Malton Village Long Term Care Centre

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Malton Village Long Term Care Centre (7075 Rexwood Road, Mississauga) is owned and operated by Peel Region. There are approximately 160 beds.


Inspection Reports for Malton Village Long Term Care Centre

Our research team carefully reviewed and summarized inspection reports for Malton Village Long Term Care Centre. You can read the original copies of the reports in the Government of Ontario website.

October 2023

The inspection report, led by Trudy Rojas-Silva and assisted by Nicole Ranger, details the findings of an on-site and off-site inspection conducted from September 7 to September 15, 2023. This inspection focused on several critical areas, including responsive behaviors, fall prevention and management, and medication management.

  • Safe and Secure Home: The facility failed to provide a safe and secure environment, evidenced by a resident’s injury due to a fall caused by an uneven path on the property.
  • Responsive Behaviors: The licensee did not effectively manage a resident’s responsive behaviors, including physical altercations. There was a lack of necessary assessments, reassessments, or referrals for these behaviors.

August 2023

The inspection focused on several critical areas impacting the welfare of its residents. The inspection, led by Reji Sivamangalam and Cindy Ma, occurred between July 31 and August 3, 2023.

This comprehensive inspection delved into issues ranging from air conditioning complaints to improper resident transfers. Notably, the findings highlighted areas of non-compliance, subsequently remedied by the licensee. These included the failure to assess a resident for heat-related illness risk factors, an oversight in the collaboration of staff in the assessment of a resident’s wounds, the inadequate monitoring of air temperatures in resident rooms and common areas, and unsafe transferring techniques of a resident.

The incident involving improper transfer techniques, in particular, resulted in a resident sustaining injuries and requiring hospital interventions. This occurrence underscores the importance of adhering to safe transfer protocols, especially the removal of mobility device parts prior to transfers to prevent injuries. The issue with air temperature monitoring is equally concerning, as it exposes residents to the risk of heat-related illnesses, which can be particularly dangerous for the elderly.

March 2023

The inspection at Malton Village Long Term Care Centre, conducted under the Fixing Long-Term Care Act, 2021 by the Ministry of Long-Term Care’s Toronto District Office, encompassed a comprehensive evaluation of various aspects of resident care. Conducted between February 23 and March 7, 2023, by lead inspector Oraldeen Brown, alongside Kehinde Sangill, the inspection scrutinized multiple intakes, including those related to care services, abuse, falls, and medication management.

  • Non-Compliance Concerning Locked Doors: An issue was identified with a door leading to a non-residential area being left ajar, posing a security risk. This was quickly rectified by the staff, ensuring compliance with security policies.
  • Fall Interventions: A lapse in fall intervention for a high-risk resident was noted. Although remedied swiftly, it highlighted the importance of consistently implementing fall prevention strategies.
  • Compliance with COVID-19 Directive: A failure was found in adhering to the Minister’s Directive regarding the use of unexpired Alcohol Based Hand Rub (ABHR) products. This was addressed by removing expired products, ensuring compliance with COVID-19 infection control measures.
  • Plan of Care Documentation: Discrepancies in the documentation of routine care tasks were discovered, underscoring the need for accurate recording of care provided to residents.
  • Complaint Handling: The inspection found a delay in responding to a verbal complaint about a resident’s care, indicating the need for timely follow-up on complaints.
  • IPAC Program Compliance: Observations indicated lapses in the proper use of Personal Protective Equipment (PPE) by staff, which was addressed by the IPAC lead. This stressed the necessity of adhering to infection prevention and control standards.
  • Medication Safety: An unlocked and unattended medication cart was observed, posing potential risks to residents. This was immediately addressed by locking the cart, reinforcing the importance of medication security.

January 2023

Conducted between December 6, 2022, and January 10, 2023, by lead inspector Ramesh Purushothaman and Matthew Chiu, the inspection focused on multiple intakes, including falls prevention and management, improper transfer resulting in injury, and allegations of abuse.

  1. Resident Reassessment and Plan of Care Review: The facility failed to reassess a resident’s care needs and revise the care plan accordingly. This non-compliance was remedied on December 13, 2022.
  2. Residents’ Bill of Rights: There was a failure to respect the dignity and worth of a resident, as evidenced by rough care provided by a PSW. This issue was substantiated through video footage provided by the resident’s family.
  3. Infection Prevention and Control (IPAC) Audits Directive: The facility did not conduct regular IPAC audits as required, particularly during outbreak periods.
  4. Reporting Improper Care: The facility failed to inform the Director immediately about improper or incompetent treatment of a resident that resulted in harm.
  5. Transferring and Positioning Techniques: A resident sustained an injury due to improper transferring technique used by a PSW.
  6. Infection Prevention and Control Program: There were multiple instances of non-compliance related to the IPAC program, including failure to adhere to maximum occupancy in certain areas, improper use of personal protective equipment (PPE) by staff, and non-compliance with additional precautions required during a COVID outbreak.
  7. Safe Storage of Drugs: An unlocked and unattended medication cart was observed, posing a risk to resident safety.

April 2022

During the course of this inspection, Non-Compliances were not issued.

March 2022

The inspection report detailed the findings of a complaint-based inspection carried out between March 17 and March 24, 2022.

The inspection was led by Oraldeen Brown and focused on allegations of abuse, as well as evaluating the home’s infection prevention and control practices and its measures for the prevention of abuse, neglect, and retaliation.

  • Non-Compliance with Reporting Abuse: The primary concern highlighted in the report was the failure to report an allegation of sexual abuse of a resident by a Personal Support Worker (PSW) to the Director. The failure to report was noted as a contravention of the home’s policy, which mandates immediate reporting of any witnessed or suspected abuse or neglect to both the home’s Administrator and the Ministry of Long-Term Care (MLTC).
  • Details of the Alleged Abuse Incident: The allegation involved a resident who reported an incident of alleged abuse by a PSW. The RN who was informed about these allegations failed to report them to their supervisor or the MLTC, citing doubts about the accuracy of the resident’s allegations.
  • Director of Care Unaware: The Director of Care (DOC) at the facility was not aware of these allegations and expected staff to comply with the home’s policy by reporting all witnessed or suspected allegations of abuse immediately.

A Voluntary Plan of Correction (VPC) was requested from the licensee. The licensee is required to prepare a written plan of correction to ensure that any person who has reasonable grounds to suspect abuse or neglect immediately reports their suspicions and related information to the Director. This plan is to be implemented voluntarily.

January 2022

During the course of this inspection, Non-Compliances were not issued.

June 2021

The inspection conducted by Inspector Nazila Afghani, was a comprehensive review focusing on critical incidents. This inspection took place from May 17 to May 27, 2021.

The inspection centered around falls prevention and management, as well as medication management. This was based on several specific logs related to these areas, namely Logs #006715-21, #024961-21, #007098-21, and #006815 for falls prevention and management, and Log #024470-20 for medication.

Three Written Notifications (WNs) of non-compliance and three Voluntary Plans of Correction (VPCs) were issued.

  • Plan of Care: The licensee failed to ensure that care set out in the plan of care was provided as specified. Specifically, a call bell was not within reach of a resident who needed physical assistance for locomotion.
  • Transferring Techniques: The licensee failed to ensure safe transferring techniques when assisting residents. This was evident in the cases of residents #002 and #004, where unsafe transfer techniques were observed.
  • Requirements relating to restraining by a physical device: The licensee failed to document the circumstances precipitating the application of physical restraint and did not document alternatives considered and their appropriateness.

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