Cogir Vancouver Orchards

The licensee failed to ensure staff observed residents consistent with their assessed needs and failed to identify changes in resident functioning, resulting in an undiscovered unstageable pressure injury for one resident.

The facility failed to ensure the kitchen was properly cleaned. Kitchen appliances, walls, and floors had accumulations of hard black substances, grease, and old food debris. No cleaning schedule was in place.

Facility failed to provide inspection reports: Forward flow testing of backflow device, 10 year dry pendant fire sprinkler head testing/replacement, and 20 year quick response testing/replacement.

Facility failed to provide annual instructions to employees on fire extinguisher use and manual actuation of fire-extinguishing system, and failed to maintain records of compliance.

Kitchen semi-annual hood suppression system report identified required corrections due to a change in cooking appliances and nozzle coverage.

Facility failed to provide semi-annual fire alarm system inspection and testing records.

Facility failed to provide inspection reports for: forward flow testing of the backflow device, FDC hydrostatic inspection, and 10-year/20-year sprinkler head testing/replacement.

Facility failed to provide instructions to employees on the use of portable fire extinguishers and manual actuation of the fire-extinguishing system.

Kitchen semi-annual hood suppression systems report identifies required corrections due to a change in cooking appliances and nozzle coverage.

Facility failed to provide semi-annual fire alarm system inspection and testing records.

Heater in fire sprinkler riser room found to have combustibles directly in front of it.

Strain protection not maintained for gas-supplied kitchen cooking equipment on casters.

Facility failed to implement systems for safe medication service for 8 of 10 sampled residents; medications were documented as 'DNA' (drug not available) or not documented at all.

Facility failed to maintain a current characteristic roster accurately documenting resident care needs for 4 of 10 sampled residents.

The facility failed to educate 8 of 9 staff members on mandatory reporting requirements, as they incorrectly believed they should report abuse to facility management rather than directly to the Complaint Resolution Unit (CRU).

The facility failed to provide a refund to a resident representative within 30 days of the resident's discharge.

The facility failed to uphold resident rights by restricting Resident 1's ability to live with and visit their spouse, Resident 2, based solely on the directions of Resident 1's Power of Attorney, despite Resident 1 having the capacity to make their own decisions.

The facility failed to report observed physical abuse of Resident 1 by Resident 2 to the Department's Complaint Resolution Unit (CRU), and maintained a culture where staff were told to report concerns to facility management instead of directly to the CRU.