Extendicare Starwood (114 Starwood Road, Nepean) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 190 beds in private, semi-private and shared rooms.
Inspection Reports for Extendicare Starwood
Our research team at Caring Magazine carefully reviewed and summarized inspection reports for Extendicare Starwood You can read the original copies of the reports in the Government of Ontario website.
🔍 November 2023: Inspection
The inspection for Extendicare Starwood, led by Shevon Thompson, Martin Orr and Lisa Cummings, focused on a complaint of alleged resident abuse by staff and an injury of unknown cause.
- Reporting Alleged Abuse: The licensee did not comply with the requirement to immediately report alleged abuse to the Director. During the inspection, it was revealed in an interview that a staff member reported alleged abuse of a resident by another staff member. However, there was no Critical Incident Report (CIR) filed to report this alleged abuse to the Director. The absence of this report could delay the investigation and necessary actions to address the issue.
🔍 September 2023: Inspection
This inspection report for Extendicare Starwood was conducted by Jessica Nguyen, Gabriella Kuilder and Gurpreet Gill. The inspection focused on critical incidents related to falls with injury resulting in significant changes in residents’ conditions.
- Falls Prevention and Management: A resident sustained an injury due to a fall. At the time of the fall, universal falls prevention strategies, which should have been implemented for all residents as per the home’s policy, were not in place. The licensee failed to ensure compliance with the home’s policy for fall prevention and management program for a resident.
🔍 June 2023: Inspection
The inspection for Extendicare Starwood, led by Severn Brown, Dee Colborne and Jessica Nguyen, focused on various intakes including concerns from a coroner regarding resident care, unwitnessed falls resulting in injury, and alleged staff to resident abuse.
- Skin and Wound Care: The licensee failed to perform a required skin assessment on a resident who returned from the hospital. According to the home’s policy, a comprehensive assessment should be conducted for any resident returning from a hospital stay longer than 24 hours. The absence of this assessment in the resident’s progress notes indicates a lapse in care, increasing the risk of delayed identification and treatment of impaired skin integrity.
- Critical Incident Reporting: The licensee did not comply with the regulation requiring contact with the hospital within three business days after a resident’s admission to determine if there was a significant change in condition. This failure was evident in the resident’s medical record, which showed no documentation of contact with the hospital. This lack of communication may impact the resident’s plan of care, especially in cases of significant change in condition.
🔍 March 2023: Inspection
The inspection for Extendicare Starwood, led by Cheryl Leach, Kayla Debois and Marko Punzalan, focused on various critical incidents, including a missing resident, falls resulting in significant changes in condition, and allegations of resident-to-resident abuse, both sexual and physical.
- Fall Management: The licensee failed to ensure a fall intervention was in place for a high-risk resident, as indicated in the fall risk assessment and the Falls Management Policy. The plan of care did not include the fall intervention at the time of the resident’s fall, increasing the risk of injury.
- Responsive Behaviours: The licensee failed to follow interventions for responsive behaviors as outlined in a resident’s plan of care, leading to a physical incident with another resident.
- External Door Access System: The licensee failed to ensure that all doors leading outside of the home were equipped with a functioning door access system. A resident eloped from the home through an external door that was left unlocked and the alarm bypassed for a delivery, not reset by staff.
- Responsive Behaviour Interventions: The licensee did not apply immediate intervention for a resident’s responsive behavior of exit-seeking. The resident eloped from the home due to the absence of an exit alarm system, which was not initiated until several days after the incident.
🔍 September 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.
🔍 February 2022: Inspection
The inspection for Extendicare Starwood, led by Anandraj Natarajan, Dee Colborne and Jessica Nguyen, was conducted in response to complaints related to alleged physical abuse and resident care issues.
- Plan of Care: The licensee failed to comply with regulation, which mandates that care outlined in the plan of care must be based on an assessment of the resident and their needs and preferences. Specifically, there was a discrepancy in a resident’s bed mobility assessment and their written plan of care. The assessment indicated that the resident required extensive assistance with two-person physical assistance, while the plan of care noted only one-person physical assistance.
🔍 February 2022: Inspection
During the course of this inspection, Non-Compliances were not issued.