Mon Sheong Scarborough Long Term Care Centre (2030 McNicoll Avenue, Scarborough) is operated by Mon Sheong Foundation (孟嘗會), a Canadian charity to support the Chinese-Canadian community. There are approximately 160 beds.
Inspection Reports for Mon Sheong Scarborough
Our research teamcarefully reviewed and summarized inspection reports for Mon Sheong Scarborough You can read the original copies of the reports in the Government of Ontario website.
October 2023
The inspection, led by Amandeep Bhela with additional assistance from Maria Paola Pistritto, took place over several days in October 2023, both onsite and offsite.
The inspection focused on various areas, including skin and wound management, continence care, resident support services, medication management, infection prevention and control, prevention of abuse and neglect, and resident charges and trust accounts.
- Infection Prevention and Control (IPAC): The facility failed to maintain records of IPAC education, including details of the educator, date, staff attendees, and content. Furthermore, daily audits required as part of a previous Compliance Order were not completed for the stipulated two-week minimum.
- Inadequate Quarterly IPAC Audits: The inspection revealed incomplete quarterly IPAC audits when the facility was not in an outbreak, contravening the Minister’s Directive.
Due to the non-compliance, an AMP of $1,100 was issued, with payment due within 30 days. The facility is reminded that AMPs must not be paid from resident-care funding envelopes provided by the Ministry.
August 2023
The inspection, conducted by Lead Inspector Rexel Cacayurin with additional inspectors Jennifer Brown and Reethamol Sebastian, took place over multiple days in July 2023.
The inspection covered a range of issues including allegations of staff to resident abuse and neglect, responsive behavior, improper care of a resident, and issues related to falls.
- Dining and Snack Service: Non-compliance was noted in the proper techniques and safe positioning of a resident during eating. A Critical Incident Report highlighted a case where a resident was found improperly positioned by a family member, posing a choking risk.
- Residents’ Bill of Rights: The center failed to respect a resident’s lifestyle and choices in personal care. An incident where a Personal Support Worker (PSW) continued care without consent, resulting in injury, was noted.
- Policy to Promote Zero Tolerance: Non-compliance was observed in adhering to the policy of zero tolerance of abuse and neglect, specifically related to the delay in transfer assistance by a PSW.
A compliance order was issued for non-adherence to infection prevention and control standards. This included providing education on Personal Protective Equipment (PPE) usage and conducting daily audits in specific areas.
April 2023
The inspection was led by Ana Best, accompanied by additional inspectors Reethamol Sebastian and Lucia Kwok, and took place over several days in March 2023.
The team focused on various issues, including staff-to-resident physical abuse, falls, and other critical areas impacting resident care and safety.
- Policy to Promote Zero Tolerance: An incident involving a Personal Support Worker (PSW) not treating a resident with dignity and respect highlighted a breach of the home’s abuse policy.
- Transferring and Positioning Techniques: There was an allegation of physical abuse towards a resident by a PSW, involving incorrect transfer techniques.
- Falls Prevention and Management: Equipment and devices outlined in a resident’s care plan for fall prevention were not adequately in place or functioning.
- Infection Prevention and Control Program: A failure to adhere to mask-wearing protocols indicated non-compliance with Infection Prevention and Control (IPAC) standards.
August 2022
The inspection, led by Asal Fouladgar and supported by Amandeep Bhela, was carried out over several days in July and August 2022.
The inspection covered critical incidents, follow-ups, and intakes related to previously issued compliance orders. The key focus areas included Infection Prevention and Control (IPAC), Prevention of Abuse and Neglect, and Safe and Secure Home.
- Infection Prevention and Control: The inspection revealed that staff members, including a Personal Support Worker (PSW) and a Registered Practical Nurse (RPN), were not adhering to the home’s IPAC program, specifically not wearing required eye protection in Resident Home Areas (RHAs).
- Investigation and Response to Abuse: The home failed to immediately investigate a resident’s claim of being hit by someone, which was a violation of the Long-Term Care Homes Act, 2007.
- Door Security in the Home: Several doors, such as the soiled room, clean room, equipment room, and spa room, were found unlocked and propped open, posing safety risks to residents.
The home was found to be in compliance with previous orders related to residents’ rights and care plans.
May 2022
This inspection, led by Diane Brown and conducted from February 3 to February 14, 2022, aimed to assess a critical incident related to a fall and to conduct an Infection Prevention and Control Inspection. The inspection also included a concurrent Complaint inspection.
The inspection did not result in any Non-Compliances being issued.
March 2022
The inspection, led by Diane Brown, focused on addressing complaints and evaluating the facility’s adherence to required care practices.
The inspection, conducted in early February 2022, centered on investigating specific complaints logged. These complaints were related to fall prevention concerns within the facility.
The report indicates several non-compliance issues, leading to the issuance of four Written Notifications (WNs) and two Compliance Orders (COs).
- Dressing of Residents: There were instances where residents were not dressed in a dignified manner, particularly at night, which led to a compliance order (Order #001) mandating immediate corrective actions.
- Safety and Security: The inspection identified safety risks related to how residents were dressed, potentially increasing their risk of falls (Order #002). The facility was ordered to immediately stop certain practices and educate staff on safe patient handling and fall prevention.
February 2021
The purpose of this inspection was to conduct a Critical Incident System
inspection. The inspection was conducted by Jack Shi.
The licensee failed to ensure that PSW #106 and 107 followed the home’s infection prevention and control (IPAC) program.
An observation was made with PSW #106 and they were seen providing care to a resident. The PSW was then seen going to the nursing station without performing any hand hygiene in between. The PSW told the inspector that they should have performed hand hygiene after they finished their care with the resident.
PSW #107 was seen assisting a resident with their snack and then moved onto another resident and assisted them. The PSW was not observed performing any hand hygiene in between the two resident’s care. The PSW acknowledged that they should have performed hand hygiene in between the care of these two residents.
October 2020
During the course of this inspection, Non-Compliances were not issued.