CareTrail

Type B (designated supportive living)

Shepherd's Care Vanguard

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

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
Apr 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
128
City
Edmonton
District
North Central · Westwood
Address
10311 122 Avenue, Edmonton, Alberta, T5G0K8
Record source
ASTRAL (as the file gives it)
First and last visit on record
Aug 2013 to Apr 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.

  1. April 17, 2026 · CCHSS Inspection

    Non-compliant

    • Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.

      Issued April 17, 2026. Fix by May 29, 2026. Status: Rectified (April 17, 2026).

    • Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.

      Issued April 17, 2026. Fix by May 29, 2026. Status: Rectified (April 17, 2026).

    • 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 April 17, 2026. Fix by May 29, 2026. Status: Rectified (April 17, 2026).

    • Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued April 17, 2026. Fix by May 29, 2026. Status: Rectified (April 17, 2026).

  2. January 29, 2026 · Inspection

    Compliant

  3. September 23, 2025 · CCHSS Inspection

    Non-compliant

    • Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Staff Training — Policies and procedures for Staff training are documented and implemented.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Medication Management — Policies and procedures in Medication Management are documented and implemented.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

    • Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Oral care assistance and bathing frequency policies and procedures are implemented.

      Issued September 23, 2025. Fix by December 16, 2025. Status: Rectified (September 23, 2025).

  4. December 3, 2024 · 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 December 3, 2024. Fix by January 31, 2025. Status: Rectified (December 3, 2024).

    • 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 December 3, 2024. Fix by January 31, 2025. Status: Rectified (December 3, 2024).

    • Continuation of Services — Practicability, communication, and review of plans

      Evidence required that the continuation of services plan is practical, identifies relevant supports,

      Issued December 3, 2024. Fix by January 31, 2025. Status: Rectified (December 3, 2024).

  5. October 16, 2023 · Inspection

    Compliant

  6. August 2, 2023 · CCHSS Audit

    Non-compliant

    • CCHSS standard 1.2

      The care plan reflects the findings of the assessment and is kept up to date.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 4.4

      Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 5.3

      Palliative and End-of-Life care documentation in Care Plan.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 11.1

      Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 12.1

      Policies and procedures in Medication Management are documented and implemented.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 16.3

      Documentation for restraint use.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 16.5

      Secure Space usage is documented and reviewed by the Interdisciplinary Team.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

    • CCHSS standard 16.6

      Secure Space usage is documented in Client's chart and Care Plan.

      Issued August 2, 2023. Status: Resolved (October 31, 2023).

  7. April 13, 2023 · Inspection

    Non-compliant

    • 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 April 13, 2023. Fix by November 15, 2023. Status: Rectified (October 16, 2023).

  8. October 13, 2022 · Quality Monitoring Visit

    Compliant

  9. April 13, 2021 · Quality Monitoring Visit

    Compliant

  10. April 8, 2021 · CMOH Inspection

    Non-compliant

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — COVID Outbreak Policies, Procedures and Implementation

      Issued April 8, 2021. Fix by April 14, 2021. Status: Rectified (April 14, 2021).

  11. February 22, 2021 · Quality Monitoring Visit

    Compliant

  12. November 25, 2020 · Quality Monitoring Visit

    Compliant

  13. November 10, 2020 · CMOH Inspection

    Compliant

  14. October 7, 2020 · CMOH Inspection

    Non-compliant

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Visitation

      Issued October 7, 2020. Fix by November 2, 2020. Status: Rectified (November 10, 2020).

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — COVID Outbreak Policies, Procedures and Implementation

      Issued October 7, 2020. Fix by October 13, 2020. Status: Rectified (October 28, 2020).

    • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning

      Issued October 7, 2020. Fix by October 13, 2020. Status: Rectified (October 28, 2020).

  15. August 27, 2020 · Quality Monitoring Visit

    Non-compliant

    • standard not recorded in the file

      Issued August 27, 2020. Status: Resolved (November 25, 2020).

  16. May 1, 2020 · Consultation

    Not assessed (consultation)

  17. October 22, 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 October 22, 2019. Fix by October 22, 2019. Status: Rectified (October 24, 2019).

  18. October 22, 2019 · Inspection

    Non-compliant

    • Maintenance Requirements — Preventative and corrective maintenance

      Evidence required of a scheduled preventative maintenance and repair program.

      Issued October 22, 2019. Fix by January 31, 2020. Status: Rectified (December 6, 2019).

    • Act and Regulation Requirements — ACT- Licence is posted in the accommodation

      Evidence required that your current licence has been posted in a prominent place within the accommod

      Issued October 22, 2019. Fix by October 22, 2019. Status: Rectified (October 24, 2019).

  19. May 28, 2019 · CCHSS Audit

    Non-compliant

    • CCHSS standard 19.2

      Policies and procedures for tracking incidents and near-misses are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 1.1

      An appropriate assessment tool for Client's Health Care needs is used.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 1.2

      The care plan reflects the findings of the assessment and is kept up to date.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 1.7

      Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 1.8

      Client's Care Plan is reviewed.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 5.3

      Palliative and End-of-Life care documentation in Care Plan.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 6.3

      Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 8.1

      Policies and procedures regarding criminal record checks for staff and volunteers.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 9.2

      Policies and procedures for Staff training are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 9.3

      Policies and procedures for Staff training are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 10.1

      Managed risk agreements are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 11.1

      Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 12.1

      Policies and procedures in Medication Management are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 15.1

      Policies and procedures regarding safe water temperatures are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 16.1

      Policies and procedures regarding Restraint use are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 16.4

      Policies and procedures for Secure Spaces are documented and implemented.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 16.5

      Secure Space usage is documented and reviewed by the Interdisciplinary Team.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

    • CCHSS standard 16.6

      Secure Space usage is documented in Client's chart and Care Plan.

      Issued May 28, 2019. Status: Resolved (September 30, 2019).

  20. March 28, 2019 · Complaint Investigation

    Compliant

  21. October 10, 2018 · Inspection

    Non-compliant

    • Establishment of a Resident and Family Council — Meeting Every 6 Months to Inform Residents

      Provide evidence that a meeting has been convened to inform residents, their families and persons of

      Issued October 10, 2018. Fix by November 30, 2018. Status: Rectified (November 6, 2018).

  22. October 10, 2018 · Inspection

    Compliant

  23. October 13, 2017 · Inspection

    Compliant

  24. October 24, 2016 · Inspection

    Compliant

  25. September 13, 2016 · CCHSS Audit

    Compliant

  26. October 20, 2015 · Inspection

    Compliant

  27. October 21, 2014 · Inspection

    Non-compliant

    • Continuation of Services — Contingency plans

      Evidence required that the continuation of services plan includes provisions for loss of utilities,

      Issued October 21, 2014. Fix by December 31, 2014. Status: Rectified (October 22, 2014).

  28. October 9, 2014 · Inspection

    Compliant

  29. December 16, 2013 · Inspection

    Compliant

  30. October 22, 2013 · Inspection

    Compliant

  31. August 21, 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: Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.?
  • 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.?
  • How does the home meet: Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.?
  • 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: Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.?
  • How does the home meet: Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks?

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.

HomeDistanceNon-compliant
Excel Society - Residence 44 (Norwood)Spruce Avenue, Edmonton · 8 units1.1 km0%0 of 1 visit
Catholic Social Services - DeltonEastwood, Edmonton · 6 units1.3 km0%0 of 1 visit
Cityview Community HomeLauderdale, Edmonton · 7 units1.3 km100%1 of 1 visit
Sprucewood Place Housing Community PartnershipSpruce Avenue, Edmonton · 93 units1.4 km40%2 of 5 visits
Excel Society - Residence 35 (Lauderdale)Rosslyn, Edmonton · 6 units1.7 km0%0 of 1 visit
Mcleod Family Care Homes - Family Care HomeEastwood, Edmonton · 5 units1.7 km—no visits in the window

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.