Lacombe Nursing Centre

In the surveyor’s words

From the most serious findings on record at Lacombe Nursing Centre, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF800Sep 27, 2023

  Based on record review and interviews, the facility failed to maintain temperature logs in the kitchen for all meals to ensure food served was at a proper temperature range to prevent food borne illnesses. This deficient practice had the potential to affect 72 of the residents in the facility who received food from the kitchen. Findings: Review of facility's food temperature logs revealed the facility failed to record food temperatures on 09/20/2023 for breakfast, 09/22/2023 for lunch and supper, 09/23/2023 and 09/24/2023 for breakfast, lunch, and supper. Further review of the facility's food temperature logs revealed the facility failed to record milk temperatures on the following dates: 08/10/2023, 08/11/2023, 08/14/2023, 08/29/2023, 08/31/2023, and 09/01/2023 through 09/25/2023. […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2023

  49343 Based on observations, interviews, and policy review, the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety by failing to ensure: 1. food was properly labelled and stored in the walk-in fridge and dry storage room, and 2. Proper food handling practices to prevent the outbreak of foodborne illness were followed. This deficient practice had the potential to affect all 72 residents who received food from the kitchen. Findings: Review of the facility's policy titled, Food Receiving and storage revealed the following, in part: Policy Statement: Foods shall be received and stored in a manner that complies with safe food handling practices. Policy Interpretation and Implementation: 7. […]

• No harm, potential for more than minimal, patternF558Jun 24, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure residents' call lights were within reach for 2 (#8 and #76) of 2 residents reviewed for accommodation of needs. Findings: Review of the facility's undated policy titled Call Light, revealed the following, in part: Objective: Call-Light is to be placed within reach of resident when in the room at all times. Resident #8 Review of Resident #8's Clinical Record revealed she was admitted to the facility on [DATE] with a diagnosis of Acute on Chronic Diastolic (Congestive) Heart Failure. Review of Resident #8's Quarterly MDS with an ARD of 03/19/2026 revealed she had a BIMS of 7, which indicated she was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF584Jun 24, 2026

  Based on observations, interviews, and record reviews, the facility failed to provide maintenance services necessary to maintain a sanitary, orderly, and comfortable interior by failing to ensure:Halls A, B, and C ceiling tiles were maintained in good repair; andRoom BB was maintained safely, sanitarily, and in good repair.Findings: 1. On 06/22/2026 at 9:00 a.m., a tour of the facility was conducted with the following observations made: Hall A - There were multiple ceiling tiles with a brown and yellow discolored substance. The entrance of Hall A air conditioning vent located in close proximity to the nurses' station was observed to have active condensation with multiple black spots with yellow, brown, grey and black discoloration to the ceiling tile. […]

• No harm, potential for more than minimal, patternF847Jun 24, 2026

  Based on interviews and record reviews, the facility failed to ensure residents or resident representatives understood the arbitration agreement signed on admission for 3 (#11, #15, and #17) of 3 residents reviewed for arbitration.Findings:Resident #11Review of Resident #11's clinical record revealed he was admitted to the facility on [DATE].Review of Resident #11's admission packet dated 06/03/2026 revealed an arbitration agreement signed by Resident #11's RP.An interview was conducted on 06/23/2026 at 10:12 a.m. with Resident #11's RP. She stated she recalled signing Resident #11's admission documents. She stated S7AC told her where to sign, but she was not educated on what an arbitration agreement was. […]