Kootenay Columbia House
114 10 Ave Castlegar BC V1N 1Y4 · Residential Care - Licensing
8 inspections
- Routine Inspection
1 infraction
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): R7.1L - A review of overhead lifts indicates that regular inspections have not occurred since 2024. The licensee does not currently have a system in place to ensure regular inspections are scheduled and conducted. Failure to conduct regular equipment inspections may result in unsafe or malfunctioning equipment remining in use, creating potential health and safety risks to person in care. Submit by July 30, 2026, a new written plan outlining how the contravention related to ensuring that regular inspections and maintenance of equipment has been addressed. The plan must also describe the system and processes that will be implemented to support the ongoing monitoring of Section 22(3) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
- R7.1L - Inspect and maintain on a regular basis all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices; 22 ( 3 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Routine Inspection
0 infractions
- Routine Inspection
1 infraction
- R10.4 - Are restraint and fall prevention plans appropriate?
- Observation(s): Fall protection measures observed to be in place, however care plan had not been updated to reflect these measures. This was corrected during the inspection.
- R10.4P - Ensure there is a fall prevention plan for those in Long Term Care or those prone to falling, which must address an assessment of the nature of the risk of falling presented by the person in care, a plan for preventing the person in care from falling, and a plan for following up on any falls suffered by a person in care; 81( 3 )(e)(i)(ii)(iii) (Show More)
- R10.4 - Are restraint and fall prevention plans appropriate?
- Routine Inspection
1 infraction
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): It was noted during review of charts that two persons in care's charts did not have current immunization status. Manager corrected during inspection.
- R4.1C - Keep for each person in care a record showing the name, sex, date of birth, medical insurance plan number and immunization status; 78( 1 )(a) Director of Licensing Standards of Practice: Immunization records
- R4.1 - Are person in care records current, complete and kept confidential?
- Routine Inspection
2 infractions
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): Monthly weights were not consistently being recorded.
- 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)
- 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): Monthly weights were noted to be inconsistently recorded - See R4 above. Licensing noted that refusal to being weighed was an issue, however, this was not recorded or mentioned in care plans.
- R10.3S - Record in the nutrition plan the reason why a person in care has refused or is unable to be weighed and that immediate advice is sought of a health care provider when it appears that a person in care may have experienced a significant change in weight; 83( 5 )(a) (b)
- R4.1 - Are person in care records current, complete and kept confidential?
- Monitoring
3 infractions
- R7.2 - Is the environment maintained to prevent falls?
- Observation(s): LO noted that residents can access the laundry and one resident helps with laundry. The floor in the laundry area did not appear to be slip resistant.
- R7.2R - Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(a)
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): The system for ensuring that the menu includes two nutritious snacks each day appears to be ineffective. Lo observed that there is minimal documentation indicating what is consumed for snacks and that snacks are not included on the menu.
- 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)
- 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): Of the charts reviewed, the residents' health care plans were noted to be consistently outdated. Most indicated that they were last reviewed in 2015. In discussion with the program manager, licensing noted that all the information in those plans remains applicable and is considered to be "current". Further discussion occurred around the current system in place to ensure the care plans are reviewed, at minimum, annually. The program manager indicated that changing the current system would be beneficial to ensure compliance moving forward in this area. As LO confirmed that the information in the plans is current, but just not dated, the correction date was adjusted to allow for an agency wide system review of the process of reviewing/updating health care plans.
- 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)
- R7.2 - Is the environment maintained to prevent falls?
- Monitoring
2 infractions
- 2.1 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): It was observed while reviewing the Policy and Procedure manual that some policies and procedures have not been reviewed within the past year. Some policy review dates noted went as far back as 2011 (review dates ranged from 2011 to 2015).
- Review and, if necessary, revise policies and procedures at least once a year; 85( 1 )(b)
- 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The paint and drywall fill on the top ledge of the half wall at the nurses station is chipped away exposing drywall making the surface porous. Staff indicated they will use this ledge at times to place the med cups while dispensing medication (some being in liquid form). Also, one person in care's room walls were observed to be badly damaged (walls scuffed and gouged) as a result of the use of a wheelchair.
- Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- 2.1 Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
- Monitoring
3 infractions
- 4.6 Are facility records current and complete?
- Observation(s): In the "licensing binder", licensing officer (LO) noted an instruction sheet for staff containing outdated information and referring to the "Adult Care Regulation".
- Ensure all records are current; 91(1)(a)
- 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The lock on the cabinet in the kitchen which stores cleaning/ dishwasher supplies was broken.
- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35(1)(c)
- 10.3 Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
- Observation(s): One resident's medication care plan was from her previous residence and was not dated. Upon review of resident's charts, LO noted that one resident had contradicting information between his falls care plan, (which indicated he was high risk), and his OT Fall report status, (which indicated he was a moderate falls risk). One resident had a fall prevention plan which was not dated and therefore, LO was unable to ascertain if the care plan was current.
- 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)
- 4.6 Are facility records current and complete?