Type B (designated supportive living)
St. Michael's Health Centre (Covenant Health)
Lethbridge, Alberta. Operated by Covenant Health.
- Visits since 2023
- 8
- 8 of 8 visits
- Non-compliant visits since 2023
- 8
- 100% of visits
- Open non-compliances
- 59
- issued, in progress or ongoing
- Last assessed visit
- Jun 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
- 48
- City
- Lethbridge
- Address
- 1400 9 Avenue South, Lethbridge, Alberta, T1J4V5
- Record source
- ASTRAL (as the file gives it)
- First and last visit on record
- Aug 2013 to Jun 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.
June 24, 2026 · CCHSS Investigation
Non-compliant
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued June 24, 2026. Fix by July 16, 2026. Status: Issued (June 24, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 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 April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 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 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Quality Improvement Reporting — Reporting reportable incidents.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued June 24, 2026. Fix by July 16, 2026. Status: Issued (June 24, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
April 23, 2026 · CCHSS Inspection
Non-compliant
Restraint Management and Secure Spaces — Restraint use is reviewed by the Interdisciplinary Team.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Quality Improvement Reporting — Reporting reportable incidents.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 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 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: Issued (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Staff Training — Policies and procedures for Staff training are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 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 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 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 April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Quality Improvement Reporting — Reporting reportable incidents.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued April 23, 2026. Fix by July 16, 2026. Status: In Progress (April 23, 2026).
April 22, 2026 · Inspection
Non-compliant
Menu Requirements — Variety, choice, and resident food preferences
Evidence required that residents are provided a choice from at least one food group at every meal fr
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Continuation of Services — Contingency plans
Evidence required that the continuation of services plan includes provisions for loss of utilities,
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
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 April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Trust Accounts — Written policy for trust accounts
Evidence required of a maintained, implemented and written policy for trust accounts and the written
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Information Respecting the Accommodation — Signed residential services agreement
Evidence required that residential service agreement is signed by the resident/representative and an
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Personal Choice Services — Appropriate areas, qualifications, and resident needs considered
Evidence required of the personal choice service provider's certificate or licence. Evidence require
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
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 April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
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 April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Trust Accounts — Written policy for trust accounts
Evidence required of a maintained, implemented and written policy for trust accounts and the written
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Continuation of Services — Practicability, communication, and review of plans
Evidence required that the continuation of services plan is practical, identifies relevant supports,
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Continuation of Services — Contingency plans
Evidence required that the continuation of services plan includes provisions for loss of utilities,
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Information Respecting the Accommodation — Signed residential services agreement
Evidence required that residential service agreement is signed by the resident/representative and an
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
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 April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
Personal Choice Services — Appropriate areas, qualifications, and resident needs considered
Evidence required of the personal choice service provider's certificate or licence. Evidence require
Issued April 22, 2026. Fix by June 30, 2026. Status: Issued (April 22, 2026).
October 28, 2024 · Complaint Investigation
Non-compliant
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 October 28, 2024. Fix by March 31, 2025. Status: Rectified (March 19, 2025).
Safeguarding of Resident Property — Communication of policy for safeguarding of resident property
Evidence required that the written policy for safeguarding of resident property has been communicate
Issued October 28, 2024. Fix by April 30, 2025. Status: Rectified (March 19, 2025).
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 October 28, 2024. Fix by April 30, 2025. Status: Rectified (March 19, 2025).
October 24, 2024 · CCHSS Investigation
Non-compliant
Risk Management — Managed risk agreements are documented and implemented.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued October 24, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued October 24, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued October 24, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued October 24, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued October 24, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued October 1, 2024. Fix by December 5, 2024. Status: Rectified (October 31, 2024).
October 1, 2024 · CCHSS Investigation
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued October 1, 2024. Fix by November 12, 2024. Status: Rectified (October 31, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued October 1, 2024. Fix by November 12, 2024. Status: Rectified (October 31, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued October 1, 2024. Fix by November 12, 2024. Status: Rectified (October 31, 2024).
October 1, 2024 · CCHSS Inspection
Non-compliant
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Medication Management — Policies and procedures in Medication Management are documented and implemented.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Risk Management — Managed risk agreements are documented and implemented.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 31, 2024).
Staff Training — Documented compliance to training.
An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Restraint Management and Secure Spaces — Documentation for restraint use.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
Issued October 1, 2024. Fix by December 20, 2024. Status: Rectified (October 9, 2024).
March 2, 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 March 2, 2023. Fix by March 31, 2024. Status: Rectified (March 29, 2024).
Laundry — Condition of laundry facilities
Evidence required that the equipment and the laundry area are appropriate, clean and in good repair.
Issued March 2, 2023. Fix by March 31, 2024. Status: Rectified (March 29, 2024).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued March 2, 2023. Fix by March 31, 2024. Status: Rectified (March 29, 2024).
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 March 2, 2023. Fix by March 31, 2024. Status: Rectified (March 29, 2024).
April 13, 2022 · Quality Monitoring Visit
Compliant
January 5, 2022 · Quality Monitoring Visit
Compliant
May 6, 2021 · CMOH Inspection
Compliant
December 16, 2020 · Quality Monitoring Visit
Compliant
November 26, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued November 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued November 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued November 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued November 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued November 26, 2020. Status: Resolved (December 16, 2020).
October 29, 2020 · CMOH Inspection
Compliant
October 27, 2020 · CMOH Inspection
Non-compliant
COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
Issued October 27, 2020. Fix by October 29, 2020. Status: Rectified (October 30, 2020).
October 26, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued October 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 26, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 26, 2020. Status: Resolved (December 16, 2020).
October 7, 2020 · Quality Monitoring Visit
Non-compliant
standard not recorded in the file
Issued October 7, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 7, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 7, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 7, 2020. Status: Resolved (December 16, 2020).
standard not recorded in the file
Issued October 7, 2020. Status: Resolved (December 16, 2020).
July 29, 2020 · Quality Monitoring Visit
Compliant
May 12, 2020 · CMOH Inspection
Compliant
April 6, 2020 · Consultation
Not assessed (consultation)
March 10, 2020 · Inspection
Compliant
February 11, 2020 · Inspection
Non-compliant
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by March 31, 2020. Status: Rectified (March 10, 2020).
November 12, 2019 · Complaint Investigation
Compliant
November 12, 2019 · Complaint Investigation
Non-compliant
Information Respecting the Long Term Care Accommodation — Signed residential services agreement
Evidence required that residential service agreements have been signed by the resident/representativ
Issued May 8, 2019. Fix by November 30, 2019. Status: Rectified (November 20, 2019).
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 May 8, 2019. Fix by February 29, 2020. Status: Rectified (February 11, 2020).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by February 29, 2020. Status: Rectified (March 10, 2020).
May 14, 2019 · CCHSS Audit
Non-compliant
CCHSS standard 1.2
The care plan reflects the findings of the assessment and is kept up to date.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 1.3
The care plan addresses the Client's needs, goals, and intervention details.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 1.4
Medical Status assessments are documented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 1.5
Client and/or Client's legal representative participate in the development and review of Care Plan.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 1.7
Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 1.8
Client's Care Plan is reviewed.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 4.4
Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 6.3
Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 8.1
Policies and procedures regarding criminal record checks for staff and volunteers.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 9.2
Policies and procedures for Staff training are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 10.1
Managed risk agreements are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 11.1
Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 12.1
Policies and procedures in Medication Management are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 16.1
Policies and procedures regarding Restraint use are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 16.3
Documentation for restraint use.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 16.4
Policies and procedures for Secure Spaces are documented and implemented.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 16.5
Secure Space usage is documented and reviewed by the Interdisciplinary Team.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
CCHSS standard 16.6
Secure Space usage is documented in Client's chart and Care Plan.
Issued May 14, 2019. Status: Resolved (December 4, 2019).
May 8, 2019 · Inspection
Compliant
May 8, 2019 · 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 May 8, 2019. Fix by November 30, 2019. Status: Rectified (February 11, 2020).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by November 30, 2019. Status: Rectified (March 10, 2020).
Information Respecting the Long Term Care Accommodation — Signed residential services agreement
Evidence required that residential service agreements have been signed by the resident/representativ
Issued May 8, 2019. Fix by November 30, 2019. Status: Rectified (November 20, 2019).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 8, 2019. Fix by July 31, 2019. Status: Rectified (May 27, 2019).
March 19, 2019 · Inspection
Compliant
March 19, 2019 · Inspection
Non-compliant
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by May 31, 2019. Status: Rectified (March 10, 2020).
May 15, 2018 · 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 May 3, 2018. Fix by July 31, 2018. Status: Rectified (May 22, 2018).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (May 22, 2018).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by April 30, 2019. Status: Rectified (March 10, 2020).
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued May 3, 2018. Fix by September 30, 2018. Status: Rectified (September 24, 2018).
Menu Requirements — Variety, choice, and resident food preferences
Evidence required that residents are provided a choice from at least one food group at every meal fr
Issued May 3, 2018. Fix by September 30, 2018. Status: Rectified (September 24, 2018).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 3, 2018. Fix by September 30, 2018. Status: Rectified (September 24, 2018).
May 3, 2018 · 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 May 3, 2018. Fix by July 31, 2018. Status: Rectified (May 22, 2018).
Menu Requirements — Variety, choice, and resident food preferences
Evidence required that residents are provided a choice from at least one food group at every meal fr
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (September 24, 2018).
Trust Accounts — Opening and maintaining trust accounts
Evidence required that trust accounts are maintained and receipts are kept for each transaction.
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (September 24, 2018).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (May 22, 2018).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (September 24, 2018).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 3, 2018. Fix by July 31, 2018. Status: Rectified (March 10, 2020).
April 20, 2018 · CCHSS Audit
Compliant
December 7, 2017 · Inspection
Compliant
September 11, 2017 · Inspection
Compliant
August 14, 2017 · Inspection
Non-compliant
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 18, 2017. Fix by September 30, 2017. Status: Rectified (September 11, 2017).
July 17, 2017 · Inspection
Non-compliant
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (September 11, 2017).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
June 30, 2017 · Inspection
Non-compliant
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (September 11, 2017).
June 21, 2017 · Complaint Investigation
Non-compliant
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (September 11, 2017).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
May 18, 2017 · Inspection
Non-compliant
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (August 14, 2017).
Safety Requirements — Accommodation in safe condition
Evidence required that the accommodation and grounds are safe and free of hazards.
Issued May 18, 2017. Fix by August 31, 2017. Status: Rectified (September 11, 2017).
May 11, 2016 · Inspection
Non-compliant
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued May 11, 2016. Fix by August 31, 2016. Status: Rectified (August 18, 2016).
Water Temperature — Safe water temperatures
Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
Issued May 11, 2016. Fix by August 31, 2016. Status: Rectified (August 18, 2016).
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 May 11, 2016. Fix by August 31, 2016. Status: Rectified (July 29, 2016).
Maintenance Requirements — Accommodation is maintained
Evidence required that the accommodation, equipment and furnishings are well maintained and in good
Issued May 11, 2016. Fix by August 31, 2016. Status: Rectified (August 18, 2016).
Privacy and Personal Information — Protection of information and privacy
Evidence required that the privacy and personal information of residents are protected.
Issued May 11, 2016. Fix by August 31, 2016. Status: Rectified (August 18, 2016).
May 6, 2015 · 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 May 6, 2015. Fix by July 31, 2015. Status: Rectified (May 20, 2015).
August 22, 2014 · Inspection
Non-compliant
Water Temperature — Therapeutic tub temperature checks
Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
Issued August 22, 2014. Fix by November 30, 2014. Status: Rectified (November 3, 2014).
August 14, 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: Staff Training — Policies and procedures for Staff training are documented and implemented.?
- How does the home meet: Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.?
- How does the home meet: Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.?
- 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: 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 |
|---|---|---|---|
| River HouseLethbridge · 10 units | Group home | under 1 km | 100%1 of 1 visit |
| St. Michael's Health Centre Lethbridge HospiceLethbridge | Hospice | under 1 km | —no visits in the window |
| Martha's HouseLethbridge · 150 units | Assisted living | under 1 km | 100%1 of 1 visit |
| House CLethbridge · 8 units | Group home | under 1 km | 50%1 of 2 visits |
| Amani HouseLethbridge · 4 units | Group home | under 1 km | 50%1 of 2 visits |
| Edith Cavell Care CentreLethbridge · 120 units | Long-term care (Type A) | under 1 km | 71%5 of 7 visits |
Check the government’s record
- Official record on the government’s viewer
- Official record on the government’s viewer
- Official record on the government’s viewer
- 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.