Simcoe Manor (5988 8th Line, Main Street East, Beeton) is a nursing home that is owned and operated by Simcoe County. There are approximately 130 beds.
Inspection Reports for Simcoe Manor
Our research teamcarefully reviewed and summarized inspection reports for Simcoe Manor. You can read the original copies of the reports in the Government of Ontario website.
November 2023: Inspection
The report includes both onsite (November 6-10, 14, 16, 2023) and offsite (November 15, 2023) inspections.
- Integration of Assessments, Care Planning, and Implementation: The home failed to ensure collaborative development and implementation of a resident’s care plan, particularly in relation to changes in the resident’s condition and risk for falls. This lack of collaboration may have contributed to an incident where the resident sustained an injury.
- Documentation of Interventions: There was a failure to document interventions under the Infection Prevention and Control, Nursing, and Pain Management programs, as well as the residents’ responses to these interventions. This included not documenting isolation precautions, monitoring, use of assistive devices, and pain management, which potentially compromised the consistency and effectiveness of care provided.
- Handling of Complaints: The home did not comply with regulatory requirements for responding to complaints. Specifically, they failed to provide the Ministry’s toll-free number and contact information for the patient ombudsman, as well as an explanation of actions taken to resolve the complaint about resident care. This could prevent complainants from accessing necessary resources and understanding the home’s response to their concerns.
May 2023: Inspection
The report, issued on May 18, 2023, outlines the findings of an inspection that took place on May 4, 5, 9-12, 15, and 16, 2023.
- Prevention of Abuse and Neglect: The licensee was found to be non-compliant in ensuring protection from emotional abuse by a Personal Support Worker (PSW). A resident had requested assistance which the PSW ignored, causing emotional distress to the resident. The resident expressed concern about being cared for by the same PSW again and the potential for other residents to be treated similarly.
The inspection also followed up on previous compliance orders. All orders were found to be in compliance.
March 2023: Inspection
The report details an inspection at Simcoe Manor. Conducted between February 6 and February 27, 2023, this inspection addressed multiple complaints and critical incidents.
- Infection Prevention and Control: Non-compliance was noted in daily monitoring of residents for COVID-19 symptoms. A review revealed lapses in completing Point of Care Risk Assessments (PCRA) and Treatment Administration Records (TAR), raising concerns about missed COVID-19 symptoms and potential risks to other residents.
- Skin and Wound Care: The facility failed to conduct weekly reassessments of skin integrity for residents after incidents, impacting potential treatment and increasing harm risk.
- Foot and Nail Care: Non-compliance was identified in providing regular toenail cutting, leading to discomfort and infection risk for a resident.
- Behaviors and Altercations: The licensee was ordered to develop a staffing plan addressing interventions for a resident’s behaviors, after observing the resident entering other residents’ beds, indicating a lack of adequate intervention and risk to others.
- Infection Prevention and Control: The facility was ordered to assess and document baseline symptoms for a resident with COVID-19 and to ensure immediate action in isolating symptomatic residents. An incident was noted where a resident, later testing positive for COVID-19, was not isolated promptly, leading to an outbreak and a related death.
August 2022: Inspection
The report details an inspection conducted at Simcoe Manor. The inspection focused on a complaint related to admissions, continence, nutrition, and skin and wound care.
- Skin and Wound Care: The facility failed to ensure weekly reassessment of a resident’s skin breakdown by a registered nurse. This lapse in assessment posed a risk of harm due to potential delay in treatment if the skin breakdown was worsening.
- General Requirements for Programs: There was non-compliance in documenting interventions for skin and wound care. Despite the application of a medicated cream as required, staff failed to document this treatment accurately. This issue presented a low risk to the resident but highlighted a lapse in tracking and documentation.
- Plan of Care: The care plan failed to provide clear directions for applying a medicated ointment and a different cream for a specific area of skin breakdown. The lack of detailed instructions in the care plan led to confusion among Personal Support Worker (PSW) staff, resulting in the incorrect application of treatments. This mismanagement posed a risk of harm, potentially exacerbating the resident’s skin condition.
September 2021: Complaints Inspection
During the course of this inspection, Non-Compliances were not issued.
September 2021: Critical Inspection
During the course of this inspection, Non-Compliances were not issued.
March 2021: Critical Incident Inspection
The inspection report documents a Critical Incident System inspection at Simcoe Manor. The primary focus was an allegation of abuse involving a resident.
A staff member reported to the Action Line that a resident had alleged abuse by a staff member. However, the home’s administration was not informed of this allegation until two weeks later when notified by a Ministry of Long-Term Care Homes Inspector.
The facility’s “Resident Safety and Abuse” policy mandates that any employee aware or suspecting abuse must ensure resident safety, document details promptly, inform administrative staff, and participate in the investigation. The failure to report the alleged abuse to the home’s administration delayed the initiation of an investigation, potentially putting residents at risk of harm.
The licensee was requested to prepare a written plan of correction to ensure compliance with the policy, particularly regarding actions required upon awareness of an abuse allegation.
January 2021: Complaints Inspection
During the course of this inspection, Non-Compliances were not issued.