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Central Okanagan Hospice House

2035 Ethel St Kelowna BC V1Y 2Z6 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

Central Okanagan Hospice House has been inspected 6 times by Interior Health Authority since May 29, 2015. The most recent inspection, on May 23, 2025, recorded 1 infraction.

None of the 6 inspections on record were free of infractions. No inspections are on record from the past 12 months. All recorded findings relate to upkeep, equipment or paperwork rather than direct health risks.

Recent inspections have recorded fewer infractions than earlier ones, so the record is improving.

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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 11 times across 6 separate inspections, most recently on May 23, 2025. For example: 1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?

  • 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 3 times across 3 separate inspections, most recently on August 10, 2017. 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 7 times across 4 separate inspections, most recently on October 17, 2023. For example: 3 - Does the facility demonstrate appropriate outbreak prevention and control measures?

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.

6 inspections

  1. Routine Inspection

    1 infraction

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): May 23, 2025 Contravention - The Licensee does not have a system in place to ensure that a change of manager is reported to Licensing. This was discussed with the previous manager during the 2023 routine inspection as manager changes had not been reported in the past. The current manager was in place as of April 2024 and Licensing was unaware of this change until following up on an incident report in October 2024. When Licensing is not notified of a change in manager, including new contact information, it may delay Licensing's ability to follow up on any concerns that may arise. The Licensee is to submit a Compliance Plan by June 13, 2025 detailing the system that will be put into place to ensure all future manager changes will be promptly reported to Licensing including a plan for monitoring to ensure ongoing compliance.
      • R1.1E - Notify licensing if the manager resigns or expects to be absent for at least 30 consecutive days; 8( 3 )(a)
  2. 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): October 17, 2023 Contravention – RCR 85(2)(b) - It was noted during the inspection that the Licensee does not have a system in place to ensure that all employees are orientated to the Residential Care Regulation. During the inspection the Manager discussed a plan for ensuring this orientation.
      • 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)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): October 17, 2023 Contravention – RCR 63(1) – It was noted during the inspection that the Licensee does not have a system in place to ensure food is safely prepared, served, stored and/or handled in personal fridges that are in each person in care’s room. This was noted during the previous inspection. During the inspection the Manager discussed actions that will be taken to correct this contravention.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 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): October 17, 2023 Contravention - RCR 81(3)(b) – It was noted during the inspection that the Licensee does not have a system in place to ensure that oral care plans are included in the persons in care’s care plans. During the inspection the Manager reported that this will be promptly remedied so that directives are in place to guide all employees in the provision of person specific oral care.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
  3. Routine Inspection

    3 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The manager name was removed from a door and is no longer on display.
      • 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)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The effectiveness of PRN's are not consistently recorded.
      • R3.1X - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Small refrigerators are available in each bedroom. There is no system in place to monitor that foods are safe.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  4. Monitoring

    7 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): August 10, 2017 -The facility does not have a system in place to ensure that Residential Care Regulation requirements are posted. It was noted during inspection that the manager's name was not posted, that the Bill of Rights were not posted, and that the most current inspection record was not posted.
      • 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)
      • 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)
      • R1.1Y - Display the rights of adult persons in care in a prominent place and in a form acceptable to the minister; Act 7( 1 )(c.1)(i)(ii)
    • RB1.17 - Is the most recent routine inspection report displayed in a prominent place? (does not apply to Child and Youth Residential or Community Living)
      • Observation(s): Please refer to report.
      • RB1.17A - Post the most recent routine inspection in a prominent place.
    • RB1.19 - Are rights of adult persons in care displayed in a form and in the manner acceptable to the minister?
      • Observation(s): Please refer to report.
    • RB1.21 - Are rights of persons in care prominently displayed in the facility?
      • Observation(s): Please refer to report.
      • RB1.21A - Display prominently the rights of persons in care.
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): August 10, 2017 -It was noted that the facility does not record height and weight of persons in care upon admission. The facility has submitted an exemption request for this in the past. The last exemption expired in 2015. The Manager reported that an exemption request will be submitted.
      • R4.1A - Record the height and weight of each person in care on admission; 49 ( 2 )
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): August 10, 2017 -It was noted during inspection that the facility did not have a system in place to ensure the safe storage of refrigerated medications. The facility reported during inspection that a plan will be put into place to monitor and log the medication refrigerator temperatures.
      • R7.1AJ - Provide appropriately furnished and equipped areas for the safe and secure location of medications and the records of persons in care; 35( 1 )(b)
    • 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): August 10, 2017 The facility's system to ensure that care plans are in compliance with the Residential Care Regulation is ineffective. -It was noted during inspection that oral care plans are missing from the care plans. The Manager reported that the facility is in the process of putting a formal chart/care plan audit system into place.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
  5. Monitoring

    3 infractions

    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): On medication administration records and in nurse progress notes, the reason and effectiveness for PRN (as needed) medication administration is not being recorded consistently.
      • Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): Multiple person in care's care plans were missing information which could be used to identify them in cases of emergency.
      • Keep for each person a record showing information by which the person in care may be described or identified in an emergency, including a photograph; 78( 1 )(d)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Hot water temperature accessible to persons in care tested to exceed 49 degrees Celsius at many sources throughout the building. It was noted that door frames throughout the facility are scuffed and damaged. This is a re-occurring infraction from the last two monitoring inspections. The corner seams in the shower surround in one person in care room are missing some caulking. Small refrigerators in the nurses stations containing medications were left unsecured. Also, medication was observed in an unlocked cupboard in one nurses station (valuables cupboard).
      • Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Ensure all medications are safely and securely stored; 69( 3 )(a)
  6. Monitoring

    4 infractions

    • 19 - Are rights of adult persons in care displayed in a form and in the manner acceptable to the minister?
      • Observation(s): Refer to report.
    • 21 - Are rights of persons in care prominently displayed in the facility?
      • Observation(s): Refer to report.
    • 1.1 Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): May 29, 2015 -It was noted that the Bill of Rights was not posted. It was reported by the manager that the Bill of Rights had been posted at the front desk, and would be replaced immediately.
      • Display the rights of adult persons in care in a prominent place and in a form acceptable to the minister; Act 7( 1 )(c.1)(i)(ii)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): OUTSTANDING from May 6, 2014 - It was noted that the wainscoting ledges/handrails required cleaning. - It was noted that door frames throughout the facility are scuffed and damaged. - It was noted that cupboards containing cleaning agents were not locked and were accessible to Residents. - It was noted that medication in one Resident's room was not stored in a safe, secure location. NEW INFRACTIONS from May 29, 2015 - It was noted that it was not posted that video surveillance was in place. It was demonstrated by the manager where the posting had been situated, and that it would be replaced immediately. - It was noted that a key was in a lock in a cupboard under a sink and potentially hazardous materials were accessible to Residents. THIS WAS CORRECTED DURING THE INSPECTION. - It was noted that the Resident's rooms did not contain a safe, secure place to store "valuable personal property" if so desired.
      • Display a notice in a prominent place if electronic surveillance is being used to transmit or record images of persons in care or members of the public; 19 ( 23 )
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • Provide bedroom furnishings including a safe, secure place to store valuable property at no cost to persons in care; 29( 1 ) (a)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)

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