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Holy Family Hospital

7801 Argyle St, Vancouver BC V5P 3L6 · Extended Care

Official record from Vancouver Coastal →

Inspection summary

Holy Family Hospital has been inspected 7 times by Vancouver Coastal Health since July 28, 2021. The most recent inspection, on December 17, 2025, recorded 6 infractions.

1 of 7 inspections on record found no infractions at all. In the past 12 months there was 1 inspection with 6 infractions 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 your health. Higher-risk findings are the ones inspectors treat as critical, because they can directly make someone sick.

  • 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 32 times across 6 separate inspections, most recently on December 17, 2025. For example: Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]

  • Food safety training and certificationLower risk

    Many jurisdictions require a trained or certified person on site, such as a certified food handler. These findings mean the training record or the trained person was missing at the time. They do not by themselves mean anything was handled unsafely.

    Recorded 3 times across 3 separate inspections, most recently on February 24, 2023. For example: If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]

  • 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 2 times across 2 separate inspections, most recently on December 17, 2025. For example: Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]

  • 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 once on July 19, 2024. For example: Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]

  • 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 9 times across 4 separate inspections, most recently on July 19, 2024. For example: There is on display in a prominent place notice that electronic surveillance is being used [RCR Sec 19(3)]

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.

7 inspections

  1. Routine

    6 infractions

    • Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]
    • Care plans take into account the persons in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences [RCR Sec 81(2)(b); Bill of Rights 1(b)]
    • 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)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • A short term care plan is developed on admission to guide staff in protecting and promoting the health and safety of the person in care [RCR Sec 80(1); Bill of Rights 1(a)]
    • Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
  2. Routine

    15 infractions

    • Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]
    • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
    • Care plans take into account the persons in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences [RCR Sec 81(2)(b); Bill of Rights 1(b)]
    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
    • 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)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • There is on display in a prominent place notice that electronic surveillance is being used [RCR Sec 19(3)]
    • Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
    • Employee files contain the records required by this regulation [RCR Sec 86]
    • A record respecting complaints made and concerns expressed to the licensee under section 60 [dispute resolution], and the responses to them is kept [RCR Sec 89(1)]
    • Records of complaints are kept for at least 2 years [RCR Sec 92(6)]
    • Employee performance is reviewed regularly to ensure that they continue to meet the requirements of this regulation and demonstrates the competence required for their duties [RCR Sec 40(1),(3)]
    • A qualified employee is designated to supervise employees providing care, coordinate and monitor the care and manage unusual situations [RCR Sec 41(2)]
    • Records required to assess character and skill requirements and criminal record checks are kept for the entire time the employee is employed [RCR Sec 92(3)]
  3. Routine Follow-up

    0 infractions

  4. Routine

    9 infractions

    • Care plans take into account the persons in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences [RCR Sec 81(2)(b); Bill of Rights 1(b)]
      • Did not use CAPs to inform care planning.
    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
      • Does not address if there is agreement to the use of restraints under section 74 (1) (b) [when restraints may be used], the type or nature of restraint and the frequency of reassessment.
      • Does not include an oral health care plan.
      • Does not specify the nutrition to be provided to the person in care, including any therapeutic diets.
      • Does not include a recreation and leisure plan.
    • Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
    • There is a record of any assessment of incapability report provided under section 22 (1) (c) of the Health Care Consent Regulation. [RCR Sec 77.1(1)(c)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • 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.
    • If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
      • The reason for the use of the restraint is not recorded.
      • The result of any reassessment of the use of the restraint is not recorded.
      • The alternatives that were considered to the use of the restraint, and which, if any, were implemented or rejected is not recorded.
      • The type or nature of the restraint used is not recorded.
      • The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • When a manager resigns or is absent for more than 30 consecutive days notification to Community Care Facilities Licensing has been given and there is a replacement [RCR Sec 8(3)]
      • Notification has not been given.
  5. Routine

    2 infractions

    • Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]
    • 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.
  6. Routine

    10 infractions

    • A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
      • There was no agreement in writing from the person in care or their representative.
      • There was no agreement in writing from the medical practitioner or nurse practitioner
      • There is no written agreement to the use of a restraint by the person in care or their representative.
    • There are written and implemented policies and procedures to guide staff in the care and supervision of the persons in care [RCR Sec 85(1)(a), (d)]
      • Policies and procedures are not implemented by staff.
    • The implementation of care plans is monitored on a regular basis to ensure proper implementation [RCR Sec 81(4)(a)]
    • Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
    • Medications are handled and administered appropriately [RCR Sec 70(3)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • There is a MSAC with the appropriate membership [RCR Sec 68(1)]
    • Employees comply with the policies and procedures of the MSAC [RCR Sec 68(4)]
  7. Routine

    5 infractions

    • A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
      • There was no agreement in writing from the person in care or their representative.
      • There was no agreement in writing from the medical practitioner or nurse practitioner
    • The implementation of care plans is monitored on a regular basis to ensure proper implementation [RCR Sec 81(4)(a)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
      • The reason for the use of the restraint is not recorded.
      • The result of any reassessment of the use of the restraint is not recorded.
      • The type or nature of the restraint used is not recorded.
      • The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
    • There is a MSAC with the appropriate membership [RCR Sec 68(1)]
      • MSAC does not include the manager or a person designated by the manager.
      • MSAC does not include the supervising pharmacist appointed under RCR Sec 68(2).

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