Type B (designated supportive living)
Saint Thomas Health Centre / Centre De SantÉ Saint-Thomas - Covenant Care
Bonnie Doon, Edmonton, Alberta. Operated by Covenant Care.
- Visits since 2023
- 7
- 5 of 7 visits
- Non-compliant visits since 2023
- 5
- 71% of visits
- Open non-compliances
- 0
- issued, in progress or ongoing
- Last assessed visit
- Mar 2026
- 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
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 24, 2026 · Inspection
Compliant
January 12, 2026 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 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 January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Risk Management — Managed risk agreements are documented and implemented.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued January 12, 2026. Fix by April 6, 2026. Status: Rectified (January 12, 2026).
December 16, 2025 · Complaint Investigation
Non-compliant
Maintenance Requirements — Preventative and corrective maintenance
Evidence required of a scheduled preventative maintenance and repair program.
Issued December 16, 2025. Fix by January 31, 2026. Status: Rectified (December 16, 2025).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued December 16, 2025. Fix by January 31, 2026. Status: Rectified (December 16, 2025).
May 13, 2025 · Complaint Investigation
Compliant
December 18, 2024 · Inspection
Non-compliant
Act and Regulation Requirements — REG- Current fire inspection report
Evidence required of the most recent fire inspection report.
Issued December 18, 2024. Fix by January 31, 2025. Status: Rectified (December 18, 2024).
March 8, 2023 · CCHSS Audit
Non-compliant
CCHSS standard 1.3
The care plan addresses the Client's needs, goals, and intervention details.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 4.4
Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 10.1
Managed risk agreements are documented and implemented.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 16.3
Documentation for restraint use.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued March 8, 2023. Status: Resolved (May 31, 2023).
February 10, 2023 · 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 February 10, 2023. Fix by February 17, 2023. Status: Rectified (February 21, 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 February 10, 2023. Fix by February 17, 2023. Status: Rectified (February 21, 2023).
March 8, 2022 · Quality Monitoring Visit
Compliant
April 28, 2021 · CMOH Inspection
Compliant
April 26, 2021 · Quality Monitoring Visit
Compliant
January 5, 2021 · CMOH Inspection
Non-compliant
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
Issued January 5, 2021. Fix by January 8, 2021. Status: Rectified (January 11, 2021).
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Visitation
Issued January 5, 2021. Fix by January 15, 2021. Status: Rectified (January 14, 2021).
November 2, 2020 · Quality Monitoring Visit
Compliant
September 23, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued September 23, 2020. Status: Resolved (November 2, 2020).
standard not recorded in the file
Issued September 23, 2020. Status: Resolved (November 2, 2020).
July 29, 2020 · CMOH Inspection
Non-compliant
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
Issued July 29, 2020. Fix by August 4, 2020. Status: Rectified (August 7, 2020).
July 29, 2020 · Complaint Investigation
Compliant
July 29, 2020 · Complaint Investigation
Compliant
June 23, 2020 · Complaint Investigation
Compliant
May 8, 2020 · Consultation
Not assessed (consultation)
April 30, 2020 · Quality Monitoring Visit
Compliant
November 5, 2019 · Inspection
Compliant
November 5, 2019 · Inspection
Non-compliant
Information Respecting the Supportive Living Accommodation — Signed residential services agreement
Evidence required that residential service agreements have been signed by the resident/representativ
Issued November 5, 2019. Fix by January 31, 2020. Status: Rectified (January 10, 2020).
Criminal Record Checks — Completion of criminal record checks
<p>Evidence required that each employee, volunteer and service provider who provide services directl
Issued November 5, 2019. Fix by January 31, 2020. Status: Rectified (January 10, 2020).
Continuation of Services — Practicability, communication and review of plans
Evidence required that the continuation of services plan is communicated and made available to resid
Issued November 5, 2019. Fix by January 31, 2020. Status: Rectified (January 23, 2020).
November 19, 2018 · Inspection
Compliant
November 19, 2018 · Inspection
Compliant
November 20, 2017 · Inspection
Non-compliant
Criminal Record Checks — Completion of criminal record checks
<p>Evidence required that each employee, volunteer and service provider who provide services directl
Issued November 20, 2017. Fix by January 31, 2018. Status: Rectified (January 3, 2018).
May 24, 2017 · CCHSS Audit
Compliant
January 4, 2017 · Complaint Investigation
Compliant
November 16, 2016 · Inspection
Compliant
November 18, 2015 · 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 November 18, 2015. Fix by January 31, 2016. Status: Rectified (December 22, 2015).
Continuation of Services — Practicability, communication and review of plans
Evidence required that the continuation of services plan is communicated and made available to resid
Issued November 18, 2015. Fix by February 29, 2016. Status: Rectified (February 18, 2016).
Residents Personal Affairs — Communication of processes
Evidence required that the policies on involvement in residents' personal affairs have been communic
Issued November 18, 2015. Fix by January 31, 2016. Status: Rectified (December 22, 2015).
July 15, 2015 · Inspection
Compliant
May 20, 2015 · 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 January 26, 2015. Fix by July 31, 2015. Status: Rectified (July 15, 2015).
April 7, 2015 · Complaint Investigation
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 January 26, 2015. Fix by May 31, 2015. Status: Rectified (July 15, 2015).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued November 5, 2014. Fix by April 30, 2015. Status: Rectified (April 21, 2015).
February 23, 2015 · 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 January 26, 2015. Fix by April 30, 2015. Status: Rectified (July 15, 2015).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued November 5, 2014. Fix by April 30, 2015. Status: Rectified (April 21, 2015).
January 26, 2015 · Complaint Investigation
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 January 26, 2015. Fix by April 30, 2015. Status: Rectified (July 15, 2015).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued November 5, 2014. Fix by February 28, 2015. Status: Rectified (April 21, 2015).
November 5, 2014 · 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 November 5, 2014. Fix by December 9, 2014. Status: Rectified (December 9, 2014).
Case Management and Care Coordination — System wide case management policies and processes are in place.
(b) System wide case management policies and processes are in place to:_x000D_ - Coordinate and in
Issued November 5, 2014. Fix by December 9, 2014. Status: Rectified (December 9, 2014).
Client Health Information — Policies and processes in place for the appropriate sharing of client health information.
(a) There are policies and processes in place for the appropriate sharing of client health informat
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Continuing Care Health Service Providers — Regulated health care providers working according to HPA and relevant legislation.
(a) All regulated health care providers are working within their practice statement, competencies a
Issued November 5, 2014. Fix by December 9, 2014. Status: Rectified (December 9, 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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Integrated Care Planning — Care plan reviews include an evaluation of the overall effectiveness of the care plan
(f) Thecare plan reviews include an evaluation of the overall effectiveness of the care plan to det
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Integrated Care Planning — Care plan will be inclusive as defined by the Standards.
(b) The documented care plan shall include:_x000D_ - Results of assessments for the purpose of app
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (December 9, 2014).
Integrated Care Planning — Clients have one current, written, integrated care plan.
(a) All clients have one current, written, integrated care plan.
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (December 9, 2014).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Medication Management — Medication management policies and processes in place and implemented.
(a) Medication management policies and processes are in place and implemented.
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Nurse Practitioners — Policies and processes are in place related to Nurse Practitioners.
(a) There are policies and processes in place related to the continuing care health services provid
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (December 9, 2014).
Operational Processes — Policies & processes to ensure provision of services reflects changing characteristics of clients.
(a) There are operational policies and processes in place for the provision of continuing care heal
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Promoting Wellness — Continuing Care Health Services planned in a manner that promotes wellness for the client.
(a) Continuing care health services are planned for, in a manner that supports clients in maintainin
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Reporting — Reportable incidents reported in accordance with AHS guidelines.
(c) Reportable incidents are reported in accordance with the process and guidelines set out by Albe
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Standardized Assessments — Assessments and care planning will commence and be completed according to the RAI timeframes.
(g) The assessments and care planning are commenced upon admission to the facility/program and comp
Issued November 5, 2014. Fix by December 9, 2014. Status: Rectified (December 9, 2014).
Standardized Assessments — Documented strategies to mitigate and manage risk shall be in place.
(c) If the client chooses the available services or setting, under the circumstances described in 1
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Standardized Assessments — Home care clients assessed using the RAI/HC assessment according to Alberta Health timeline.
(f) The needs of all community and home care program clients shall be assessed using the RAI/HC ass
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (December 10, 2014).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (December 10, 2014).
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 November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Therapeutic Nutrition and Hydration — Clients assessed for nutrition and hydration needs.
(b) Clients are assessed for nutrition and hydration needs during the assessment for individual car
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
Therapeutic Services — Clients assessed for therapeutic service needs which may include PT, OT and rec.
(b) Clients are assessed for therapeutic service needs during the assessment for individual care pl
Issued November 5, 2014. Fix by January 6, 2015. Status: Rectified (January 7, 2015).
November 5, 2014 · Inspection
Non-compliant
Residents Personal Affairs — Communication of processes
Evidence required that the policies on involvement in residents' personal affairs have been communic
Issued November 5, 2014. Fix by December 31, 2014. Status: Rectified (December 17, 2014).
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 November 5, 2014. Fix by February 28, 2015. Status: Rectified (December 18, 2014).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued November 5, 2014. Fix by February 28, 2015. Status: Rectified (April 21, 2015).
Prevention of Abuse — Education on prevention, identification and reporting abuse
Evidence required that demonstrates that all employees have received appropriate education respectin
Issued November 5, 2014. Fix by December 31, 2014. Status: Rectified (December 17, 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: Restraint Management and Secure Spaces — Documentation for restraint use.?
- How does the home meet: Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.?
- 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: 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: Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.?
- How does the home meet: Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.?
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 |
|---|---|---|---|
| Iris CourtBonnie Doon, Edmonton · 21 units | Assisted living | under 1 km | 100%1 of 1 visit |
| Ted Bradshaw HomeBonnie Doon, Edmonton · 10 units | Group home | under 1 km | 100%2 of 2 visits |
| Villa St JosephBonnie Doon, Edmonton · 10 units | Supportive living | under 1 km | 100%1 of 1 visit |
| L'Arche Association - La CrecheBonnie Doon, Edmonton · 4 units | Group home | 1.1 km | 67%2 of 3 visits |
| Grand ManorStrathcona, Edmonton · 118 units | Assisted living | 1.2 km | 100%1 of 1 visit |
| Extendicare Holyrood (South)Holyrood, Edmonton · 74 units | Long-term care (Type A) | 1.3 km | 100%3 of 3 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.