Rapelje Lodge (277 Plymouth Road, Welland) is a nursing home that is owned and operated by Niagara Region. There are approximately 120 beds.
Inspection Reports for Rapelje Lodge
Our research team carefully reviewed and summarized inspection reports for Rapelje Lodge. You can read the original copies of the reports in the Government of Ontario website.
December 2023: Inspection
The inspection revealed several instances of non-compliance, particularly in relation to the implementation and documentation of residents’ plans of care.
- Non-Compliance with Plan of Care: The licensee failed to provide care as specified in the residents’ plans. This included incidents where a resident was left unattended on the toilet despite the plan indicating not to do so, and a resident’s change in care needs was not adequately addressed with a necessary assessment by an occupational therapist.
- Failure to Follow Through with Recommendations: The home did not follow through with the plan of care recommended by a clinical consultant, particularly regarding the reassessment of a resident by an occupational therapist when the resident’s status changed.
- Inadequate Staffing for Transfers: A resident required the assistance of two staff members for transfers and repositioning, but was repositioned independently by a staff member, increasing the risk of harm to the resident’s safety.
- Non-Compliance with Specific Care Instructions: The home failed to use a specific pillow for a resident as per their care plan and did not notify the Substitute Decision Maker (SDM) immediately after a fall, as required by the plan of care.
- Failure in Documentation: There was a failure to document the provision of care as set out in the plans, including the monitoring of skin integrity and provision of partial sponge baths.
- Failure to Revise Plan of Care: The licensee did not revise a resident’s plan of care when their care needs changed, particularly concerning their positioning to prevent discomfort.
July 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.
December 2022: Critical Incident Inspection
The inspection revealed a number of compliance issues, especially in areas related to infection prevention and control, medication management, and the prevention of abuse and neglect.
- Non-Compliance Remedied: Initially, there was a failure to post signage for contact precautions as required by the Infection Prevention and Control (IPAC) standards. However, this was remedied during the inspection when the signage was posted outside all identified rooms.
- Failure to Comply with Abuse Policy: The facility’s “Abuse and Neglect- Zero Tolerance” policy was not fully complied with. There was a lack of documented physical assessment findings after a resident-to-resident altercation and an absence of investigation documentation, contrary to the policy’s requirements.
- Documentation Issues: The provision of care as set out in the plan of care for two residents was not properly documented. This included a lack of documentation for observation monitoring after an altercation between two residents.
- Non-Compliance with Minister’s Directive: The facility failed to adhere to the Minister’s Directive regarding medication incidents and resident transfers to the hospital. Specifically, there was no documentation of notifying the Power of Attorney (POA) about medication administration and hospital transfers, and there was a lack of comprehensive evaluation as outlined in the Directive.
- Hand Hygiene Program Non-Compliance: The facility did not consistently support hand hygiene for residents before meals, as observed in the dining room and as required by their Infection Prevention and Control Policy and the IPAC Standards.
June 2021: Complaints Inspection
The inspection focused on a complaint related to a bed refusal. The inspection also included a concurrent Critical Incident inspection.
- Non-Compliance with Section 44 of LTCHA, 2007: The licensee failed to comply with Section 44, Subsection 9 of the Long-Term Care Homes Act, 2007. This section mandates that if a licensee withholds approval for admission, they must provide a written notice detailing the grounds for withholding approval, a detailed explanation of supporting facts related to both the home and the applicant’s condition and requirements for care, an explanation of how these facts justify the decision, and contact information for the Director.
- Lack of Detailed Explanation in Bed Refusal: The complaint was submitted to the Director in 2020 concerning the licensee withholding approval of an applicant to the long-term care home. The correspondence sent to the applicant merely stated that the home lacked the physical facilities necessary to accommodate a device required by the applicant, without providing further information or supporting facts. There was no explanation as to why the home could not manage a resident requiring this device. Additionally, the applicant had been accepted and admitted to another long-term care home since then.
- Failure to Provide Supporting Facts: The licensee did not fulfill the requirement to provide a detailed explanation of supporting facts when declining an applicant to the home’s wait list, as required by the Act.
June 2021: Critical Incident Inspection
During the course of this inspection, Non-Compliances were not issued.
May 2020: Complaints Inspection
During the course of this inspection, Non-Compliances were not issued.