CareTrail

Alberta

Standards

Every standard that a non-compliance in the file was cited under, with the number of times, all years and since 2023. A standard missed often is not a verdict on any one home; the count is what the government recorded.

CCHSS Standard

StandardAll yearsSince 2023Homes
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.742716343
Medication Management — Policies and procedures in Medication Management are documented and implemented.680630364
Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.445445277
CCHSS standard 12.1419131282
Standardized Assessment and Person-Centred Care Planning — The care plan reflects the findings of the assessment and is kept up to date.386361227
CCHSS standard 1.8379131263
Staff Training — Policies and procedures for Staff training are documented and implemented.378317196
Restraint Management and Secure Spaces — Policies and procedures regarding Restraint use are documented and implemented.344344217
CCHSS standard 16.332786235
Restraint Management and Secure Spaces — Documentation for restraint use.325325216
Risk Management — Managed risk agreements are documented and implemented.315274193
CCHSS standard 16.130078234
CCHSS standard 11.129874219
CCHSS standard 1.227972211
CCHSS standard 10.126381210
Standardized Assessment and Person-Centred Care Planning — The care plan addresses the Client's needs, goals, and intervention details.263224160
Staff Training — Documented compliance to training.246222162
CCHSS standard 15.123958196
Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.237222165
Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.235235179
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.211211151
Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.205194158
CCHSS standard 9.219729167
CCHSS standard 16.618455147
Quality Improvement Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.171171101
Standardized Assessment and Person-Centred Care Planning — Medical Status assessments are documented.167149107
CCHSS standard 5.316634137
CCHSS standard 1.316523141
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.158146110
Restraint Management and Secure Spaces — Secure Space usage is documented in Client's chart and Care Plan.154154112
CCHSS standard 1.714647123
Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.141141101
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks137129103
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for assistance with oral care.132132103
CCHSS standard 9.313119114
Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.12512469
Quality Improvement Reporting — Reporting reportable incidents.12012078
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Documented bathing preference in Care Plan.11911998
CCHSS standard 16.411821105
Palliative Care and End-of-Life Care — Palliative Care and End-of-Life care documentation in Care Plan.11011091
Standardized Assessment and Person-Centred Care Planning — An appropriate assessment tool for Client's Health Care needs is used.11010087
Restraint Management — Documentation for restraint use.1055460
CCHSS standard 1.11043285
Standardized Assessment and Person-Centred Care Planning — Changes in Care Plans are documented and communicated.1049871
CCHSS standard 6.399493
Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.989870
Restraint Management — Policies and procedures regarding Restraint use are documented and implemented.943847
Restraint Management and Secure Spaces — Policies and procedures for Secure Spaces are documented and implemented.929268
Infection Prevention and Control (IPC) — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.894653
CCHSS standard 4.4864876
CCHSS standard 1.4821672
Standardized Assessment and Person-Centred Care Planning — Client and/or Client's legal representative participate in the development and review of Care Plan.827462
Restraint Management — Restraint use is reviewed by the Interdisciplinary Team.743738
CCHSS standard 15.2712364
CCHSS standard 16.5711465
Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.707054
CCHSS standard 19.2691762
CCHSS standard 8.167560
Palliative and End-Of-Life Care — Palliative and End-of-Life care documentation in Care Plan.602636
Restraint Management and Secure Spaces — Restraint use is reviewed by the Interdisciplinary Team.515141
CCHSS standard 1.550049
CCHSS standard 17.248046
Medication Management — Annual review is inclusive as defined by the Standard.48048
Quality Improvement Reporting — Quality improvement policies and programs are documented and implemented.454526
Act and Regulation Requirements — Requirements for staffing plan are met at all times444423
Medication Management — Medication management policies and processes are inclusive as defined by the Standards.43043
Operational Processes — Policies and processes are in place as defined by the Standard.43042
Nutrition and Hydration Management — Nutrition and hydration interventions reviewed and documented in Care Plan.413329
Staff Training — Training materials are current.414132
Infection Prevention and Control — Staff have access to Infection Prevention and Control (IPC) equipment.404031
Palliative Care and End-of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.404031
Restraint Management and Secure Spaces — Secure Space usage is documented and reviewed by the Interdisciplinary Team.393928
Act and Regulation Requirements — Requirements of Staffing Plan are Met at All Times383825
Restraint Management — Secure Space usage is documented in Client's chart and Care Plan.382229
Communicable Disease and Infection Prevention and Control — Services are provided in accordance with all communicable disease, & IPC standards issued by AH .36036
CCHSS standard 18.134834
Quality Improvement Reporting — Policies and procedures for reportable incidents are documented and implemented.343426
Act and Regulation Requirements — Director of Care333331
Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Oral care assistance and bathing frequency policies and procedures are implemented.333325
Continuity of Health Care — Documented emergency preparedness, pandemic and contingency plan.323023
Assistive Equipment, Technology and Medical/Surgical Supplies — Instruction on appropriate and safe use of Operator owned equipment.312318
Restraint Management — Policies and procedures for Secure Spaces are documented and implemented.291221
Oral Care Assistance and Bathing Frequency — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.271823
Standardized Assessment and Person-Centred Care Planning — Physician or Nurse Practitioner reviews the Care Plan.271919
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Long Term Care.26269
Restraint Management — Secure Space usage is documented and reviewed by the Interdisciplinary Team.261020
CCHSS standard 14.125425
Medication Management — Medication is reconciled upon transfer from one level of service to another.25025
Medication Management — Medication management policies and processes in place and implemented.24021
Quality Improvement — Facility/program has a quality improvement program as defined by the Standards.24024
CCHSS standard 6.123119
Standardized Assessment and Person-Centred Care Planning — Client's or representative's lack of participation in the Care Plan is documented.231820
Medication Management — Client's Medication Management plan is reassessed.221817
Quality Improvement and Reporting — Reporting reportable incidents.22811
Palliative Care and End-of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.212117
Quality Improvement and Reporting — Policies and procedures for reportable incidents are documented and implemented.2129
Communicable Disease and Infection Prevention and Control — Policies and processes are in place to address infection, prevention and control topics.20020
Integrated Care Planning — Clients shall have an annual health team conference, including an evaluation & update of care plan.20020
CCHSS standard 5.119219
Infection Prevention and Control (IPC) — Staff have access to Infection Prevention and Control (IPC) equipment.181315
Quality Improvement and Reporting — Quality improvement policies and programs are documented and implemented.1815
CCHSS standard 7.116016
Continuing Care Health Service Providers — Regulated health care providers working according to HPA and relevant legislation.15015
Nutrition and Hydration Management — Client nutrition and hydration assessment completed, when concerns are identified.151310
Health Care Providers — Job descriptions and guidelines are provided for Health Care Providers.141412
Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on reporting unsafe equipment not owned by Operator.13910
Assistive Equipment, Technology and Medical/Surgical Supplies — Provided with/referred to Assistive Equipment, Technology and Medical/Surgical Supplies.13138
Client/Family Involvement in Care Planning — Policies & processes for client involvement & with clients permission others in care planning.13013
Health Care Providers — Unregulated Health Care Providers work within defined competencies.131312
Medication Management — Client is provided with medication assistance.13139
Oral Care Assistance and Bathing Frequency — Policies and procedures to provide Clients the opportunity for assistance with oral care.13713
Quality Improvement and Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.13711
Act and Regulation Requirements — Clinical Staff On Site111110
Palliative Care and End-of-Life Care — Palliative Care and/End-of-Life Care health care providers have access to client health information.11119
18 — 18.410010
Act and Regulation Requirements — Staff Educator10109
Concerns Resolution on Health Care — Provide written information on external complaints and concerns resolution processes.10105
Integrated Care Planning — Care plan will be inclusive as defined by the Standards.10010
Palliative and End-Of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.1019
Physician Services — Medical director ensures policies and processes are in place as required by the Standards.10010
Risk Management — Clients understand their choice to live at risk.10108
Act and Regulation Requirements — Staffing Plan in Place998
CCHSS standard 4.1909
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.995
Sharing of Client Information — Sharing of Client's Health Information with other Operators providing Health Care.978
CCHSS standard 18.2808
Communicable Disease and Infection Prevention and Control — Policies and processes for storage & disposal of cleaners, bio hazardous waste and medical supplies.808
Continuing Care Health Service Providers — Staff receive on-going education based on changing needs of clients & evidence based practice.808
Life Enrichment Services — Communication of Life Enrichment Services775
Life Enrichment Services — Qualifications of Life Enrichment personnel777
Specialized Health Service Equipment and Medical-Surgical Supplies — Staff, clients and family care-givers using AHS equipment shall be instructed in safe use.707
Case Management and Care Coordination — Care coordinator roles and responsibilities are inclusive as defined by the Standards.606
Health Care Providers — Active registration is verified and documented for Regulated Health Care Professionals.666
Health Care Providers — Health Care Aides meet competency requirements.665
Integrated Care Planning — Care plan reviews include an evaluation of the overall effectiveness of the care plan606
Integrated Care Planning — Clients have one current, written, integrated care plan.606
Integrated Care Planning — Home care clients’ care plans are reviewed and updated annually, or more often as needs change.606
Medication Management — Option of Medication Reminders or Medical Assistance for self-administering medications.666
Nutrition and Hydration Management — Registered dietitian included in nutrition and hydration assessment.646
Oral Care Assistance and Bathing Frequency — Oral care assistance and bathing frequency policies and procedures are implemented.635
18 — 18.3505
Client Access to Information — Updated information is provided to Client.554
Health Care Providers — Operator maintains evidence of competency for Health Care Aides.555
Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks.545
Standardized Assessments — Documented strategies to mitigate and manage risk shall be in place.505
Standardized Assessments — RAPS/CAPS reviewed and considered when preparing the client care plan.505
Therapeutic Nutrition and Hydration — Client’s identified needs shall be addressed in the care plan. Needs are defined by the Standards.505
Case Management and Care Coordination — System wide case management policies and processes are in place.404
Client Concerns — Concerns resolution process in place that is fair and timely.404
Health Care Providers — Unregulated Health Care Providers are supervised.424
Integrated Care Planning — Changes to the care plan are documented.404
Operational Processes — Policies & processes to ensure provision of services reflects changing characteristics of clients.404
Oral Care Assistance and Bathing Frequency — Documented bathing preference in Care Plan.433
Physician Services — Facility has a medical director.404
Standardized Assessments — Home care clients assessed using the RAI/HC assessment according to Alberta Health timeline.404
Act and Regulation Requirements — Charge Nurse333
Act and Regulation Requirements — Nurse Practitioner or Physician333
Infection Prevention and Control — Access to Infection Prevention and Control (IPC) policies and procedures.333
Integrated Care Planning — LTC clients’ care plans are reviewed and updated every 3 months, and as needs change.303
Medication Management — Overall medication utilization of LTC facilities shall be reviewed annually for appropriateness.303
Promoting Wellness — Continuing Care Health Services planned in a manner that promotes wellness for the client.303
Reporting — Reportable incidents reported in accordance with AHS guidelines.303
Act and Regulation Requirements — Administrative Leader222
Case Management — Clients are provided with contact information regarding Care Plans.221
Client Health Information — Policies and processes in place for the appropriate sharing of client health information.202
Palliative Care and End-of-Life Care — Client is informed of palliative and end-of-life care.222
Palliative Care and End-of-Life Care — Client is informed of palliative care and end-of-life care.222
Palliative and End-Of-Life Care — Palliative/End-of-Life Care health care providers have access to client health information.201
Promoting Wellness — Continuing Care Health Services provided in a manner that promotes wellness for the client.202
Quality Improvement and Reporting — InterRAI assessment data collected and reported according to guidelines.202
Specialized Health Service Equipment and Medical-Surgical Supplies — Policies & processes ensure equipment is in safe working condition & used according to manufacturer.202
Standardized Assessments — Assessments and care planning will commence and be completed according to the RAI timeframes.202
Therapeutic Services — Clients assessed for therapeutic service needs which may include PT, OT and rec.202
Access to Physician or Nurse Practitioner Services — Physician to act as a medical director. Procedure to access on-call Physician or Nurse Practitioner.101
Act and Regulation Requirements — Provision of Staffing Plans111
CCHSS standard 3.1101
Case Management and Care Coordination — Clients have a health care provider responsible for coordinating & integrating services.101
Case Management and Care Coordination — Clients shall be informed of how to access their case manager.101
Client Access to Information — Information is provided about Health Care, services and responsibilities.111
Client/Family Information and Feedback — Access to written information on health services offered by facility e.g. associated charges.101
Continuing Care Health Service Providers — Policies & processes shall define appropriate competencies for unregulated health care providers.101
Health Care Providers — Active registration is verified and documented for Regulated Health Care Providers.111
Infection Prevention and Control (IPC) — Documented procedure on how to contact IPC/Public Health.101
Nurse Practitioners — Policies and processes are in place related to Nurse Practitioners.101
On-Call Access to Physician or Nurse Practitioner Services — Access to Physician or Nurse Practitioner Services111
Physician Services — Physicians collaborate with the medical director of the facility.101
Standardized Assessments — Health care professionals consulted in the development of the client care plan where appropriate.101
Standardized Assessments — LTC needs assessed using the RAI/2.0 tool according to AHS timelines.101
Therapeutic Nutrition and Hydration — Clients assessed for nutrition and hydration needs.101
Therapeutic Nutrition and Hydration — Registered dietician/ nutritionist included in care planning process and provides services.101

Public Health

Accommodation Standard

StandardAll yearsSince 2023Homes
Water Temperature — Safe water temperatures555172345
Continuation of Services — Practicability, communication and review of plans493247328
Maintenance Requirements — Preventative and corrective maintenance436179271
Safety Requirements — Accommodation in safe condition401134244
Maintenance Requirements — Accommodation is maintained387136221
Continuation of Services — Contingency plans287164201
Water Temperature — Therapeutic tub temperature checks25035152
Water Temperature — Training, maintenance and risk mitigation to ensure safe water temperatures23477172
Cleaning Requirements — Regularly scheduled cleaning of all areas22876152
Nutritional Requirements — Quality and quantity of food, communication of menu/times22575141
Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system18746120
Menu Requirements — Record of meals served15341117
Nutritional Requirements — Menu approved by qualified professional1477495
Concerns and Complaints — Written processes for managing concerns and complaints137137108
Continuation of Services — Practicability, communication, and review of plans13592105
Menu Requirements — Menu substitutions communicated and made from same food group1303390
Cleaning Requirements — Clean and comfortable environment1216992
Concerns and Complaints — Concerns and complaints resolution1207281
Act and Regulation Requirements — REG- Current fire inspection report1141458
Information Respecting the Supportive Living Accommodation — Terms of residential services agreement110284
Residents Personal Affairs — Communication of processes107280
Criminal Record Checks — Completion of criminal record checks1042373
Resident Safety and Security — Incident reporting1022786
Menu Requirements — Resident consultation on meal times977975
Menu Requirements — Resident feedback into meals, fluids and snacks913565
Privacy and Personal Information — Protection of information and privacy864564
Prevention of Abuse — Education on prevention, identification and reporting abuse851864
Information Respecting the Supportive Living Accommodation — Accommodation information provision78664
Information Respecting the Supportive Living Accommodation — Signed residential services agreement69245
Water Temperature — Training, maintenance, and risk mitigation to ensure safe water temperatures693752
Menu Requirements — Variety, choice and resident food preferences662252
Resident Safety and Security — Mandatory reporting656456
Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting601351
Laundry — Condition of laundry facilities593844
Safety Requirements — Accommodation is in safe condition595948
Trust Accounts — Written policy for trust accounts585853
Contracted Services — Minimum contract requirements552142
Social or Leisure Activities — Resident needs, feedback and opinions considered512643
Personal Choice Services — Appropriate areas, qualifications, and resident needs considered402237
Information Respecting the Accommodation — Signed residential services agreement383833
Menu Requirements — Variety, choice, and resident food preferences381330
Trust Accounts — Trust account records38030
Cleaning Requirements — Cleaning procedures371525
Information Respecting the Accommodation — Terms of residential services agreement373731
Residents Personal Affairs — Requirements for written processes37129
Cleaning Requirements — Odour control361824
Information Respecting the Accommodation — Accommodation information provision353429
Prevention of Abuse — Written processes regarding prevention and reporting of abuse351521
Resident Safety and Security — Maintenance and inspection of security systems351326
Resident Safety and Security — Monitoring and accounting for residents341727
Act and Regulation Requirements — ACT- Licence is posted in the accommodation292024
Resident Safety and Security — Suitability, maintenance and inspection of emergency call/communication system282825
Risk Management — Review of managed risk agreements27725
Prevention of Abuse — Information provision on preventing and reporting abuse26816
Information Respecting the Long Term Care Accommodation — Signed residential services agreement24016
Information Respecting the Long Term Care Accommodation — Terms of residential services agreement24019
Privacy and Personal Information — Written processes, training and information provision23616
Resident Safety and Security — Training on security, communication and emergency call systems231517
Job Descriptions — Job description requirements221014
Menu Requirements — Resident feedback into meals, fluids, and snacks211012
Prevention of Abuse — Education on prevention, identification, and reporting abuse21710
Resident and Family Involvement — Requirements when no resident and family council in place212015
Nutritional Requirements — Provision of meals, fluids and nutrition202018
Act and Regulation Requirements — REG- Current and up-to-date insurance coverage191319
Trust Accounts — Opening and maintaining trust accounts18012
Bedding — Quality and regularly scheduled bedding and towel changes17615
Safeguarding of Resident Property — Communication of policy for safeguarding of resident property171714
Job Descriptions — Job descriptions for each employee161010
Resident Safety and Security — Training on security, communication, and emergency call systems16412
Environmental Requirements — Comfortable and safe temperature15612
Residents Personal Affairs — Written process on involvement in resident personal affairs15011
Residents' Personal Affairs — Communication of processes15147
Residents' Personal Affairs — Requirements for written processes15149
Safeguarding of Resident Property — Written processes for safeguarding property151514
Safety and Security — Policies and procedures15010
Act and Regulation Requirements — REG- Current health inspection report14412
Window Coverings — Appropriate window coverings1418
Safety and Security — Employee access to policies and procedures13210
Water Temperature — Qualifications of water system personnel13611
Nutritional Requirements — Menu approved by registered dietitian121210
Residents' Personal Affairs — Written process on involvement in resident personal affairs12114
Safeguarding of Resident Property — Written policy for safeguarding personal possessions121212
Trust Accounts — Communication of policy for trust accounts121212
Family and Resident Involvement — Communication with residents and representatives10107
Resident and Family Involvement — Resident involvement in decision making1093
Information Respecting the Long Term Care Accommodation — Accommodation information provision905
Act and Regulation Requirements — REG- Zoning approval807
Medication Assistance or Medication Reminders — Self administration, secure storage, training, and error reporting885
Menu Requirements — Resident feedback for meals, fluids, and snacks886
Resident and Family Involvement — Communication with residents and representatives872
Social or Leisure Activities — Communication of activities827
Social or Leisure Activities — Qualifications of personnel848
Assessment — Resident assessments714
Criminal Record Check — Completion of criminal record checks664
Family and Resident Involvement — Requirements when no resident and family council in place664
Risk Management — Acknowledgement of risk605
Family and Resident Involvement — Resident involvement in decision making553
Laundry — Laundry service or facilities provided512
Residents' Personal Affairs — Requirements for written policy555
Act and Regulation Requirements — REG- Documentation of compliance with the Safety Codes Act414
Building Code Requirements — Structural changes meet Alberta Building Code414
Family and Resident Involvement — Requirements for existing resident and family councils444
Bedding — Bedding and towels meet resident needs333
Personal Laundry Services — Condition of laundry facilities332
Bedding — Quantity and as needed bedding and towel changes202
Building Code Requirements — Population changes meet Alberta Building Code201
Certificate — Certificate is posted202
Insurance — Evidence212
Reassessment — Resident reassessments212
Resident and Family Involvement — Requirements for existing resident and family councils222
Residents' Personal Affairs — Written policy on involvement in resident personal affairs222
Risk Management — Managed risk agreements222
Trust Accounts — Closing trust accounts202
General Information — General information provision101
Insurance — Liability insurance101
Outstanding non-Compliances related to a previous Act, Regulation or Standard — For more information, please refer to results related to Supportive Living.111
Policies Respecting Safety and Security — Employee access to policies and procedures111
Residents' Personal Affairs — Communication of policy111
Safeguarding of Personal Possessions — Written processes for safeguarding personal possessions101

RFCA

Source: Government of Alberta, Continuing Care Accommodation Standards compliance reporting on Open Alberta (Open Government Licence – Alberta), file of —, with visits to July 6, 2026. Results are as the government recorded them. An inspection is a snapshot. How this is built.