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Highland Manor - Mental Health

1232 W 15th Ave, Vancouver BC V6H 1R8 · Mental Health

Official record from Vancouver Coastal →

Inspection summary

Highland Manor - Mental Health has been inspected 9 times by Vancouver Coastal Health since May 14, 2021. The most recent inspection, on September 3, 2026, recorded 3 infractions.

2 of 9 inspections on record found no infractions at all. In the past 12 months there was 1 inspection with 3 infractions recorded. The higher-risk findings here relate to: Chemicals and toxic substances.

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 your health. Higher-risk findings are the ones inspectors treat as critical, because they can directly make someone sick.

  • Chemicals and toxic substancesHigher risk

    Cleaning products, disinfectants and pesticides must be labelled and stored safely, away from food and from surfaces people touch. Inspectors flag chemicals that could contaminate food or harm people, as well as pest treatments applied without proper supervision.

    Recorded once on September 3, 2026. For example: There are secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials [RCR Sec 35(1)(c)]

  • 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 12 times across 5 separate inspections, most recently on September 3, 2026. For example: The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]

  • Building, plumbing and upkeepLower risk

    Floors, walls and ceilings must be clean and in good repair, with working lighting, ventilation, plumbing, hot and cold water, and washrooms. These are rarely an immediate health risk on their own, but persistent problems can lead to pest or sanitation issues.

    Recorded 5 times across 4 separate inspections, most recently on April 23, 2024. For example: Bathrooms have slip resistant material on the bottom of bathtub(s) and shower(s), [RCR Sec 30(b)]

  • 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 2 times across 2 separate inspections, most recently on August 20, 2025. For example: Expired medication is returned to the dispensing pharmacy as required [RCR Sec 72(b)]

About this data

These results come from Vancouver Coastal Health, 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

    3 infractions

    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • Self-administration of medication has been approved by the MSAC and the practitioner who ordered the medication, and is included in the care plan [RCR Sec 70(4)]
      • Self-administration is not approved by the MSAC.
      • Self-administration is not approved by the medical practitioner or nurse practitioner who prescribed or ordered the medication.
    • There are secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials [RCR Sec 35(1)(c)]
  2. Routine

    2 infractions

    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
      • Does not include a recreation and leisure plan.
    • Expired medication is returned to the dispensing pharmacy as required [RCR Sec 72(b)]
  3. Routine

    6 infractions

    • For each person in care, there is a record showing the date of admission, and the consent to be admitted or to continue to be accommodated. [RCR Sec 77.1(1)(a)(b)]
      • No record of the consent for that person(s) in care to be admitted.
    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
      • Does not include behavioural intervention, if applicable.
      • Does not include an oral health care plan.
      • Does not include a recreation and leisure plan.
    • Monthly weights are taken and recorded, if missing, the reason is documented. [RCR Sec 83(4)(a),(5)(a)]
      • Monthly weights are not taken.
      • The reason for the monthly weight missing is not recorded.
    • Furniture and equipment meets the needs, of the persons in care, are compatible with the health safety and dignity, are well maintained, and clean. [RCR Sec 21]
      • Furniture is not maintained in a good state of repair.
    • Bathrooms have slip resistant material on the bottom of bathtub(s) and shower(s), [RCR Sec 30(b)]
    • Height and weight of each person in care is recorded on admission [RCR Sec 49(2)]
  4. Routine Follow-up

    1 infraction

    • Bathrooms have slip resistant material on the bottom of bathtub(s) and shower(s), [RCR Sec 30(b)]
  5. Routine

    2 infractions

    • Each bedroom has a window that provides natural light, with coverings that block out light and protect the privacy of the occupant [RCR Sec 28(1)]
      • Each bedroom window does not have coverings that block out light and protect the privacy of the occupant.
    • Bathrooms have slip resistant material on the bottom of bathtub(s) and shower(s), [RCR Sec 30(b)]
  6. Routine Follow-up

    0 infractions

  7. Routine Follow-up

    0 infractions

  8. Routine

    5 infractions

    • There is an emergency plan displayed in a prominent place that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for evacuation and how persons in care will be cared for [RCR Sec 51(1),(4)]
      • Emergency plan does not include all required elements.
      • The emergency plan does not include procedures for evacuation.
    • The facility has a written policy and procedure for obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act, before admitting an adult to the community care facility. [RCR Sec 85(2)(m)]
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
      • Rooms and common areas are not maintained in a safe and clean condition.
      • Rooms and common areas are not well ventilated.
    • The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
  9. Routine Follow-up

    1 infraction

    • Reportable incidents have been reported with appropriate notifications [RCR Sec 77(2)(a)(b)(d);DOLSOP Preventing Opioid Overdose]
      • Did not immediately inform the medical health officer.

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