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Braemore Lodge

2402 S Main St Penticton BC V2A 5H9 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

Braemore Lodge has been inspected 9 times by Interior Health Authority since February 5, 2016. The most recent inspection, on January 7, 2026, recorded 1 infraction.

None of the 9 inspections on record were free of infractions. In the past 12 months there was 1 inspection with 1 infraction recorded. All recorded findings relate to upkeep, equipment or paperwork rather than direct health risks.

Recent inspections have recorded more infractions than earlier ones, so it is worth reading the latest reports closely.

What these findings mean

Health authorities word their findings differently, so we group them by what they mean for the people in care. Higher-risk findings are the ones that could directly make someone sick, and they matter more here because young children, older adults and people who are unwell are more vulnerable to infection.

  • Permits, records and postingLower risk

    Operating permits, required signage, written procedures and logs. These findings are administrative: the documentation was missing or out of date at the time of inspection.

    Recorded 16 times across 6 separate inspections, most recently on January 19, 2024. For example: 1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?

  • Equipment and utensilsLower risk

    Equipment has to be made of cleanable materials, kept in good repair and stored properly. These findings are mostly about upkeep, like a cracked surface or worn part. They are generally lower risk but show how well the place is maintained.

    Recorded 5 times across 5 separate inspections, most recently on January 7, 2026. For example: 1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?

  • Other findingsLower risk

    Findings that do not fit the categories above, such as follow-ups that confirm an earlier violation was corrected, or requirements specific to this type of facility.

    Recorded 8 times across 5 separate inspections, most recently on January 19, 2024. For example: 2 - Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?

About this data

These results come from Interior Health Authority, which inspects food premises and other public facilities in this area. We republish the authority's public disclosure data and refresh it regularly; the official record is the final word.

9 inspections

  1. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Shower room accessible to persons in care contained an unsecured razor. Unsecured hazardous items pose a significant risk of harm and injury to persons in care. Please submit a corrective action plan by January 23, 2026, advising how all areas accessible to persons in care will contain secure and safe storage for hazardous materials
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  2. Routine Inspection

    4 infractions

    • R6.2 - Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): Licensing Officer observed three person in care's charts, one was missing TB screening.
      • R6.2A - Ensure that all persons admitted comply with the Province’s immunization and tuberculosis control programs; 49 ( 1 )
    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): Licensing Officer observed Medication Administration Records (MARs) where the Pro Re Nata (PRN) medication effectiveness was not being charted as per policy.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Licensing Officer did not see a breakfast or lunch menu during the inspection. Breakfast is served with various foods but with no record of which food options are served. Lunch is served through a meal program but documentation indicating compliance with the Regulation on various weekend days was absent.
      • R5.1C - Provide for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups described in Canada's Food Guide; 62( 2 )(a)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Licensing Officer observed three care plans, two of which did not contain a recreational and leisure care plan.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  3. Routine Inspection

    7 infractions

    • R6.1 - Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
      • Observation(s): During the inspection three persons in care charts were reviewed and one of the charts did not comply with the Province's immunization program.
      • R6.1A - Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): During the inspection it was noted that the manager's name was not displayed.
      • R1.1N - Prominently display in an acceptable manner, the licence, any terms or conditions, and the name of the manager. (Does not apply to Child and Youth Residential or Community Living); 11( 1 )(a), Act 7( 1 )(c)
    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): The licensee's system for ensuring that employees follow policies and procedures for the monitoring of the fridge temperature was noted to be ineffective. During the inspection seven checks were missing for one fridge and six checks were missing for a second fridge.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): The licensee's system for ensuring that monthly weights are recorded was noted to be ineffective.
      • R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
    • R4.4 - Are records kept on each employee with the necessary requirements?
      • Observation(s): The licensee's system for ensuring that staff training records are kept and available for review was noted to be ineffective. During the inspection it was noted that the licensee was unable to locate staff records related to naloxone training.
      • R4.4D - Keep a record of any employee performance reviews and any attendance at continuing education programs; 86(d)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The licensee's system to ensure secure storage of cleaning agents was noted to be ineffective. During the inspection two bottles of cleaner were found to be left out in an areas where persons in care are able to access.
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): The licensee's system to ensure that the oral health care plan requirements of the legislation are met was found to be ineffective. During the inspection four charts of persons in care were reviewed, two of these charts were found to have no oral care plan.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
  4. Routine Inspection

    3 infractions

    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): Licensing Officer (LO) reviewed four charts of persons in care. During this review, LO observed seven instances of policies not being implemented by employees. This included one chart with a Kardex not being completed, one chart with an Admission/Separation form not completed, one chart with a Financial Admission from not completed, two charts did not have a Food and Nutrition form completed, two charts did not have two staff signatures on the valuables form, and four charts did not have the Braemore Lodge Admission checklist completed. One chart had a Medication Administration Record filed that belonged to another person in care, but this was corrected during the inspection. Licensing Officer observed an orientation checklist that did not contain an orientation to the Residential Care Regulation or the Community Care and Assisted Living Act, although this was corrected during the inspection. Comment: Licensing Officer observed instances where the PRN medications were not charted as per policy. Team Lead informed Licensing during the inspection that it was recognized by Leadership and they were already formulating a plan to correct this.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
      • R2.1T - Ensure there are written policies and procedures for orientation of new managers and employees, including all policies and procedures of the facility, the regulations and the Act; 85( 2 )(b)
    • R4.6 - Are facility records current and complete?
      • Observation(s): Licensing Officer reviewed two facility policy binders that contained outdated information.
      • R4.6L - Ensure all records are current; 91( 1 )(a)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Licensing Officer observed the facility menu which did not contain two daily snacks.
      • R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
  5. Routine Inspection

    8 infractions

    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): Contravention: The Licensee has submitted to Licensing no incident reports in 2021, one in 2020, and none in 2019. During the inspection, Licensing Officer found four incidents that were reportable to Licensing but had not been submitted.
      • R4.5D - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): Contravention: Licensing Officer observed the bottom of the bathtubs and showers used by persons in care did not have a slip resistance material.
      • R7.2P - Ensure bathrooms have slip resistant material on the bottom of each bathtub and shower; 30(b)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): Contravention: The most recent inspection record was not displayed in a prominent place during the inspection. Contravention: Licensing Officer observed multiple facility policies that were not followed by staff and there were also three physical environment contraventions; please see R2.1, R6.3, R7.1, and R7.2 for further information. Due to these contraventions, there does not appear to be regular monitoring of the physical environment and the care and services provided.
      • R1.1O - Display, in a prominent place in the facility, the most recent routine inspection record. (Does not apply to Child and Youth Residential or Community Living); 11( 1 )(b)
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): Contravention: It was identified during the inspection that prior to admission, the Licensee was not advising the person or their representative on how they may express concerns or complaints to Licensing. Contravention: Licensing Officer observed multiple policies that were not being implemented by employees. This included vitals not being recorded on a chart, prescribe as needed medication effectiveness not being recorded on the Medication Administration Record, documentation on a Medication Administration Record being done in pencil, an admission checklist form not being completed, waiver forms in charts not being completed, and an admission history for aggressive/responsive behaviors not being completed.
      • R2.1C - Prior to admission, advise how the person, their parent or representative may express concerns or make complaints to licensing; 48( 1 )(c)(i)
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Contravention: Licensing Officer observed the weekly snack menu that included a snack with only one food group.
      • R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Contravention: A fridge containing food for consumption by the persons in care was not being monitored for temperature.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Contravention: Licensing Officer found the water temperature in one of the persons in care's rooms to be 52 degrees Celsius.
      • R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Contravention: Licensing Officer observed care plans to be missing information on elopement as per Residential Care Regulation 81(3)(f). Contravention: Licensing Officer observed a care plan that had not been updated since 2019. Contravention: Licensing Officer observed two instances where contradictory information was present in care plans.
      • R10.3G - Ensure the care plan for persons at risk of leaving the facility includes a plan to prevent the person in care from leaving and if the person leaves without notification, a plan to locate the person in care; 81( 3 )(f)(i)(ii)
      • R10.3K - Review and, if necessary, modify each care plan if there is a substantial change in the circumstances of the person in care, or at least once a year, to ensure it continues to meet the needs, preferences, and is compatible with the abilities of the person in care; 81( 4 )(b)(i)(ii)
      • R10.3M - Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person's care plan; 82
  6. Routine Inspection

    2 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): - Observed a bedroom mattress with a surface area that has deteriorated and worn through the mattress cover. Four of the sixteen mattresses have been replaced at this time. - Fabric covered chairs noted throughout the facility are stained and are reported to be difficult to clean from spills. It was noted in the closing comments of the May 25, 2018 inspection report that this furniture was going to be replaced.
      • R7.2N - Ensure furniture and equipment for use by persons in care are maintained in a good state of repair; 21(c)
      • R7.2O - Furniture and equipment for use by persons in care must be maintained in a safe and clean condition; 21(d)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The licence is posted on a back wall of the locked office area.
      • R1.1N - Prominently display in an acceptable manner, the licence, any terms or conditions, and the name of the manager. (Does not apply to Child and Youth Residential or Community Living); 11( 1 )(a), Act 7( 1 )(c)
  7. Monitoring

    1 infraction

    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): Upon review of person in care's records, it was noted that written consent to contact a physician or ambulance in cases of accident or illness is not in place at this time.
      • R4.1I - Have and keep written consent from the person in care, or a parent or representative to call a medical or nurse practitioner or ambulance in case of accident or illness; 78( 3 )(a)
  8. Monitoring

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Hot water temperature tested and measured to be between 55 and 56 degrees Celsius. Manager indicated she would speak to the maintenance person and have this addressed immediately.
      • R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
  9. Monitoring

    2 infractions

    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Personal care products (bar soap, shampoos and conditioners) were found to be accessible to all persons in care in shower rooms throughout the facility.
      • Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Minor repairs to walls, doors and mouldings required throughout the facility.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)

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