Ontario Grove Healthcare & Wellness Centre, LP

In the surveyor’s words

From the most serious findings on record at Ontario Grove Healthcare & Wellness Centre, LP, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observation, interview, and record review, the facility failed to store, label, and maintain food and food storage areas in a sanitary manner, as required by professional food service standards when: 1. One bunch of cilantro, which was turning black, was found inside of a plastic bag at the bottom shelf of the refrigerator. 2. One produce storage box that contained whole heads of lettuce was found with debris (dirt). 3. A box, containing fully cooked boneless pork ribs, dated May 9, 2025, was found open with its internal plastic liner unsealed and with freezer burn (food got too dry and frosty due to being exposed to air in the freezer for too long). 4. […]

• No harm, potential for more than minimal, widespreadF812Dec 2, 2022

  Based on observation, interview, record review, the facility failed to follow proper sanitization and food handling practices when: 1. Raw thawing beef and bacon was stored on the same shelf as raw thawing chicken breast. 2. The dishwashing machine was not sanitizing the dishes. 3. The ice machine was found to have brown residue under the ice dispenser and on the ceiling of the ice storage bin. 4. A floor repair was unfinished, and the surface was not easily cleanable. These failures had the potential to expose 51 highly susceptible residents who received food from the kitchen to cause foodborne illness (illness caused by the ingestion of contaminated food or beverage) due to cross contamination (the transfer of harmful substances or disease-causing microorganisms to food). […]

• No harm, potential for more than minimal, widespreadF883Jan 26, 2021

  Based on interview and record review, the facility failed to properly protect four out of five facility residents (Residents 1, 3, 4, & 5) from pneumococcal disease (Any type of illness caused by Streptococcus pneumoniae bacteria, especially harmful when affecting the lungs) during the COVID-19 (Disease caused by the [DIAGNOSES REDACTED]-CoV-2 virus, a highly contagious and potentially fatal respiratory infection) pandemic, when the facility failed to follow their pneumococcal vaccine policy and procedure, as well as failed to identify, track, and monitor facility residents' vaccination status for the pneumococcal vaccine. […]

• No harm, potential for more than minimal, patternF602Mar 30, 2023

  Based on observation, interview, and record review, the facility failed to provide and promote an environment free from misappropriation of resident property in accordance with the facility policy and procedure for five of seven sampled residents (Residents 1, 2, 4, 5 and 6) when a Certified Nursing Assistant (CNA 1) borrowed money from Residents 1, 2, 4, 5, and 6. These failures had the potential for further misappropriation of residents' properties, placing the residents at risk of emotional and financial burden. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF880Dec 23, 2025

  Based on observation, interview, and record review, the facility failed to implement their infection control program to help prevent the spread of COVID-19 (a highly infectious disease caused by a respiratory virus) when: 1. Certified Nurse Assistant 1 (CNA 1) failed to wear the required eye protection before entering a COVID-19 isolation room on December 19, 2025. 2. Certified Nurse Assistant 2 (CNA 2) did not ensure that the isolation room door was closed when exiting a COVID-19 isolation room on December 19, 2025. These failures had the potential to cause harm to the 54 residents residing within the facility by causing cross contamination of the environment and increasing the risk of exposure and spread of the COVID-19 virus.1. […]