Sheridan Villa (2460 Truscott Drive, Mississauga) is owned and operated by Peel Region. There are approximately 140 beds.
Inspection Reports for Sheridan Villa
Our research team at Caring Magazine carefully reviewed and summarized inspection reports for Sheridan Villa. You can read the original copies of the reports in the Government of Ontario website.
January 2023
The inspection was led by inspector Joy Ieraci, with support from inspector Cindy Ma.
The inspection, which took place from January 4 to 13, 2023, focused on various critical incidents including medication errors and falls, and utilized protocols such as Infection Prevention and Control, Medication Management, and Falls Prevention and Management.
- Door Security: The facility failed to keep doors to non-residential areas locked. This issue was remedied on January 5, 2023.
- Administration of Drugs: The facility did not administer medication as prescribed, leading to a change in the resident’s health status. This reflected a gap in adherence to the prescriber’s instructions.
- Medication Management System: The facility failed to follow its medication reconciliation policy during a resident’s readmission, risking medication errors.
- Infection Prevention and Control Program: The facility had several lapses in IPAC standards, including improper use of PPE, failure to support resident hand hygiene before meals, and inadequate hand hygiene practices by staff.
March 2022
In the first of two inspections, a Critical Incident System inspection was carried out from March 14-18, 2022. The inspection, led by inspector Rodolfo Ramon, assessed a fall incident and reviewed the facility’s infection prevention and control practices, as well as personal support services.
The facility was found to be non-compliant with hygiene protocols. Specifically, staff members, including a Personal Support Worker (PSW #100) and a Registered Practical Nurse (RPN #102), were observed not adhering to hand hygiene protocols. These lapses occurred during feeding and medication administration to residents, contrary to the home’s own hand hygiene policy, which mandates hand hygiene between each resident contact.
The inspector observed the aforementioned breaches in IPAC protocol and discussed these with the staff involved and the IPAC lead. Both PSW #100 and RPN #102 acknowledged their failure to follow proper hand hygiene practices as per the home’s IPAC program.
In the second of two inspections, no compliance issues were found.
November 2021
In the first of two inspections, a Critical Incident System inspection was carried out from October 4 to November 3, 2021. The inspection, led by Inspector Derege Geda, focused on various issues including unexpected resident death, medication management, responsive behavior, fall prevention and management, and the prevention of abuse and neglect.
- Non-Compliance with Safety and Security: The facility did not ensure a safe and secure environment for residents, specifically regarding the timely execution of diagnostic testing and hospitalization for resident #001, and a medication incident involving resident #003.
- Advanced Care Directive Not Followed for Resident #001: The plan of care specified a particular intervention for resident #001 if their health condition changed. However, this intervention was not provided as the resident’s health declined.
- Delayed Medical Testing and Treatment: Both diagnostic tests ordered for resident #001 were not conducted in a timely manner, leading to a delay in necessary medical treatment.
- Medication Incident Involving Resident #003: A medication prescribed to resident #003 led to an adverse drug reaction. The prescriber did not consult with a physician or pharmacist about the risks, nor was the family adequately informed.
- Plan of Care: The facility failed to provide care as specified in the plan for resident #001. Additionally, for resident #002, the facility did not effectively revise the plan of care or consider different approaches when previous care was ineffective.
The facility was requested to prepare a written plan of correction to address the non-compliance issues identified, focusing on ensuring the safety and security of residents, and the effectiveness of the care plans.
In the second of two inspections, no compliance issues were found.
November 2020
During the course of this inspection, Non-Compliances were not issued.
July 2020
During the course of this inspection, Non-Compliances were not issued.
February 2020
The inspection, conducted by Inspector Simar Kaur, focused on a Critical Incident System inspection carried out from February 4 to 12, 2020. The inspection primarily addressed allegations of staff to resident abuse.
- Non-Compliance with Resident Protection: The facility failed to protect resident #002 from abuse. The report detailed an incident where a Personal Support Worker (PSW #107) allegedly caused pain to resident #002 during care, constituting physical abuse. The resident reported discomfort and fear towards the PSW, and police were notified. The PSW received a suspension and education regarding residents’ rights.
- Fingernail Care: The facility failed to provide adequate fingernail care to resident #001. Observations indicated that the resident’s fingernails were long, sharp, and unclean, contradicting their care plan, which specified that fingernails should be kept short and clean. The difficulty in providing care due to the resident’s responsive behaviors was noted. The DOC acknowledged that a collaborative approach was needed for such care.
The facility was requested to prepare a written plan of correction to address these non-compliance issues, focusing on protecting residents from abuse and ensuring proper personal care, like fingernail cutting.