Eatonville Care Centre (420 The East Mall, Etobicoke) is managed by Responsive Health Management. There are approximately 250 beds.
Responsive Health Management is the operating partner of Rykka Care Centres, and currently operates a portfolio that includes 12 long term care homes and one retirement home in southern Ontario.
Inspection Reports for Eatonville Care Centre
Our research team carefully reviewed and summarized inspection reports for Eatonville Care Centre. You can read the original copies of the reports in the Government of Ontario website.
November 2023
During the course of this inspection, the inspector made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance.
August 2023
This proactive compliance inspection, led by Parimah Oormazdi along with Slavica Vucko, took place from July 20 to July 31, 2023. The inspection assessed various aspects of the long-term care facility’s operations.
- Visitor Policy Posting: The facility failed to post the current version of the home’s visitor policy, a non-compliance issue that was later remedied with the policy being posted in visible areas.
- Plan of Care – Nutrition: A resident at high nutritional risk did not receive additional labeled food items as per their care plan, highlighting a lapse in adhering to individual nutritional requirements.
- Dining and Snack Service: Food was served without checking temperatures, risking foodborne illnesses and decreasing palatability for residents.
- Infection Prevention and Control: There was a failure to implement standard protocols for infection control, particularly in the lack of proper signage and precautions for a resident with an infectious disease.
- Safety and Security: The facility was ordered to ensure that non-residential area doors remain locked and to retrain staff regarding these safety measures.
June 2023
This inspection report took place from June 15-16 and 19-22, 2023, and covered various intake incidents.
The inspections included intakes related to injuries not related to falls, fall incidents resulting in injury, incompetent care leading to hospitalization and changes in residents’ conditions, and improper transferring techniques resulting in injury.
- Non-compliance with Transferring and Positioning Techniques: The licensee failed to ensure that staff used safe transferring techniques when assisting a resident. This resulted in injury to the resident during a transfer.
- Plan of Care: The licensee did not ensure that the care set out in the plan of care was provided to a resident as specified, leading to harm and risk to the resident’s health status.
The inspection revealed non-compliance issues, such as staff failing to use safe transferring techniques during resident transfers, resulting in injuries. There was also a compliance order issued due to the failure to provide care as specified in the plan of care, which had serious consequences for a resident’s health.
January 2023
The inspection report, conducted by Adelfa Robles, Wing-Yee Sun and Dorothy Afriyie also present, took place on January 5-6, 9-10, 12-13, and 16-17.
The inspections were carried out in response to various intake incidents related to critical incidents, neglect, physical abuse, injuries of unknown cause, falls with injury, and other concerns. These intake incidents were the basis for the inspections, with the objective of evaluating the compliance and safety within the long-term care facility.
- Resident’s Bill of Rights: The licensee failed to ensure a resident’s right to privacy during treatment, as a specific treatment was administered in a common area without the resident’s verbal consent. This action violated the home’s policy, and corrective measures are required.
- Plan of Care: There was non-compliance with the resident’s plan of care as staff failed to provide the required two-person extensive assistance during transfers, resulting in harm to the resident. Staff should strictly adhere to the resident’s care plan in such situations.
- Duty to Protect: The licensee failed to protect a resident from physical abuse by another resident. The incident involved physical force leading to injury. Proper measures to prevent such occurrences must be implemented.
- Required Programs: The home did not follow post-fall assessment protocols as required. It is vital to conduct post-fall assessments using a clinically appropriate assessment instrument designed for falls to ensure residents’ safety and well-being.
- Skin and Wound Care: There were non-compliance issues with assessing a resident’s altered skin integrity. Staff failed to follow the proper assessment process and documentation, leading to a delay in addressing skin issues. Immediate adherence to the assessment protocols is crucial.
- Infection Prevention and Control Program: Hand hygiene practices during medication administration were found lacking, which poses a risk of infectious disease transmission. Strict adherence to hand hygiene protocols at all times is essential.
- Safe Storage of Drugs: Medication carts were left unattended and unlocked in the hallway, violating regulations. Proper storage and security measures for drugs must be maintained to prevent unauthorized access.
November 2022
The report details an inspection, conducted between October 28 and November 8, 2022.
- Non-Compliance in Resident Care Plan: The care plan for Resident #002 lacked clear directions for Activities of Daily Living (ADL).
- Infection Prevention and Control Issues: The inspection discovered expired hand sanitizer products, which were promptly removed by the IPAC lead, thus remedying this non-compliance.
- Failure in Implementing Care Plan: The facility did not adhere to the care plans for Residents #002 and #003, particularly in falls prevention and toileting assistance, putting residents at risk of injury.
- Hand Hygiene Non-Compliance: Staff were observed not performing hand hygiene as per the home’s policy, increasing the risk of infection transmission.
- Inadequate Pain Management: The care center failed to appropriately assess and manage Resident #003’s pain, contrary to their pain management policy.
June 2022
The inspection report, conducted by lead inspector Ivy Lam along with Ryan Randhawa, addresses several critical incidents and complaints regarding the facility.
The inspection, conducted over several days in May and June 2022, covered various aspects including loss of essential services (elevators), improper care, skin and wound care, resident care, enteral feed, pest control, and elevator outages.
- Plan of Care: There was a failure in collaborative assessment and treatment of a resident’s wound. The resident’s wound was not assessed for over 100 days post-admission from the hospital, leading to delayed wound care interventions and updates in the care plan.
- Doors in the Home: Security lapses were noted with unlocked doors leading to stairways and inactive keypad systems, posing risks to resident safety.
- Maintenance Services: The facility faced repeated elevator outages, impacting the quality of life and safety of residents and staff. Despite numerous breakdowns and entrapments, there was no modernization plan for the elevators.
- Emergency Plans: Staff were inadequately trained on the use of evacuation chairs, compromising the effectiveness of the home’s emergency plan.
March 2021
In an inspection conducted from February 2 to 5, 2021, several care concerns were evaluated. This inspection was prompted by a complaint regarding the care of a specific resident, identified as resident #003.
The inspection team, including inspectors Nital Sheth and additional staff, concentrated on multiple critical areas such as Continence Care and Bowel Management, Falls Prevention, Infection Prevention and Control, Minimizing of Restraining, and Sufficient Staffing.
The primary non-compliance identified involved the failure of staff and others involved in care to collaborate effectively in the development and implementation of the care plan for resident #003. This issue particularly surfaced when the resident’s Substitute Decision Maker requested that physiotherapy visits be halted due to a COVID-19 outbreak, but this request was not communicated properly to the physiotherapist, leading to continued visits contrary to the family’s wishes.
In response to this finding, the licensee was requested to prepare a voluntary plan of correction to achieve compliance.