Westside Long Term Care Home (1145 Albion Road, Etobicoke) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 240 beds in private, semi-private and shared rooms.
Westside Long Term Care Home is formerly owned and operated by Revera.
Inspection Reports for Westside Long Term Care Home
Our research team carefully reviewed and summarized inspection reports for Westside Long Term Care. You can read the original copies of the reports in the Government of Ontario website.
🔍 September 2023: Inspection
The inspection for Westside Long Term Care Home focused on a variety of issues including falls prevention and management, abuse, air temperature and conditioning requirements, maintenance services, pest control, complaint handling, and plan of care adjustments. The inspection team included Cindy Ma and Rajwinder Sehgal.
- Resident-to-Resident Abuse: A critical incident of resident-to-resident physical abuse was reported, indicating a failure to protect residents from physical abuse. Despite the facility’s efforts to manage resident interactions, an altercation led to one resident sustaining injuries from another’s physical aggression, confirming a breach in ensuring a safe environment.
- Care Plan: A non-compliance issue regarding a resident’s care plan not being revised when a planned intervention was ineffective was identified and remedied before the inspection concluded. The issue involved a high-risk resident who refused to use a specialized device for fall prevention. After being notified, the Associate Director of Care promptly removed the intervention from the resident’s care plan, mitigating any further risk.
Previous compliance orders related to duty to protect, required programs for falls, and plans of care were found to be in compliance. This indicates that the facility addressed the specific issues outlined in these orders satisfactorily.
🔍 June 2023: Inspection
The inspection for Westside Long Term Care Home focused on a broad range of issues, including abuse and neglect prevention, falls prevention, and ensuring compliance with previous orders related to the care and treatment of residents. The inspection team included Nicole Ranger, Matthew Chiu and Atala Katel.
- Plan of Care: The facility failed to include the substitute decision-maker (SDM) in the development of a care plan for a resident following a fall, leading to inadequate communication and delayed treatment for the resident’s injury.
- Collaboration and Safety: Staff failed to collaborate effectively in assessing a resident’s bathing care, leading to safety concerns and neglect of the resident’s preferences.
- Transferring and Positioning: Unsafe positioning techniques were used with a resident, resulting in a fall and subsequent injury, highlighting the need for proper training and adherence to safety protocols.
- Staff Training: A significant portion of staff had not received mandatory annual training on the prevention of abuse and neglect, and on falls prevention and management, underscoring gaps in staff education and compliance with regulatory requirements.
An administrative monetary penalty of $1,100 was issued due to the facility’s repeated failure to comply with the requirement to ensure care plans include fall prevention interventions, marking a serious breach in regulatory compliance.
The report includes compliance orders to address failures in protecting residents from abuse and neglect, ensuring staff adherence to falls prevention policies, and the proper development and implementation of care plans.
The facility was found in compliance with previously issued orders.
🔍 February 2023: Inspection
The inspection for Westside Long Term Care Home addresses compliance with previously issued orders and evaluates new intakes related to resident falls, altercations, and care management issues. The inspection team included Reji Sivamangalam.
- Falls Prevention and Management: A failure was identified in implementing the falls prevention and management program as required, specifically, the lack of completion of a 72-hour fall huddle following a resident’s admission and readmission from the hospital after a fall.
- Skin and Wound Care: The facility did not complete an assessment of a resident’s surgical wound upon re-admission from the hospital, posing a risk of infection not being identified and managed appropriately.
- Continence Care and Bowel Management: An individualized plan for managing incontinence was not developed for a resident, impacting their quality of life. Additionally, there was a failure to ensure that a resident was provided with an appropriate incontinent product based on assessed needs.
- Altercations Between Residents: Steps were not taken to minimize the risk of altercations and potentially harmful interactions between residents with histories of inappropriate behaviors, placing them at risk of physical harm and injury.
A compliance order was issued regarding the infection prevention and control program, specifically targeting the training of agency staff on the proper use of personal protective equipment (PPE) and conducting audits to ensure compliance with PPE usage protocols.
The inspection confirmed compliance with a previously issued order.
🔍 October 2022: Inspection
The inspection for Westside Long Term Care Home addressed a series of critical incidents related to falls prevention and management, transfers, and abuse. The inspection was completed by Reji Sivamangalam.
- IPAC Program: Staff were observed not following required personal protective equipment (PPE) protocols, including entering and exiting a resident’s room without the required PPE, despite signage indicating droplet and contact precautions. There was also a failure to support residents in performing hand hygiene before receiving snacks.
- Falls Prevention and Management: The report found that a post-fall huddle for a resident was not completed as required, indicating a failure to implement the falls prevention and management program effectively.
- Plan of Care: There were instances where the care specified in residents’ plans was not provided, including a resident’s need for bed mobility assistance and the use of a mobility device as recommended by a physiotherapist. The report also noted failures in revising residents’ falls prevention plans when care was ineffective.
A compliance order was issued requiring the licensee to compile a list of residents with suicidal ideations, conduct bi-weekly audits for these residents to ensure their plans of care are followed, and maintain records of these audits. The order specifically addressed the need for consistency in implementing plans of care for residents at risk of falls and those requiring assistance with transfers.
🔍 July 2021: Critical Incident Inspection
During the course of this inspection, Non-Compliances were not issued.
🔍 June 2021: Complaints Inspection
The inspection for Westside Long Term Care Home was focused on addressing a complaint.
- Complaint Handling: The licensee failed to effectively handle, investigate, and resolve complaints within the required timeframe. This included not providing a response to the complainant within 10 business days of receipt of the complaint.
- Minister’s Directive on COVID-19 Protocols: The home did not adhere to the “Minister’s Directive: COVID-19: Long-Term Care Home Surveillance Testing And Access to Homes,” specifically regarding temperature checks of visitors. This failure posed a risk of COVID-19 exposure to residents.
- Forwarding Complaints to the Director: There was a failure to forward a written complaint concerning the care of a resident or the operation of the home to the Director immediately as required.
The licensee was requested to prepare a Voluntary Plan of Correction (VPC) for achieving compliance with complaint handling procedures and directives related to COVID-19.
🔍 May 2021: Critical Incident Inspection
The inspection for Westside Long-Term Care Home involved a comprehensive review of various aspects of care and safety protocols at the facility. The inspection was completed by Helene Desabrais and Ali Nasser.
- Plan of Care: A significant issue identified was the failure to provide care as specified in the residents’ care plans. A specific incident involved a Personal Support Worker (PSW) not applying necessary interventions, leading to a resident’s injury and subsequent hospitalization.
The licensee was requested to prepare a written plan of correction to ensure that the care set out in the plans of care is provided to residents as specified.
🔍 February 2021: Complaints Inspection
The inspection for Westside Long-Term Care Home focused on accommodation services, dining, pest control, and resident care. The inspection was completed by Praveena Sittampalam.
- Accommodation Services: The home did not maintain clean and sanitary conditions, nor was it in a good state of repair. Observations included unclean floors, debris, sticky surfaces, and damage to various parts of the facility, such as holes in walls, chipped nursing stations, and damaged door frames.
- Pest Control: The facility failed to implement an effective preventive pest control program, leading to sightings of cockroaches in resident rooms and common areas. There was no comprehensive plan to address pest issues, especially in resident rooms, and the pest control logs lacked detailed actions taken.
- Plan of Care: Specific incidents were noted where the care outlined in the resident’s plan was not provided as required. In one case, a resident was not monitored correctly while eating, posing a choking risk, and in another, a resident was not positioned properly while being assisted with their meal.
The home received several compliance orders, including ensuring cleanliness and maintenance of the facility, implementing a preventive pest control program, and adhering to the resident’s care plans.
The facility was also ordered to prepare and submit plans to rectify these issues, including audits for cleanliness, repairs, pest control measures, and adherence to resident care plans.
🔍 February 2021: Critical Incident Inspection
The inspection for Westside Long-Term Care Home reviewed several critical incidents related to falls, alleged neglect, and hypoglycemia requiring hospital transfer. The inspection was completed by Praveena Sittampalam and Iana Mologuina.
- Safety and Security: The home failed to ensure a safe and secure environment for a resident who was found on the floor in the dining room, with the room’s door closed and lights off. The incident raised concerns about the security protocols, as the doors should have been locked, and rooms checked after meals.
- Documentation of Care Plan: The care provision outlined in a resident’s plan was not adequately documented. Despite medication administration records indicating completed health assessments, these were not recorded in the resident’s progress notes for several shifts.
- Critical Incident Reporting: The facility did not inform the Director within the required 10-day period about the analysis and follow-up actions of an incident where a resident’s clinical status changed, leading to hospitalization.
The home is requested to prepare a plan for achieving compliance to ensure a safe and secure environment for its residents.