Type B (designated supportive living)

Salvation Army - Grace Manor

Baranow, Edmonton, Alberta. Operated by The Governing Council of the Salvation Army (Grace Village Supportive Living).

Visits since 2023: 4; 4 of 4 visits
Non-compliant visits since 2023: 4; 100% of visits
Open non-compliances: 2; 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: 100
City: Edmonton
District: Northwest · Baranow
Address: 12510 140 Avenue, Edmonton, Alberta, T5X6C4
Record source: ASTRAL (as the file gives it)
First and last visit on record: Mar 2018 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 6, 2026 · Inspection
Non-compliant
- Information Respecting the Accommodation — Accommodation information provision
  Evidence required that information about the accommodation is made available to applicants, resident
  Issued May 6, 2026. Fix by June 5, 2026. Status: Issued (May 6, 2026).
- Safeguarding of Resident Property — Written processes for safeguarding property
  Evidence required of a maintained, implemented and written policy for the safeguarding of resident p
  Issued May 6, 2026. Fix by June 5, 2026. Status: Issued (May 6, 2026).
February 10, 2026 · CCHSS Inspection
Non-compliant
- Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Staff Training — Documented compliance to training.
  An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Medication Management — Policies and procedures in Medication Management are documented and implemented.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
- Risk Management — Managed risk agreements are documented and implemented.
  Issued February 10, 2026. Fix by May 5, 2026. Status: Rectified (February 10, 2026).
July 9, 2024 · CCHSS Inspection
Non-compliant
- Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
- Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 18, 2024).
- Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 18, 2024).
- 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 9, 2024. Fix by October 11, 2024. Status: Rectified (July 18, 2024).
- Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
- Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 18, 2024).
- Medication Management — Policies and procedures in Medication Management are documented and implemented.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 18, 2024).
- Client Access to Information — Updated information is provided to Client.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
- Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
  Issued July 9, 2024. Fix by October 14, 2024. Status: Rectified (July 18, 2024).
- Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.
  Issued July 9, 2024. Fix by October 11, 2024. Status: Rectified (July 19, 2024).
January 17, 2023 · CCHSS Audit
Non-compliant
- CCHSS standard 1.1
  An appropriate assessment tool for Client's Health Care needs is used.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 1.2
  The care plan reflects the findings of the assessment and is kept up to date.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 1.7
  Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 1.8
  Client's Care Plan is reviewed.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 4.4
  Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 11.1
  Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
- CCHSS standard 12.1
  Policies and procedures in Medication Management are documented and implemented.
  Issued January 17, 2023. Status: Resolved (April 13, 2023).
April 19, 2022 · Quality Monitoring Visit
Compliant
February 1, 2021 · Quality Monitoring Visit
Compliant
September 1, 2020 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued September 1, 2020. Status: Resolved (February 1, 2021).
May 7, 2020 · Quality Monitoring Visit
Compliant
March 6, 2018 · CCHSS Audit
Non-compliant
- CCHSS standard 19.2
  Policies and procedures for tracking incidents and near-misses are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 1.2
  The care plan reflects the findings of the assessment and is kept up to date.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 1.5
  Client and/or Client's legal representative participate in the development and review of Care Plan.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 1.7
  Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 1.8
  Client's Care Plan is reviewed.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 4.1
  Information is provided about Health Care, services and responsibilities.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 4.4
  Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 5.1
  Documented policies and procedures for Palliative and End-of-Life Care.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 5.3
  Palliative and End-of-Life care documentation in Care Plan.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 6.3
  Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 7.1
  Sharing of Client's Health Information with other Operators providing Health Care.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 8.1
  Policies and procedures regarding criminal record checks for staff and volunteers.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 9.2
  Policies and procedures for Staff training are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 9.3
  Policies and procedures for Staff training are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 11.1
  Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 12.1
  Policies and procedures in Medication Management are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 14.1
  Oral care assistance and bathing frequency policies and procedures are implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 15.1
  Policies and procedures regarding safe water temperatures are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 16.1
  Policies and procedures regarding Restraint use are documented and implemented.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 16.3
  Documentation for restraint use.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 17.2
  Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 18.1
  Policy and procedure for responding to concerns about the Health Care provided.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- CCHSS standard 18.2
  Provide written information on external complaints and concerns resolution processes.
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- 18 — 18.3
  Distribution of information to clients and family on forming a council
  Issued March 6, 2018. Status: Resolved (September 27, 2018).
- 18 — 18.4
  Operator responsibilities for council
  Issued March 6, 2018. Status: Resolved (September 27, 2018).

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: Information Respecting the Accommodation — Accommodation information provision?
How does the home meet: Safeguarding of Resident Property — Written processes for safeguarding property?
How does the home meet: Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.?
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: Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures 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
Grace Village Supportive LivingBaranow, Edmonton · 72 units	Assisted living	under 1 km	50%3 of 6 visits
Shepherd's Care Kensington VillageKensington, Edmonton · 86 units	Type B (designated supportive living)	under 1 km	90%9 of 10 visits
Tuoi Hac - Golden Age ManorBaranow, Edmonton · 49 units	Assisted living	under 1 km	83%5 of 6 visits
In and Out Home Care Rehabilitation LTD. House #6Caernarvon, Edmonton · 6 units	Type B (designated supportive living)	1.3 km	100%1 of 1 visit
Alberta Life Care Housing FoundationKensington, Edmonton · 74 units	Type B (designated supportive living)	1.4 km	33%1 of 3 visits
Mcarthur Supportive Housing SitePembina, Edmonton · 50 units	Assisted living	1.7 km	100%3 of 3 visits

Find homes near any postal code

Check the government’s record

Official record on the government’s viewer

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.