Sandstone Estates Rehab Centre

In the surveyor’s words

From the most serious findings on record at Sandstone Estates Rehab Centre, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Mar 20, 2026

  The facility failed to ensure RN coverage was provided 8 hours a day, 7 days a week.Number of residents sampled:Number of residents cited:Based on staff interviews, review of facility documentation, policy, and procedure, the facility failed to ensure there was a registered nurse (RN) on duty for 8 consecutive hours for 7 days a week. The deficient practice could have a substantial impact on the quality of care and outcomes for residents. Findings include: The staff posting from February 15, 2026, through March 17, 2026, revealed the sections on the number of RN's was blank for:-February 26, 2026, and the facility census on that day was 62.-March 1, 2026, and the facility census on that day was 64.-March 8, 2026, and the facility census on that day was 64.-March 15, 2026, and the facility… […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2026

  Based on observations, staff interviews, and policy review, the facility failed to ensure that food was stored in accordance with professional standards for food safety. The deficient practice has the potential to place residents at risk for consumption of expired or unsafe food. The census was 51.Findings include:On March 17, 2026, an initial observation of the facility kitchen was conducted with the dietary director/maintenance director/environmental services director (Staff #112) and dietary cook (Staff #80). At 10:10 AM, a walk-through of the dry storage revealed an open original package of what Staff #112 identified as taco seasoning, which had no evidence of an opened date, and a binder clip sealed the package. […]

• No harm, potential for more than minimal, patternF607Oct 25, 2024

  Based on observation, interviews, review of documentation, and review of facility policies, the facility failed to implement written policies and procedures that prohibit and prevent abuse for two of two sampled residents (#11 and #13). The deficient practice could lead to a failure of the facility to investigate and report allegations of abuse, and could lead to harm to a resident. -Regarding Resident #11: Resident #11 was admitted to the facility on [DATE], with diagnoses that included dementia, psychotic disorder, major depressive disorder, anxiety, chronic obstructive pulmonary disease, and adult failure to thrive. […]

• No harm, potential for more than minimal, patternF609Oct 25, 2024

  Based on observation, interviews, review of documentation, and review of facility policies, the facility failed to ensure that all allegations of abuse were reported to the state agency and other mandated entities within the required timeframe for two of two sampled residents (#11 and #13). The deficient practice could lead to a failure of the facility to report allegations of abuse timely, and could lead to continued abuse for a resident. -Regarding Resident #11: Resident #11 was admitted to the facility on [DATE], with diagnoses that included dementia, psychotic disorder, major depressive disorder, anxiety, chronic obstructive pulmonary disease, and adult failure to thrive. […]

• No harm, potential for more than minimal, patternF610Oct 25, 2024

  Based on clinical record review, staff interviews, and the facility policy and procedures, the facility failed to ensure a thorough investigation for allegations of abuse were completed for two of two sampled residents (#11 and #13) and that the residents were protected from further abuse during an investigation. The deficient practice could result in residents not protected from further abuse and appropriate corrective action not taken. -Regarding Resident #11: Resident #11 was admitted to the facility on [DATE], with diagnoses that included dementia, psychotic disorder, major depressive disorder, anxiety, chronic obstructive pulmonary disease, and adult failure to thrive. […]