Type B (designated supportive living)

St. Therese Villa

Lethbridge, Alberta. Operated by Covenant Health.

Visits since 2023: 8; 6 of 8 visits
Non-compliant visits since 2023: 6; 75% of visits
Open non-compliances: 0; issued, in progress or ongoing
Last assessed visit: Mar 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: 216
City: Lethbridge
Address: 253 Southgate Blvd S, Lethbridge, Alberta, T1K2S1
Record source: ASTRAL (as the file gives it)
First and last visit on record: May 2013 to Mar 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.

March 25, 2026 · CCHSS Inspection
Non-compliant
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Restraint Management and Secure Spaces — Documentation for restraint use.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.
  An operator must ensure that a client's health care needs are assessed using the appropriate InterRA
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 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 March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued March 25, 2026. Fix by June 17, 2026. Status: Rectified (March 25, 2026).
December 18, 2025 · Complaint Investigation
Non-compliant
- Maintenance Requirements — Preventative and corrective maintenance
  Evidence required of a scheduled preventative maintenance and repair program.
  Issued December 18, 2025. Fix by March 17, 2026. Status: Rectified (December 18, 2025).
December 17, 2025 · CCHSS Investigation
Compliant
November 20, 2025 · Inspection
Non-compliant
- Information Respecting the Accommodation — Signed residential services agreement
  Evidence required that residential service agreement is signed by the resident/representative and an
  Issued November 20, 2025. Fix by February 19, 2026. Status: Rectified (November 20, 2025).
November 20, 2025 · Complaint Investigation
Compliant
October 29, 2024 · Inspection
Non-compliant
- Concerns and Complaints — Concerns and complaints resolution
  Evidence required of documented concerns received and the measures taken to resolve them.
  Issued July 10, 2024. Fix by November 30, 2024. Status: Rectified (November 8, 2024).
- Concerns and Complaints — Written processes for managing concerns and complaints
  Evidence required of communication of the written process to residents, their representatives, visit
  Issued July 10, 2024. Fix by November 30, 2024. Status: Rectified (November 10, 2025).
September 5, 2024 · CCHSS Inspection
Non-compliant
- Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Health Care Providers — Job descriptions and guidelines are provided for Health Care Providers.
  An operator must provide the health care providers it employs with access to current information on
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Staff Training — Documented compliance to training.
  An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Medication Management — Policies and procedures in Medication Management are documented and implemented.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Quality Improvement Reporting — Reporting reportable incidents.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- 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 September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Continuity of Health Care — Documented emergency preparedness, pandemic and contingency plan.
  An operator must establish, implement, and maintain documented emergency preparedness, pandemic, and
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
- Restraint Management and Secure Spaces — Documentation for restraint use.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 11, 2024).
- Staff Training — Policies and procedures for Staff training are documented and implemented.
  Issued September 5, 2024. Fix by December 6, 2024. Status: Rectified (September 10, 2024).
July 10, 2024 · Complaint Investigation
Non-compliant
- Concerns and Complaints — Concerns and complaints resolution
  Evidence required of documented concerns received and the measures taken to resolve them.
  Issued July 10, 2024. Fix by October 31, 2024. Status: Rectified (November 8, 2024).
- Concerns and Complaints — Written processes for managing concerns and complaints
  Evidence required of communication of the written process to residents, their representatives, visit
  Issued July 10, 2024. Fix by October 31, 2024. Status: Rectified (November 10, 2025).
June 21, 2022 · Quality Monitoring Visit
Compliant
April 21, 2022 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued April 21, 2022. Status: Resolved (June 21, 2022).
February 17, 2022 · Quality Monitoring Visit
Compliant
October 20, 2021 · Complaint Investigation
Compliant
October 20, 2021 · CMOH Inspection
Compliant
October 20, 2021 · 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 September 9, 2021. Fix by May 31, 2022. Status: Rectified (December 23, 2021).
- Water Temperature — Safe water temperatures
  Evidence required that the hottest water temperature flowing out of the faucets in resident areas do
  Issued October 20, 2021. Fix by November 10, 2021. Status: Rectified (November 10, 2021).
- Maintenance Requirements — Preventative and corrective maintenance
  Evidence required of a scheduled preventative maintenance and repair program.
  Issued September 9, 2021. Fix by May 31, 2022. Status: Rectified (December 23, 2021).
- Cleaning Requirements — Clean and comfortable environment
  Evidence required of a clean and comfortable environment.
  Issued September 9, 2021. Fix by May 31, 2022. Status: Rectified (December 23, 2021).
- 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 September 9, 2021. Fix by May 31, 2022. Status: Rectified (December 23, 2021).
- Safety Requirements — Accommodation in safe condition
  Evidence required that the accommodation and grounds are safe and free of hazards.
  Issued September 9, 2021. Fix by May 31, 2022. Status: Rectified (December 23, 2021).
September 9, 2021 · Complaint Investigation
Compliant
September 9, 2021 · Complaint Investigation
Non-compliant
- Resident Safety and Security — Incident reporting
  Please submit completed reportable incident form for the incident on DATE within one business day.
  Issued September 9, 2021. Fix by September 10, 2021. Status: Rectified (September 13, 2021).
- Maintenance Requirements — Preventative and corrective maintenance
  Evidence required of a scheduled preventative maintenance and repair program.
  Issued September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- 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 September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- 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 September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- Cleaning Requirements — Clean and comfortable environment
  Evidence required of a clean and comfortable environment.
  Issued September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
September 9, 2021 · 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 September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- Cleaning Requirements — Clean and comfortable environment
  Evidence required of a clean and comfortable environment.
  Issued September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- Safety Requirements — Accommodation in safe condition
  Evidence required that the accommodation and grounds are safe and free of hazards.
  Issued September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- Maintenance Requirements — Preventative and corrective maintenance
  Evidence required of a scheduled preventative maintenance and repair program.
  Issued September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- 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 September 9, 2021. Fix by December 31, 2021. Status: Rectified (December 23, 2021).
- Resident Safety and Security — Incident reporting
  Please submit completed reportable incident form for the incident on DATE within one business day.
  Issued September 9, 2021. Fix by September 10, 2021. Status: Rectified (September 13, 2021).
September 29, 2020 · Quality Monitoring Visit
Compliant
September 3, 2020 · Quality Monitoring Visit
Compliant
August 10, 2020 · CMOH Inspection
Compliant
July 28, 2020 · Quality Monitoring Visit
Non-compliant
- standard not recorded in the file
  Issued July 28, 2020. Status: Resolved (September 3, 2020).
July 28, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Personal Protective Equipment
  Issued July 28, 2020. Fix by July 30, 2020. Status: Rectified (August 11, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued July 28, 2020. Fix by July 30, 2020. Status: Rectified (August 11, 2020).
May 14, 2020 · CMOH Inspection
Compliant
May 13, 2020 · CMOH Inspection
Non-compliant
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Enhanced Cleaning
  Issued May 13, 2020. Fix by May 14, 2020. Status: Rectified (May 29, 2020).
- COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces
  Issued May 13, 2020. Fix by May 14, 2020. Status: Rectified (May 29, 2020).
May 24, 2019 · Inspection
Compliant
May 24, 2019 · Inspection
Non-compliant
- Maintenance Requirements — Preventative and corrective maintenance
  Evidence required of a scheduled preventative maintenance and repair program.
  Issued May 24, 2019. Fix by July 31, 2019. Status: Rectified (July 19, 2019).
March 8, 2019 · Inspection
Compliant
September 11, 2018 · CCHSS Audit
Non-compliant
- CCHSS standard 1.1
  An appropriate assessment tool for Client's Health Care needs is used.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 1.2
  The care plan reflects the findings of the assessment and is kept up to date.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 1.3
  The care plan addresses the Client's needs, goals, and intervention details.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 1.5
  Client and/or Client's legal representative participate in the development and review of Care Plan.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 1.7
  Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 1.8
  Client's Care Plan is reviewed.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 9.2
  Policies and procedures for Staff training are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 9.3
  Policies and procedures for Staff training are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 10.1
  Managed risk agreements are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 11.1
  Infection Prevention and Control (IPC) policies and procedures are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 12.1
  Policies and procedures in Medication Management are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 15.1
  Policies and procedures regarding safe water temperatures are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 16.1
  Policies and procedures regarding Restraint use are documented and implemented.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 16.3
  Documentation for restraint use.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
- CCHSS standard 18.1
  Policy and procedure for responding to concerns about the Health Care provided.
  Issued September 11, 2018. Status: Resolved (May 17, 2019).
May 24, 2018 · Inspection
Non-compliant
- Safety Requirements — Accommodation in safe condition
  Evidence required that the accommodation and grounds are safe and free of hazards.
  Issued May 24, 2018. Fix by January 31, 2019. Status: Rectified (December 20, 2018).
May 16, 2017 · 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 May 16, 2017. Fix by August 31, 2017. Status: Rectified (June 25, 2017).
- Safety Requirements — Accommodation in safe condition
  Evidence required that the accommodation and grounds are safe and free of hazards.
  Issued May 16, 2017. Fix by August 31, 2017. Status: Rectified (June 25, 2017).
May 13, 2016 · 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 May 13, 2016. Fix by September 30, 2016. Status: Rectified (September 26, 2016).
May 7, 2015 · Inspection
Compliant
May 21, 2014 · 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 21, 2014. Fix by September 30, 2014. Status: Rectified (September 10, 2014).
- Water Temperature — Therapeutic tub temperature checks
  Evidence required of the testing of the temperature of the hottest flowing water from each therapeut
  Issued May 21, 2014. Fix by September 30, 2014. Status: Rectified (September 10, 2014).
- Menu Requirements — Menu substitutions communicated and made from same food group
  Evidence required of the menu substitutions showing that the substitutions are from within the same
  Issued May 21, 2014. Fix by September 30, 2014. Status: Rectified (September 10, 2014).
January 10, 2014 · Inspection
Compliant
November 25, 2013 · Inspection
Compliant
October 18, 2013 · Inspection
Compliant
October 4, 2013 · Inspection
Compliant
September 20, 2013 · Inspection
Compliant
September 12, 2013 · Inspection
Compliant
September 9, 2013 · Complaint Investigation
Compliant
July 11, 2013 · CCHSS Regular Audit
Non-compliant
- 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 July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 2015).
- Communicable Disease and Infection Prevention and Control — Policies and processes for storage & disposal of cleaners, bio hazardous waste and medical supplies.
  (c) There shall be policies and processes in place which shall address but are not limited to the fo
  Issued July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 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 July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 2015).
- 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 July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 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 July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 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 July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 2015).
- Promoting Wellness — Continuing Care Health Services provided in a manner that promotes wellness for the client.
  (b) Continuing care health services are provided, in a manner that supports clients in maintaining a
  Issued July 11, 2013. Fix by September 11, 2013. Status: Rectified (June 9, 2015).
May 22, 2013 · 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 22, 2013. Fix by September 30, 2013. Status: Rectified (September 6, 2013).

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: Restraint Management and Secure Spaces — Documentation for restraint use.?
How does the home meet: Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.?
How does the home meet: Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.?
How does the home meet: Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.?
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.?

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
Ruah HouseLethbridge · 4 units	Group home	under 1 km	0%0 of 1 visit
Alberta Rose LodgeLethbridge · 58 units	Lodge	1.3 km	67%2 of 3 visits
Martha's HouseLethbridge · 150 units	Assisted living	1.9 km	100%1 of 1 visit
River HouseLethbridge · 10 units	Group home	2.1 km	100%1 of 1 visit
St. Michael's Health Centre (Covenant Health)Lethbridge · 48 units	Type B (designated supportive living)	2.1 km	100%8 of 8 visits
St. Michael's Health Centre Lethbridge HospiceLethbridge	Hospice	2.1 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.