The Meadows (12 Tranquility Avenue, Ancaster) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 130 beds in private, semi-private and shared rooms.
The Meadows is formerly owned and operated by Revera.
Inspection Reports for The Meadows
Our research team at Caring Magazine carefully reviewed and summarized inspection reports for The Meadows. You can read the original copies of the reports in the Government of Ontario website.
🔍 July 2023: Critical Incident Inspection
The inspection report for The Meadows Long-Term Care Home, by Pauline Waldon and Erin Denton-O’Neill, focused on several critical incidents, including issues related to improper or incompetent treatment, an unexpected death, an injury of unknown cause, and falls prevention and management.
- Restraints: The facility failed to respect the residents’ rights concerning restraints. Two residents were found to be restrained without the inclusion of restraints in their care plan. This non-compliance was identified through a Critical Incident Report and the home’s internal investigation notes. This action directly violated the residents’ rights.
🔍 May 2023: Critical Incident Inspection
The inspection report for The Meadows Long-Term Care Home, by Pauline Waldon with the participation of Farah Khan, highlights several areas of non-compliance . This inspection focused on a fall resulting in injury.
- Plan of Care: The licensee failed to adhere to the specified plan of care for a resident, particularly in ensuring that the resident’s call bell was within reach. This was observed on consecutive days, indicating a lack of corrective action. The absence of the call bell within the resident’s reach posed a risk as it limited their ability to request assistance when needed.
- Plan of Care Reassessment and Revision: The facility did not update a resident’s plan of care following a change in their fall risk. This lack of update occurred after the resident had a fall and their risk for falls changed. The resident then experienced additional falls over the next 19 days, one of which resulted in an injury. This oversight suggests that the staff might not have been fully aware of the resident’s increased risk, potentially contributing to subsequent falls.
- Falls Prevention and Management: After a resident experienced a fall, there was no post-fall assessment conducted using a clinically appropriate assessment instrument designed for falls. This failure meant potential injuries and factors contributing to the fall may not have been properly identified, and appropriate strategies to prevent future falls could have been overlooked.
🔍 February 2023: Proactive Compliance Inspection
The inspection report for The Meadows Long-Term Care Home, by Lesley Edwards and Lisa Vink, revealed various areas of non-compliance focused on several aspects, including resident care and support services, skin and wound management, nutrition, residents’ councils, medication management, infection control, abuse and neglect prevention, quality improvement, resident rights and choices, pain management, and falls prevention.
- Non-Compliance Remedied: The home had failed to revise a resident’s plan of care when their care needs changed, specifically regarding the use of personal protective equipment (PPE) and additional precautions. However, this non-compliance was remedied during the inspection, with the removal of outdated signage and PPE caddie.
- Infection Prevention and Control Program: There was a failure to implement the Infection Prevention and Control Standard for Long-Term Care Homes properly. Specifically, staff did not adhere to the proper selection, application, removal, and disposal of PPE, as observed during care provision.
- Safe Storage of Drugs: The medication cart was found unlocked and unattended in the dining room, posing a risk of medication access. Additionally, controlled substances within the medication cart were not double-locked as required.
- Continuous Quality Improvement Initiative Report: The facility did not have an interim Continuous Quality Improvement (CQI) Initiative Report for the 2022-2023 fiscal year, indicating a gap in their quality improvement documentation and processes.
🔍 June 2022: Critical Incident Inspection
The inspection report for The Meadows Long-Term Care Home, conducted by Cathy Fediash, Cathie Robitaille, Yvonne Walton, and Nishy Francis, focused primarily on critical incident system (CIS) related to fall prevention and prevention of abuse and neglect.
- Reporting to the Director: The home failed to report a significant incident to the Director in a timely manner. A resident experienced a fall that led to a significant change in their health condition. The required CIS report was submitted 39 days after the incident, far beyond the three-day deadline.
🔍 January 2022: Complaints Inspection
During the course of this inspection, Non-Compliances were not issued.
🔍 September 2021: Critical Incident Inspection
The inspection at The Meadows, conducted by Emmy Hartmann and Parminder Ghuman, was a Critical Incident System inspection.
- Written Plan of Care: The licensee did not ensure a written plan of care for a resident at high risk of falls. This plan should have included the planned care, goals, and clear directions to staff. The lack of such a plan was identified as a risk since it could lead to the resident not receiving the necessary care and assistance.
- Adherence to Care Plan: A resident who required two staff members for assistance with daily living activities only received assistance from one PSW, contrary to the care plan. This non-compliance was confirmed by the Executive Director and highlighted in the care plan, which stated the need for two staff members.
As a result of these findings, the licensee was requested to prepare a voluntary Written Plan of Correction (VPC) to ensure compliance with the requirements for a written plan of care for each resident.
🔍 May 2021: Critical Incident Inspection
During the course of this inspection, Non-Compliances were not issued.