Camilla Care Community (2250 Hurontario Street, Mississauga) is managed by Partners Community Health. There are approximately 235 beds.
Partners Community Health (PCH) is a not-for-profit organization focused on bringing health care services together around the needs of people living in Mississauga and West Toronto. It is a member of the Mississauga Ontario Health Team.
As of December 15, 2023, PCH officially closed Camilla Care Long-Term Care Home. In November 2023, Camilla transferred all the residents to their preferred alternative accommodation, which for some included Wellbrook Place, PCH’s newly opened two state-of-the-art long-term care homes.
Inspection Reports for Camilla Care Community
Our research team carefully reviewed and summarized inspection reports for Camilla Care Community. You can read the original copies of the reports in the Government of Ontario website.
August 2023
Led by Patrishya Allis and supported by Carla Meyer, the inspection took place over several days in late July and early August 2023.
This critical inspection focused on areas such as Infection Prevention and Control and the Prevention of Abuse and Neglect.
The inspection was initiated following critical incidents related to alleged physical abuse by staff.
- Plan of Care: The facility had initially failed to provide clear directions for staff in the written plan of care regarding the repositioning frequency for a resident, which was subsequently rectified. This correction is crucial for resident comfort and prevention of skin-related issues.
- Reporting to the Director: There was a delay in reporting a suspected unlawful conduct that resulted in harm to a resident. Timely reporting in such cases is essential for ensuring immediate action and review.
- Staff Records: The inspection found that the results of a Personal Support Worker’s police record check were not retained in their employee file. Maintaining comprehensive staff records is vital for ensuring the safety and security of residents.
The report was amended to correct a date error, ensuring accuracy in the documentation. The facility’s prompt response in rectifying identified issues demonstrates a commitment to compliance and continuous improvement.
November 2022
This report, issued on November 16, 2022, and led by inspectors Stephanie Luciani and Nira Khemraj, focuses on a series of inspections that occurred in early November 2022.
The report addresses critical issues pertaining to the safety, care, and management of the facility.
The inspection involved several intakes, including those related to falls prevention and management, alleged neglect and improper care, ensuring a safe and secure home environment, and other aspects of resident care and services.
A critical safety issue was identified where a staff member, after receiving a positive COVID-19 test result, destroyed the result and continued working. This action directly compromised the safety and health of residents in the home, highlighting a serious breach in infection control protocols.
The incident involving the staff member who received and subsequently destroyed their positive COVID-19 test result during their shift raises significant concerns. The staff member’s actions not only violated the home’s policies but also posed a risk of COVID-19 exposure to residents.
April 2022
The first inspection is a detailed document highlighting various aspects of resident care and facility management. Conducted by inspectors Romela Villaspir, Daniela Lupu, and Sarah Kennedy, this inspection took place over several days in March 2022. It was focused on addressing critical incidents and complaints within the facility.
The inspection revealed several areas of non-compliance, resulting in nine Written Notifications (WNs) and eight Voluntary Plans of Correction (VPCs).
These non-compliances encompassed a range of issues, including care plans, medication management, infection prevention and control, skin and wound care, dealing with complaints, administration of drugs, and the duty to protect residents from neglect.
- Care Plans and Medication Management: There were lapses in maintaining accurate care plans and ensuring that medications were administered as per the prescriber’s directions. This raised concerns about the adequacy of resident care and medication safety.
- Infection Prevention and Control (IPAC): Some staff were found not adhering to the IPAC protocols, particularly in hand hygiene and the use of personal protective equipment (PPE).
- Skin and Wound Care: There were failures in assessing and treating skin integrity issues in residents, indicating gaps in nursing care.
- Handling of Complaints: The facility did not maintain proper records of complaints and actions taken, which is essential for transparency and accountability.
- Administration of Drugs: Issues were noted in the administration of drugs, including instances where drugs were not given as prescribed, posing risks to residents’ health.
- Duty to Protect: There was a failure to protect a resident from neglect, particularly in the management of a resident’s oxygen therapy, leading to harm.
A second inspection, led by Romela Villaspir and undertaken on various dates in March 2022, was a response to a complaint regarding alleged staff-to-resident abuse. During the course of this inspection, Non-Compliances were not issued.
January 2022
The amended inspection report details a Proactive Compliance Inspection led by Joy Ieraci.
This thorough inspection, taking place over several days in late 2021, involved discussions with a wide range of staff, residents, and family members, alongside meticulous observation of the facility’s operations.
The inspection identified several areas of non-compliance, resulting in six Written Notifications (WNs) and four Voluntary Plans of Correction (VPCs).
- Plan of Care: Failures were noted in ensuring that the care outlined in residents’ plans was delivered as specified.
- Medication Management: There were discrepancies in medication administration, highlighting issues in adherence to prescribed medication plans.
- Communication and Response Systems: Some resident-staff communication systems were found non-functional, raising concerns about resident safety and emergency responsiveness.
- Infection Prevention and Control: Deficiencies were observed in the implementation of the facility’s IPAC program, particularly concerning the use of Personal Protective Equipment (PPE).
- Family Council Communications: The facility did not consistently respond within the required 10-day period to the Family Council’s concerns or recommendations.
- Posting of Information: The facility failed to post critical information, such as policies promoting zero tolerance of abuse and neglect, as required by the LTCHA.
April 2021
The inspection, conducted by Inspector Derege Geda, took place over several days in March 2021.
The inspection focused on multiple areas crucial to long-term care, such as Accommodation Services, Falls Prevention, Infection Prevention and Control, Medication, Personal Support Services, and Prevention of Abuse, Neglect and Retaliation.
The report identified several instances of non-compliance, resulting in five Written Notifications (WNs) and two Voluntary Plans of Correction (VPCs).
- Safety and Security: Failures in ensuring a safe and secure environment for residents were noted, including an incident where a Registered Nurse left the facility without completing a required transfer of accountability.
- Protection from Abuse: The report highlighted a failure to protect a resident from verbal abuse by a staff member.
- Plan of Care: Deficiencies were found in updating and revising residents’ care plans as their health conditions changed.
- Investigation and Response: The facility did not immediately investigate a reported incident of improper or incompetent treatment of a resident.
- Reporting to the Director: The facility failed to report an alleged incident of improper treatment and neglect to the Ministry of Long-Term Care in a timely manner.
In a second inspection, no compliance issues were found.