Extendicare Halton Hills

Extendicare Halton Hills (9 Lindsay Court, Georgetown) 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.


Inspection Reports for Extendicare Halton Hills

Our research team at Caring Magazine carefully reviewed and summarized inspection reports for Extendicare Halton Hills. You can read the original copies of the reports in the Government of Ontario website.

🔍  October 2023: Inspection

During the course of this inspection, the inspector made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance.

🔍  September 2023: Inspection

The inspection report for Extendicare Halton Hills details a comprehensive inspection encompassing various areas of the long-term care home’s operations. The inspection was conducted by Janet Groux.

  • Plan of Care: The licensee failed to fully involve a resident and their substitute decision maker in the development and implementation of the resident’s plan of care, especially concerning skin and wound care.
  • Responsive Behaviours: Failures in implementing strategies for responsive behavior were noted. Specifically, staff did not follow procedures when a resident was resistive to care.
  • Plan of Care: The home did not ensure the specified falls intervention device was in working condition for a resident, thereby increasing the risk of falls.

The licensee was ordered to submit a plan to address cleanliness issues in various areas of the home, including dining rooms, lounges, corridors, and resident bedrooms and bathrooms.

This order was about ensuring the home, furnishings, and equipment were kept in a safe condition and good state of repair.

🔍  July 2023: Inspection

The inspection report for Extendicare Halton Hills details several areas of non-compliance that were identified during the inspection process. The report, by Bernadette Susnik, covered a complaint inspection.

  • Cleanliness and Repair: The home was found to be not kept clean and sanitary, with issues in spa rooms, carpets in common areas, and outdoor spaces. There was also a failure to maintain the home and equipment in a safe condition and good state of repair, including issues with shower areas under renovation, leaking tubs, and disrepair in various areas.
  • Resident-Staff Communication System: Outdoor spaces accessible to residents lacked appropriate call stations connected to the staff-resident communication system.
  • Cooling Requirements: The heat-related illness prevention and management plan was insufficient and did not identify specific risk factors or include a home-specific plan.
  • Air Conditioning Requirements: The air conditioning in the Wildwood home area was not operational, and room temperatures in some resident rooms were higher than the standard requirements.
  • Construction and Renovation Approval: Approval from the Director was not obtained before commencing renovations to the shower rooms in the Wildwood and Glen Williams home areas.

🔍  April 2023: Inspection

The inspection report for Extendicare Halton Hills reveals several instances of non-compliance. The report, by Janet Groux, included follow-ups and critical incident system intakes.

  • Falls Prevention and Management: The facility failed to ensure that a specified falls prevention device was readily available for a resident. The absence of this device during a shift meant staff had to check on the resident more frequently.
  • Plan of Care: There was a lack of collaboration among the staff in assessing a resident, leading to delays in addressing the resident’s increased risk of falls.
  • Reporting and Complaints: A written complaint from a resident’s relative about the resident’s care was not submitted to the Director as required.
  • Required Programs: The facility did not comply with its Falls Prevention and Management Program, particularly in conducting a Fall Risk Assessment for a resident who had multiple falls during a change in their health status.

🔍  January 2023: Inspection

The inspection report for Extendicare Halton Hills, by Romela Villaspir, covers an inspection focused on falls prevention and management, as well as infection prevention and control.

  • Falls Prevention and Management: The facility failed to implement interventions outlined in residents’ care plans to mitigate falls. In one case, a resident sustained an injury due to a fall when the specified assistance was not provided.
  • Infection Prevention and Control Program: The facility did not comply with the infection prevention and control program. Specific observations included improper use of Personal Protective Equipment (PPE) by staff, and inadequate precaution signage for infectious control. Instances of staff failing to wear eye protection and not removing PPE appropriately were observed. Additionally, precaution signage was not properly displayed in a resident’s room during an outbreak.

The facility was ordered to re-train staff on Routine Practices and Additional Precautions for infectious microorganism control, including the proper use of PPE. They were also required to develop and implement strategies for consistent posting of additional precautions signage.

🔍  June 2022: Inspection

The inspection report for Extendicare Halton Hills, by Janet Groux and Deborah Nazareth, evaluated several critical incident and complaint intakes. The report highlights significant areas of non-compliance in the facility’s operations.

  • Plan of Care: The facility failed to collaborate with a physician when two residents experienced changes in their health condition. This included a case where a resident fell and sustained a serious injury but was not appropriately assessed or reported to the physician, and another case where a resident had blood in their urine, and the physician was not notified. This lack of communication contributed to prolonged discomfort and delayed care for the residents.
  • Resident’s Substitute Decision Maker Involvement: The facility failed to fully involve a resident’s Substitute Decision Maker (SDM) in the development and implementation of the resident’s plan of care, especially when there were changes in the resident’s health condition.
  • General Requirements: An intervention to manage a resident’s risk of falls was not properly documented. This was concerning, especially since the resident was at high risk for falls and had already sustained a serious injury.
  • Cooling Requirements: During a heat advisory, the facility failed to implement its heat-related illness prevention and management plan. This included not closing windows, drapes, and turning off lights to reduce room temperatures, posing a risk to residents, especially those at high risk for weather-related illnesses.
  • Nutritional Care and Hydration Programs: The facility failed to re-weigh a resident after a significant weight change, contrary to its own policy. This failure put the resident at risk of receiving inappropriate care for their nutritional needs.

🔍  February 2022: Complaints Inspection

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

🔍  February 2022: Critical Incident Inspection

The inspection report for Extendicare Halton Hills, by inspectors Kim Byberg and Sarah Kennedy, focused on a Critical Incident System inspection related to falls prevention and management.

  • Plan of Care: The facility failed to ensure that interventions specified in a resident’s plan of care for falls prevention were provided. A critical incident report revealed that a resident had an unwitnessed fall resulting in significant injury. Despite the resident’s care plan indicating the need for specific fall and injury prevention interventions, these were not in place when inspected. The Falls Lead and a Personal Support Worker (PSW) confirmed that the resident should have had their fall and injury prevention interventions as per their care plan. This failure increased the resident’s risk of injury from a fall.

The licensee was requested to prepare a written plan of correction to achieve compliance, ensuring that the care outlined in the resident’s plan of care is provided as specified.

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