Humber Valley Terrace: Reviews & Inspection Reports

Humber Valley Terrace (329 Eagle Street, Newmarket) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 160 beds in private, semi-private and shared rooms.

Humber Valley Terrace is formerly owned and operated by Revera.

Inspection Reports for Humber Valley Terrace

Our research team carefully reviewed and summarized inspection reports for Humber Valley Terrace. You can read the original copies of the reports in the Government of Ontario website.

🔍 September 2023: Inspection

The inspection for Humber Valley Terrace primarily dealt with two intakes related to falls resulting in injury. The inspection team included Michael Chan and Yannis Wong.

Maintenance Services: There was a failure to ensure that all devices in the home were kept in good repair, specifically a resident’s fall prevention device. This device was not functioning properly at the time of a resident’s fall, which led to their hospitalization. The Director of Care (DOC) confirmed that there was no policy directing staff to check the device’s working order, leading to the device not being maintained in good repair.
Reporting Critical Incidents: The facility failed to inform the Ministry of Long-Term Care about an incident causing injury to a resident resulting in a significant change in the resident’s health condition within the required timeframe. The report to the Ministry was made three business days after the incident, contrary to the requirement of reporting within one business day.

🔍 April 2023: Inspection

The inspection for Humber Valley Terrace in Etobicoke was conducted in response to complaints and critical incidents. The inspection focused on various aspects of resident care, including falls prevention and management, infection control, and adherence to individual care plans. The inspection team was led by Noreen Frederick.

Maintaining Resident Care Plans: There were issues with updating care plans according to the resident’s changing needs and preferences. In one case, a resident’s preference regarding bed height was not reflected in their care plan. In another, a personal article preferred by a resident was not included in their care plan.
Collaboration in Implementing Care Plans: There was a failure in staff collaboration regarding the administration of pain medication. Personal Support Workers (PSW) did not report signs of pain in a resident to the nursing staff, leading to the resident not receiving necessary pain medication.
Personal Assistance Service Devices (PASD): A PASD used by a resident was not included in their care plan, indicating a lapse in ensuring the safety and appropriateness of care devices.
Transferring and Positioning Techniques: Staff used an incorrect assistive device for a resident, which was not part of the resident’s care plan, leading to the resident’s injury.
Pain Management Program Implementation: The staff did not document the resident’s pain as per the home’s policy, leading to a risk of the resident not receiving adequate pain management.
Falls Prevention and Management: After a resident’s fall resulting in injury, the staff failed to conduct an immediate post-fall assessment as required by the home’s policy.

🔍 January 2023: Inspection

The inspection for Humber Valley Terrace in Etobicoke focused on critical incidents and compliance issues related to falls, improper care resulting in injury, and infection prevention and control (IPAC). The inspection team included Rajwinder Sehgal and Reji Sivamangalam.

Fall Prevention Interventions: Failures in ensuring fall prevention interventions for residents #001 and #003 were noted. Specific interventions were not applied or within reach as required by their care plans, posing a risk to these residents.
Infection Prevention and Control: Non-compliance was observed in RAT testing protocols and PPE usage. The RAT test results were read prematurely, and proper PPE was not used, increasing the risk of COVID-19 transmission.
Plan of Care: Care plans were not followed as specified. For resident #001, care was not provided according to the required assistance level, leading to injury. For resident #004, lack of staff collaboration delayed diagnosis and treatment of an injury. Resident #003’s post-fall assessments were not effectively integrated, leading to delayed treatment.
Reporting Critical Incidents: There was a failure in immediately reporting a confirmed outbreak to the Director, leading to a delay in potential response measures.

🔍 February 2022: Proactive Compliance Inspection

The inspection for Humber Valley Terrace covered multiple aspects of the facility’s operations. The inspection team included Ivy Lam and Julieann Hing.

Care Plans: Care plans for residents #005 and #007 were not followed as specified. For example, resident #005 received less fluid than prescribed, and resident #007 was not supervised during meals as required, leading to potential risks like dehydration and choking.
Medication Management Policies: The facility did not adhere to its medication administration policy, particularly concerning the handling of expired medications. This non-compliance poses risks related to medication efficacy and safety.
Temperature Documentation: The facility failed to document air temperatures as required, which could impact timely actions to address comfort levels for residents.
Heating System Maintenance: Procedures to ensure heating systems were in good repair and regularly inspected were not adequately implemented, as evidenced by a non-functional baseboard heater in a resident’s room.
Drug Administration: There were instances where drugs (Oral Nutritional Supplements) were not administered in accordance with the prescriber’s instructions, which could affect residents’ nutritional intake and health.

The facility was requested to prepare a voluntary plan of correction to address these issues, ensuring compliance with care plans, medication management, temperature documentation, heating system maintenance, and correct drug administration.

Immediate actions were taken in some cases during the inspection, such as the removal of expired medications from use.

🔍 May 2021: Complaints Inspection

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

🔍 May 2021: Critical Incident Inspection

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