Riverbend Place (650 Coronation Boulevard, Cambridge) 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.
Riverbend Place is formerly owned and operated by Revera.
Inspection Reports for Riverbend Place
Our research team carefully reviewed and summarized inspection reports for Riverbend Place. You can read the original copies of the reports in the Government of Ontario website.
🔍 September 2023: Inspection
The inspection for Riverbend Place, conducted by Kaitlyn Puklicz, addresses critical incidents related to staff-to-resident neglect and falls prevention and management.
- Continence Care and Bowel Management: The licensee failed to provide necessary assistance for a resident’s continence care. A registered nurse (RN) found a resident upset and in need of toileting assistance, sitting in a soiled incontinence product. This incident indicated that the staff had not assisted the resident with toileting for over four hours. This neglect posed a risk of skin breakdown and emotional distress for the resident.
🔍 May 2023: Inspection
During the course of this inspection, the inspector(s) made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance.
🔍 June 2022: Inspection
The inspection for Riverbend Place, led by Janis Shkilnyk and Elaina Tso, focused on various critical incidents and complaints.
- Reporting to Director: The licensee failed to report an allegation of resident abuse to the Director immediately. This delay could have hindered the Director’s ability to respond timely to the incident.
- Head Injury Routine Reassessment: There was a failure to follow the head injury routine reassessment policy for a resident who had an unwitnessed fall. This oversight risked delaying treatment and potential worsening of the resident’s head injury.
- Communicating an Outbreak: The facility did not comply with the requirement to post an outbreak notification sign at the entrance during an acute respiratory illness outbreak. This could have led to further spread of infection.
- Infection Control Precautions: The absence of specific precaution signage on a resident’s door with an infectious disease could have led to staff not following appropriate precautions, increasing the risk of infection spread.
- Medication Management: The licensee failed to complete an accurate Best Possible Medication History (BPMH) medication reconciliation upon a resident’s admission. This failure potentially contributed to increased responsive behaviors exhibited by the resident.
- Skin and Wound Care: A lack of immediate skin and wound evaluation for a resident with altered skin integrity was noted. This failure could have impacted the treatment and healing process.
🔍 January 2022: Critical Incident Inspection
During the course of this inspection, Non-Compliances were not issued.
🔍 August 2021: Complaints Inspection
The inspection for Riverbend Place, led by inspector Janet Evans, details findings from a complaint inspection.
- Documenting Care: The licensee failed to document the care provision for two residents, particularly related to skin integrity care. This lack of documentation could hinder the review and update of interventions for timely wound healing.
- Air Temperature Monitoring: The facility did not consistently measure and document air temperatures, which could lead to risks associated with elevated temperatures for residents.
- Documenting Resident Care: The facility failed to immediately document the assessment of a resident’s wound, which could have led to the worsening of the condition without staff awareness.
- Equipment Availability: The necessary blood pressure equipment was not readily available, potentially compromising resident care.
- Responsive Behaviours Management: Staff failed to implement strategies to address a resident’s responsive behaviors according to their care plan, resulting in harm to the resident.
- Infection Prevention and Control: Staff did not consistently adhere to hand hygiene protocols, and the facility lacked clear procedures for resident hand hygiene related to meals and snacks.
The licensee was requested to develop and implement corrective plans to address these non-compliances, focusing on proper documentation, equipment availability, staff adherence to infection prevention protocols, and effective responsive behaviour strategies.