New Orchard Lodge (99 New Orchard Avenue, Ottawa) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 110 beds in private, semi-private and shared rooms.
Inspection Reports for New Orchard Lodge
Our research team at Caring Magazine carefully reviewed and summarized inspection reports for New Orchard Lodge. You can read the original copies of the reports in the Government of Ontario website.
🔍 December 2023: Inspection
During the course of this inspection, the inspector(s) made relevant observations,
reviewed records and conducted interviews, as applicable. There were no findings
of non-compliance.
🔍 November 2023: Inspection
During the course of this inspection, the inspector(s) made relevant observations,
reviewed records and conducted interviews, as applicable. There were no findings
of non-compliance.
🔍 September 2023: Inspection
During the course of this inspection, the inspector(s) made relevant observations,
reviewed records and conducted interviews, as applicable. There were no findings
of non-compliance.
🔍 September 2023: Proactive Compliance Inspection
This inspection report for New Orchard Lodge was conducted by Marko Punzalan and Laurie Marshall. The proactive compliance inspection covered skin and wound prevention, resident care, medication management, nutrition, infection control, and falls prevention.
- ⚠️ Safe Storage of Drugs: The licensee failed to ensure proper storage of a controlled substance medication. An open ampoule of a controlled substance was stored in a medication slot assigned to a resident, which only had one lock, instead of being kept in a double-locked storage area separate from medications available for administration. This practice did not align with the home’s policy on the storage and destruction of narcotics.
- ⚠️ Narcotic Management Policy Compliance: The home’s policy for managing insulin, narcotics, and controlled drugs, specifically regarding the disposal of narcotics, was not being followed. The policy required double-lock storage for narcotics awaiting destruction, but this was not adhered to in practice. There was an instance where an opened ampoule of a controlled substance was stored in the narcotic box of the medication cart because the usual disposal area was full.
- Risk of Medication Errors: By not storing the open ampoule of morphine in a double-locked area and separate from residents’ current medications, there was an increased risk of potential medication errors. This lapse in protocol could lead to misuse or mismanagement of high-risk medications.
🔍 June 2023: Inspection
This inspection report for New Orchard Lodge, by Laurie Marshall and Kelly Boisclair-Buffam, included two intakes related to a fall resulting in injury and the administration of Glucagon to a resident.
- ⚠️ Safe Storage of Drugs: The licensee failed to ensure that drugs stored in medication carts were secure and locked. During lunch meal service, medication carts were observed left unlocked and unattended in the hallway by an RN and RPN. This was in contradiction to the home’s medication management procedures, which require all unattended carts to be kept locked.
- Infection Prevention and Control: The licensee failed to ensure proper hand hygiene support for residents before lunchtime meals. Inspectors observed that on the first and second floors, residents did not receive assistance with hand hygiene prior to entering the dining room. Moreover, personal care wipes used by staff, which did not contain ethanol, were not in accordance with the home’s hand hygiene policy that specified the use of alcohol-based hand rub (ABHR).
🔍 January 2023: Inspection
This inspection for New Orchard Lodge, by inspectors Laurie Marshall and Sarah Stephens, investigated two specific intakes: alleged sexual abuse of a resident by staff and a fall of a resident resulting in injury.
- ⚠️ Reporting Alleged Abuse: The licensee failed to ensure immediate reporting of suspected abuse of a resident by staff. An internal investigation revealed that a conversation between staff and a resident raised allegations of sexual abuse by another staff member. However, this alleged abuse was not reported until two weeks after the initial conversation.
- ⚠️ Investigation and Resident Safety: Interviews with staff and the Director of Care (DOC) indicated that the staff member who initially learned of the abuse did not report it. The allegations came to light only when another staff member reported them to their Manager, after which the home promptly reported to the Director. This delay in reporting hindered timely investigation and implementation of necessary interventions to ensure resident safety.
🔍 August 2022: Inspection
During the course of this inspection, the inspector(s) made relevant observations,
reviewed records and conducted interviews, as applicable. There were no findings
of non-compliance.
🔍 July 2021: Complaints Inspection
During the course of this inspection, the inspector(s) made relevant observations,
reviewed records and conducted interviews, as applicable. There were no findings
of non-compliance.
🔍 July 2021: Critical Incident Inspection
The Critical Incident System inspection at Extendicare New Orchard Lodge, conducted by inspectors Susan Lui and others, focused on various aspects of resident care and facility management. The inspection occurred from June 24-25 and June 29-30, July 5-7, 2021, with several key findings:
- Air Temperature Documentation: The licensee failed to document temperatures as required in different areas of the home, including at least two resident bedrooms in different parts of the home, one resident common area on every floor, and every designated cooling area. This non-compliance was specifically against regulation, which mandates temperature documentation every morning, afternoon (between 12 p.m. and 5 p.m.), and evening or night. The non-compliance period was prior to June 17, 2021.
- Falls Prevention and Management Policy: The facility did not adhere to its “Neurological Signs/Head Injury Routine” policy. After a resident fell and hit their head, the complete assessment of the resident’s neurological signs wasn’t documented in the progress notes or Clinical Monitoring Record for the first two days post-fall.
For the non-compliance issues, the licensee was requested to prepare a written plan of correction for ensuring compliance with temperature measurement documentation and implementation of the Falls Prevention and Management Program.