East Terrace Rehabilitation & Wellness Centre, LP Complaints, Violations and Inspection Records

April 7, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

March 20, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

March 2, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being and provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)

January 28, 2026, complaint inspection

3 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, respond appropriately to all alleged violations, and ensure services provided by the nursing facility meet professional standards of quality.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

December 19, 2025, standard inspection

11 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide appropriate foot care.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0687Provide appropriate foot care. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
• F0730Observe each nurse aide's job performance and give regular training. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
• F0770Provide timely, quality laboratory services/tests to meet the needs of residents. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. (scope and severity B)

December 10, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity D)

December 8, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

• F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)

September 26, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

• F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)

September 5, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

August 12, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and provide and implement an infection prevention and control program.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

June 12, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

April 9, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)

February 13, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement policies and procedures to prevent abuse, neglect, and theft and respond appropriately to all alleged violations.

• F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

December 29, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity J)

December 19, 2024, complaint inspection

6 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, and permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

December 6, 2024, standard and complaint inspections

18 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive, and honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity E)
• F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity E)

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity E)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (scope and severity D)
• F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
• F0814Dispose of garbage and refuse properly. (scope and severity D)

November 6, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

October 30, 2024, complaint inspection

6 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, honor the resident's right to be treated with respect and dignity and to retain and use personal possessions, and protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity E)
• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

October 15, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, provide appropriate treatment and care according to orders, resident’s preferences and goals, and make sure that a working call system is available in each resident's bathroom and bathing area.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)

September 19, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)

August 23, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and make sure that a working call system is available in each resident's bathroom and bathing area.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)

June 27, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

March 27, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and ensure services provided by the nursing facility meet professional standards of quality.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

February 12, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)

February 1, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity J)

December 1, 2023, standard and complaint inspections

10 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide and implement an infection prevention and control program.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0551Give the resident's representative the ability to exercise the resident's rights. (scope and severity D)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)