Complete Care at Grande Prairie

In the surveyor’s words

From the most serious findings on record at Complete Care at Grande Prairie, in the surveyor’s own words.

• Immediate jeopardy, patternF610Mar 27, 2025

  Based on interview and record review, the facility did not thoroughly investigate 2 of 4 allegations of abuse involving residents (R) (R5 and R1) and did not take steps to prevent further potential abuse while an investigation was in progress. The facility was made aware of an incident involving allegations of abuse that occurred involving R5 and two staff members. The facility did not investigate the incident causing R5 to be fearful and cautious. R5 sought evaluation and treatment for left knee pain following the incident. […]

• Immediate jeopardy, isolatedF684Mar 9, 2023

  Based on interview and record review, the facility did not ensure residents received treatment and care based on a comprehensive assessment in accordance with professional standards of practice for residents experiencing changes in condition and failed to assess non-pressure wounds weekly for 2 of 7 residents (R1 and R3) reviewed for changes in condition. *R1 was observed on the floor mat next to their bed covered with emesis on [DATE]. R1 was assisted back to bed. A Registered Nurse did not perform an assessment at the time of R1's fall. R1 was found several hours later in bed with severe facial bruising and lethargy. A Registered Nurse did not conduct an assessment of R1 at this time. R1 was later found pulseless and not breathing. R1 expired at the facility on [DATE]. […]

• Immediate jeopardy, isolatedF684May 9, 2022

  Based on interview and record review, the facility failed to ensure that 3 (R11, R4, and R181) of 23 residents reviewed for quality of care received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, that will meet each resident's physical, mental, and psychosocial needs. ~ R181 was admitted [DATE] from the hospital following surgery for [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility did not do a follow up to the R181's low potassium level, did not follow up and schedule appointments within a week to general surgery and cardiology, did not get treatment orders for the abdominal incision (including ABD pads and abdominal binder), did not routinely monitor and assess the abdominal incision or… […]

• Immediate jeopardy, isolatedF686Mar 18, 2022

  Based on observation, interview, and record review the facility did not ensure that 2 (R1, R6) of 2 residents with pressure injuries received assessments in accordance with facility's policy and procedure, that care plan interventions were put into place to prevent pressure injuries from developing to to prevent current pressure injuries from worsening. *R1 was admitted to the facility on [DATE] and was at risk for pressure injuries. On 1/24/22, R1 was noted with a pressure injury to the sacrum which was not assessed by an RN (Registered Nurse) from 1/24/22-2/2/22. There was no revision to the care plan or monitoring to ensure consistent turning. On 2/2/22, R1 was seen by the facility's wound physician who staged R1's sacrum as an unstageable pressure injury. […]

• Actual harm, isolatedF600Mar 27, 2025

  Based on interviews and record review, the facility failed to protect the residents' right to be free from verbal and or physical abuse by Certified Nursing Assistant (CNA)-J. *R5 reported that R5 was attacked in the doorway of the kitchen, in the dining room, at the facility resulting in R5 to be fearful and cautious in the facility. R5 reported left shoulder, left rib and left knee pain following the incident. R5 sought evaluation and treatment for R5's left knee pain on 01/13/2025 resulting in R5 requiring an invasive injection into R5's left knee. […]