Maple Health Centre

Maple Health Centre (10424 Keele Street, Maple) is owned and operated by York Region. There are approximately 100 beds.

Inspection Reports for Maple Health Centre

Our research team carefully reviewed and summarized inspection reports for Maple Health Centre. You can read the original copies of the reports in the Government of Ontario website.

December 2023

In the inspection report for York Region Maple Health Centre, several critical issues were identified during the inspection conducted on December 6, 7, 11, and 12, 2023.

The inspection focused on a complaint related to withholding approval for admission and involved protocols for Infection Prevention and Control as well as Admission, Absences, and Discharge.

• Authorization for Admission to a Home: The facility refused an applicant’s admission, citing that the staff lacked necessary nursing expertise. This was not permitted under the legislation. The Director of Care acknowledged that the facility had resources to assist residents with responsive behaviors and that staff were trained in responsive behaviors management. The failure to admit the applicant impacted their ability to transition to their preferred LTCH and potentially delayed receiving necessary care and support.
• Failure to Provide Detailed Written Notice When Withholding Approval: The licensee failed to provide a detailed explanation of the supporting facts, related both to the home and the applicant’s condition and care needs, when withholding approval for admission. The Director of Care recognized that the refusal letter did not adequately explain why the home could not meet the applicant’s specific health condition and care needs.
• Inadequate Explanation for Withholding Admission Approval: The licensee did not provide an adequate explanation justifying the decision to withhold approval for the applicant’s admission. The home’s written notice failed to substantiate that the staff lacked the required nursing expertise to meet the applicant’s needs. The Director of Care admitted that the notice did not clarify how the supporting facts justified the decision to refuse admission.

July 2023

In the inspection report for York Region Maple Health Centre, the inspection conducted on July 4, 6-7, and 10-12, 2023, revealed significant concerns.

The inspection was prompted by critical incidents involving improper resident care and allegations of staff-to-resident abuse.

• Integration of Assessments and Care: The facility failed to ensure effective collaboration among staff in the assessment of a resident, leading to a lack of integrated care. A Critical Incident Report highlighted a resident transferred to the hospital due to a medical condition. Despite abnormal laboratory results, there was no record of a doctor or nurses reading the results or assessing the resident, resulting in delayed medical intervention. The Assistant Director of Care and the Director of Care acknowledged the need for immediate action in response to abnormal results, which was not followed in this instance.
• Policy to Promote Zero Tolerance of Abuse and Neglect: The home did not ensure staff compliance with the policy of zero tolerance for abuse and neglect. In two separate incidents, Personal Support Workers (PSWs) failed to immediately report allegations of abuse to their supervisors, contrary to the home’s policy. This failure delayed the investigation and response, potentially putting residents at further risk. The Registered Nurse and Assistant Director of Care confirmed that immediate reporting was expected in such incidents, which was not adhered to by the staff involved.

January 2023

In the inspection report conducted for the York Region Maple Health Centre, several critical issues were identified. This inspection, led by Najat Mahmoud along with additional inspectors Asal Fouladgar and Ana Best, occurred on December 5, 6, 8, 9, and 12 to 14, 2022.

The inspection addressed multiple Critical Incident System (CIS) intakes and complaints regarding various aspects of resident care and facility operations.

• Infection Prevention and Control: The licensee did not ensure adherence to infection prevention and control standards, particularly in the use of Personal Protective Equipment (PPE). This was exemplified when a Personal Support Worker (PSW) was observed donning clean gloves in the hallway instead of at the point of care, contrary to the Infection Prevention and Control (IPAC) Standard.
• Failure in Hand Hygiene: The facility did not enforce hand hygiene protocols, as evidenced by a contractor entering a resident’s room without performing hand hygiene, increasing the risk of infectious disease transmission.
• Prevention of Abuse and Neglect: There was a failure to protect a resident from sexual abuse by another resident. Despite both residents having a history of responsive behaviors, necessary monitoring and preventive measures were not adequately enforced.
• Failure to Report Suspected Abuse: A PSW witnessed another PSW abusing a resident but failed to report the incident immediately. This delay in reporting potentially exposed the resident to further harm.
• Incomplete Reporting of Investigations: The licensee did not fully report the outcomes of staff involved in an abuse investigation to the Director, lacking transparency in their internal processes.
• Transferring and Positioning Techniques: A resident suffered a fall and subsequent hospitalization due to a PSW not following safe positioning techniques, highlighting a lapse in resident care.
• Omission in Reporting Outcomes of Investigations: The licensee failed to update the Director on the outcome of staff members involved in an investigation related to resident neglect.
• Medication Management System: The licensee did not adhere to the policy of obtaining a complete medication history during a resident’s admission, leading to the resident’s hospitalization due to a change in medical condition.
• Communication and Response System: The call bell system in a specific resident home area (RHA) could be cancelled at the central nursing station and not at the point of activation, compromising resident safety and response to their needs.

April 2022

In the inspection report, Maple Health Centre faced scrutiny over several critical issues.

The inspection, conducted by Moses Neelam, focused on a range of complaints and was both on-site (March 25, 28-31) and off-site (April 5 and 11, 2022). This inspection was pivotal in uncovering significant lapses in resident care and facility operations.

• Non-Compliance with the Plan of Care: The facility failed to provide clear directions to staff for the care of specific residents (#002 and #006), leading to potential risks of injury due to incorrect intervention application. This failure was highlighted through an anonymous complaint and subsequent assessments by physiotherapists and interviews with the Assistant Director of Care and Personal Support Workers.
• Failure in Forwarding Complaints: The facility did not comply with the requirement to immediately forward written complaints to the Director. This lapse was evident from the review of multiple written complaints initially forwarded to Inspector #762 by an SDM (Substitute Decision Maker) and not promptly relayed to the Director by the facility. The Director of Care admitted the oversight in forwarding these complaints, reflecting a lack of prompt communication in handling grievances.

The York Region Maple Health Centre was required to develop a Voluntary Plan of Correction (VPC) to address these shortcomings, aiming to enhance the quality of care and ensure compliance with regulations.

July 2021

In this inspection report, Veron Ash led a critical incident system inspection.

This inspection, essential in ensuring compliance with care standards and resident rights, was conducted over several days, from June 29 to July 5, 2021. The inspection focused on a range of critical issues, including falls, abuse, and dignity of residents.

• Violation of Residents’ Bill of Rights: There was a failure to ensure residents’ rights to be treated with courtesy, respect, and dignity. This non-compliance was highlighted by a critical incident report where a Personal Support Worker (PSW) observed another PSW providing inappropriate personal care to a resident. The method used for personal care was not only unacceptable but also lacked insight into preserving the resident’s dignity.
• Failure to Comply with Air Temperature Regulations: The facility did not meet the requirements for measuring and documenting air temperature in resident bedrooms, as mandated by the regulation. The inspection revealed that while common areas’ temperatures were monitored, there was a lapse in documenting temperatures in at least two resident bedrooms in different parts of the home.

As a result of these findings, the licensee was required to develop Voluntary Plans of Correction (VPC) to address these issues, demonstrating the importance of adhering to established care standards and regulations to ensure the well-being and dignity of long-term care residents.