation for restraint use.
  Issued December 6, 2022. Status: Resolved (March 21, 2023).
April 25, 2022 · Quality Monitoring Visit
Compliant
August 11, 2021 · CMOH Inspection
Compliant
August 11, 2021 · Inspection
Non-compliant
- 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 August 11, 2021. Fix by August 20, 2021. Status: Rectified (August 17, 2021).
November 26, 2020 · Quality Monitoring Visit
Compliant
November 25, 2020 · CMOH Inspection
Compliant
November 13, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued October 27, 2020. Fix by November 30, 2020. Status: Rectified (November 23, 2020).
November 6, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued October 27, 2020. Fix by November 13, 2020. Status: Rectified (November 10, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued October 27, 2020. Fix by November 13, 2020. Status: Rectified (November 23, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued October 27, 2020. Fix by November 13, 2020. Status: Rectified (November 13, 2020).
October 30, 2020 · Complaint Investigation
Compliant
October 27, 2020 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 27, 2020. Status: Resolved (November 26, 2020).
October 27, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued October 27, 2020. Fix by October 29, 2020. Status: Rectified (November 13, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued October 27, 2020. Fix by October 29, 2020. Status: Rectified (November 23, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued October 27, 2020. Fix by October 29, 2020. Status: Rectified (November 10, 2020).
October 19, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued October 13, 2020. Fix by October 27, 2020. Status: Rectified (October 29, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued October 13, 2020. Fix by October 27, 2020. Status: Rectified (October 29, 2020).
October 16, 2020 · CMOH Inspection
Compliant
October 13, 2020 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued October 13, 2020. Status: Resolved (November 26, 2020).
October 13, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued October 13, 2020. Fix by October 20, 2020. Status: Rectified (October 29, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued October 13, 2020. Fix by October 15, 2020. Status: Rectified (October 29, 2020).
October 5, 2020 · CMOH Inspection
Compliant
September 29, 2020 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
- standard not recorded in the file
  Issued September 29, 2020. Status: Resolved (November 26, 2020).
September 28, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued September 28, 2020. Fix by October 1, 2020. Status: Rectified (October 15, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued September 28, 2020. Fix by October 1, 2020. Status: Rectified (October 15, 2020).
May 21, 2020 · Quality Monitoring Visit
Compliant
May 12, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued May 12, 2020. Fix by May 14, 2020. Status: Rectified (May 26, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — COVID Outbreak Policies, Procedures and Implementation
  Issued May 12, 2020. Fix by May 14, 2020. Status: Rectified (May 26, 2020).
April 1, 2020 · Consultation
Not assessed (consultation)
January 14, 2020 · Inspection
Compliant
January 14, 2020 · 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 January 14, 2020. Fix by March 31, 2020. Status: Rectified (February 3, 2020).
March 20, 2019 · CCHSS Audit
Non-compliant
- CCHSS standard 19.2
  Policies and procedures for tracking incidents and near-misses are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 1.3
  The care plan addresses the Client's needs, goals, and intervention details.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 1.4
  Medical Status assessments are documented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 1.5
  Client and/or Client's legal representative participate in the development and review of Care Plan.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 1.7
  Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 1.8
  Client's Care Plan is reviewed.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 5.3
  Palliative and End-of-Life care documentation in Care Plan.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 6.1
  Provided with/referred to Assistive Equipment, Technology and Medical/Surgical Supplies.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 6.3
  Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 8.1
  Policies and procedures regarding criminal record checks for staff and volunteers.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 10.1
  Managed risk agreements are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 11.1
  Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 12.1
  Policies and procedures in Medication Management are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 15.1
  Policies and procedures regarding safe water temperatures are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 16.1
  Policies and procedures regarding Restraint use are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 16.3
  Documentation for restraint use.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 16.4
  Policies and procedures for Secure Spaces are documented and implemented.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 16.5
  Secure Space usage is documented and reviewed by the Interdisciplinary Team.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
- CCHSS standard 16.6
  Secure Space usage is documented in Client's chart and Care Plan.
  Issued March 20, 2019. Status: Resolved (July 26, 2019).
January 18, 2019 · Inspection
Compliant
January 18, 2019 · 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 January 18, 2019. Fix by February 28, 2019. Status: Rectified (February 5, 2019).
January 23, 2018 · Inspection
Compliant
January 19, 2017 · Inspection
Compliant
April 25, 2016 · Inspection
Compliant
January 22, 2016 · Inspection
Non-compliant
- Maintenance Requirements — Accommodation is maintained
  Evidence required that the accommodation, equipment and furnishings are well maintained and in good
  Issued January 22, 2016. Fix by April 30, 2016. Status: Rectified (April 26, 2016).
- Criminal Record Checks — Completion of criminal record checks
  <p>Evidence required that each employee, volunteer and service provider who provide services directl
  Issued January 22, 2016. Fix by April 30, 2016. Status: Rectified (April 21, 2016).
- Water Temperature — Therapeutic tub temperature checks
  Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
  Issued January 22, 2016. Fix by April 30, 2016. Status: Rectified (April 21, 2016).
- Privacy and Personal Information — Protection of information and privacy
  Evidence required that the privacy and personal information of residents are protected.
  Issued January 22, 2016. Fix by April 30, 2016. Status: Rectified (April 26, 2016).
January 13, 2015 · Inspection
Compliant
January 20, 2014 · Inspection
Compliant
May 13, 2013 · CCHSS Regular Audit
Non-compliant
- 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 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 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 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 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 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 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 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 2014).
- Operational Processes — Policies and processes are in place as defined by the Standard.
  (b) Operational policies and processes shall include, but are not limited to:_x000D_ - Client heal
  Issued May 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 2014).
- Physician Services — Medical director ensures policies and processes are in place as required by the Standards.
  (d) The medical director ensure the following policies and processes are in place:_x000D_ - Initia
  Issued May 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 2014).
- Specialized Health Service Equipment and Medical-Surgical Supplies — Staff, clients and family care-givers using AHS equipment shall be instructed in safe use.
  (c) There are operational policies and processes in place to instruct staff, clients and family mem
  Issued May 13, 2013. Fix by July 23, 2013. Status: Rectified (June 11, 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's Care Plan is reviewed.?
How does the home meet: Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.?
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: Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.?
How does the home meet: Continuity of Health Care — Documented emergency preparedness, pandemic and contingency plan.?
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.?

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
Shepherd's GardensTawa, Edmonton · 45 units	Type B (designated supportive living)	under 1 km	100%3 of 3 visits
Allen Gray Continuing CareMill Woods Town Centre, Edmonton · 156 units	Long-term care (Type A)	under 1 km	75%6 of 8 visits
Residential and Support Services - WoodvaleHillview, Edmonton · 7 units	Group home	under 1 km	0%0 of 1 visit
Residential and Support Services - MillhurstMeyokumin, Edmonton · 6 units	Group home	1.3 km	0%0 of 1 visit
Sakaw TerraceMeyokumin, Edmonton · 70 units	Assisted living	1.4 km	50%1 of 2 visits
Carepros Mill Woods 2Meyonohk, Edmonton · 5 units	Supportive living	1.5 km	100%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.