Kilean Lodge (83 Main Street East, Grimsby) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 50 beds in private, semi-private and shared rooms.
Kilean Lodge is formerly owned and operated by Revera.
Inspection Reports for Kilean Lodge
Our research team carefully reviewed and summarized inspection reports for Kilean Lodge. You can read the original copies of the reports in the Government of Ontario website.
🔍 January 2024: Inspection
The inspection for Kilean Lodge, was led by Phyllis Hiltz-Bontje, focused on complaints and critical incidents related to abuse, neglect, medication management, and falls prevention. The inspection addressed multiple intakes concerning prevention of abuse and neglect, allegations of abuse, medication management, and emergency plans.
- Policy Publication: The home initially failed to post necessary information about their prevention of abuse and neglect policy. This issue was corrected during the inspection.
- Residents’ Bill of Rights: The facility did not fully respect a resident’s right to be free from abuse. Two separate incidents involved staff members abusing a resident.
- Plan of Care: The care provided to residents did not align with their specified care plans, particularly regarding assistance with daily living activities. This resulted in residents not receiving necessary care.
- Duty to Protect: The home failed to protect residents from abuse by staff. This included a resident being verbally abused by a staff member, leading to feelings of being a burden.
- Policy to Promote Zero Tolerance: The licensee did not comply with their own Resident Non-Abuse Policy. This failure was evident in their handling of two abuse incidents by staff.
- Policies to be Followed, and Records: The facility did not adhere to its staffing plan. This non-compliance was highlighted when a resident did not receive assistance due to staff being too busy.
- Administration of Drugs: The home failed to administer prescribed medication according to the doctor’s instructions, neglecting a resident’s request for medication due to staff busyness.
🔍 September 2023: Proactive Compliance Inspection
The inspection for Kilean Lodge, conducted by Olive Nenzeko and Lesley Edwards, identified several non-compliance issues.
- Communication and Response System: Initially, a resident’s bathroom communication system was inoperable, but this was rectified on the same day.
- Infection Prevention and Control: Personal Protective Equipment (PPE) was not initially available at a resident’s door as required for contact precautions. This was later corrected with appropriate signage and PPE placement.
- Controlled Substance Storage: Controlled substances needing destruction were not stored separately from active medication. This issue was resolved with a policy update and relocation of storage areas.
- Licensed Beds Information: Information about the number of licensed beds was not posted on the home’s website, which was then updated.
- Quality Improvement Initiative: The home’s website initially lacked information about the lead for the quality improvement initiative, which was subsequently added.
- Resident Reassessment: A resident’s plan of care was not updated to reflect their current toileting independence. This was corrected later.
- Plan of Care – Reassessment Requirement: The plan of care for a resident requiring an adaptive device was not updated to reflect their current nutritional needs.
- Nutritional Care and Hydration Programs: Staff did not follow procedures for checking food temperatures at the point of meal service, violating nutritional care program requirements.
- Food Production: A menu substitution was not communicated to residents and staff.
- Infection Prevention and Control Program: A staff member failed to wear the required PPE while providing care to a resident on additional precautions, posing an infection risk.
🔍 December 2022: Critical Incident 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 2022: Inspection
The inspection for Kilean Lodge, led by Jennifer Allen, addressed various complaints and critical incidents, mainly concerning abuse, neglect, and safe transferring and positioning.
- Plan of Care: Initially, there was a lack of clear directions in a resident’s written plan of care regarding specific wound treatment. This issue was remedied by the licensee, with the treatment order updated and communicated to the staff, ensuring correct application.
- Reporting and Complaints: The licensee failed to report a complaint about neglect in wound care to the Director immediately. This delay was due to a procedural misunderstanding, and the report was submitted seven days later than it should have been.
🔍 March 2022: Proactive Compliance Inspection
The inspection for Kilean Lodge, conducted by inspectors Lisa Bos and Lesley Edwards, details a Proactive Compliance Inspection that occured over several days in late February and early March 2022.
- Infection Prevention and Control (IPAC): There was a failure in ensuring all staff participation in the IPAC program, particularly in resident hand hygiene and signage for residents requiring additional precautions. This included lapses in hand hygiene assistance during nourishment distribution and inadequate signage for residents in isolation.
- Plan of Care Implementation: Non-compliance was noted regarding the implementation of a resident’s plan of care, specifically in ensuring the availability of an assistive device during meals.
- Policy and Procedure Compliance: The home failed to comply with policies, particularly in relation to maintaining food temperatures and recording them as per protocol.
- Communication and Response System: There was an issue with a resident-staff communication system, where a call button was found to be non-functional.
- Documentation of Care: The inspection noted failures in documenting actions taken under various programs, such as falls prevention and management, as well as in posting required information, like whistle-blowing protections, conspicuously within the home.
- Dining and Snack Service: There was a lack of proper techniques in assisting residents with eating, and meals were served to residents requiring assistance without ensuring immediate availability of help.