RHRA report says Rosslyn manager tried to obstruct inspection, provided false information

The provincial retirement homes regulator says the site manager of the Rosslyn Retirement Residence tried to obstruct an inspection of the facility andlied about leaving for a medical appointment in order to meet with a former staff member to try to"influence the inspection findings."

A report prepared by the Retirement Homes Regulatory Authority (RHRA) also says that although the home was aware of issues with mice and bed bugs, it couldn't come up with any documentation proving it had taken action to deal with the pests during the previous year.

It comes afteran inspection on May 31 the last inspection before the regulator revoked the home's licence on June 15.

The inspectorcites a failure to comply withregulations around drug storage, pests and plans of care for residents, along with subsections of the Retirement Homes Act that bar people from obstructing inspections and "knowingly [providing] false or misleading information to an inspector."

The four-page report describes how the licensee's site manager tried to obstruct the inspection by "directing staff to show the inspector only fully completed resident documentation and if the inspector asked to see documentation for a resident that was incomplete to tell the inspector that the record was taken off-site.

Further, the Licensee's site manager told the inspector that she had to leave the Home to attend a medical appointment when, in fact, she went to attend a meeting with a staff member who had quit work during the inspection with the purpose of trying to get the staff member to return to work and to influence the inspection findings," it adds.

The Rosslynis the site of the deadliest COVID-19 outbreak in Hamilton.

It was evacuated on May 15 amid an outbreak that infected 64 residents and 22 staff members.

Sixteen people who lived at the home have died, accounting for more than a third of the city's 44 COVID-19-related deaths.

Even before the home was emptied, inspections by public health and the RHRApointed to basicissues around infection prevention and controland a "failure to protect residents from neglect."

The Rosslyn isassociated with the Martino family, whichowned theRoyal Crest Lifecare chain of nursing homes thatwent bankrupt in 2003.

Representatives of the home did not immediately respond to questions about the RHRA inspection Monday evening. They have not responded to repeated requests for comment aboutconditions at the home before the outbreak or the fact its licence hasbeen revoked.

The City of Hamilton has also moved to pull the home's business licence, pointing to the RHRA'sinitial licence revocation order as the reason.

No proof of fighting pests

During the May 31 inspection theRHRAfound the home failed to ensure medication was stored in a locked, secure area and that there was no evidence of a monthly audit to track controlled substances.

Retirement homes are also required to respond to infestations in a timely fashion, however pest proved a persistent problem for the Rosslyn.

City inspections ofthe home between 2018 and2020 point to evidence of bed bugs, minor cleaning issues and mice, previous reports show.

And anenvironmental health inspection on May 29 uncovered black mould, mouse droppings and "fuzzy dust" in the kitchen.

The most-recent RHRA inspection states the Rosslynwas aware of issues with mice and bed bugs, "but could not produce documentation to demonstrate that the Home had been taking timely action to address pests over the previous 12 month period."

Finally, it provides a list of shortcomings relatedto plans of care, including that each resident has a written plan of care, that resident or substitutedecision makers be able to participate in the development of that plan and be made aware of any changes.

Also, a failure to comply with a subsection of the act that explains if residents require dementia, skin or would care, the home must hold an "interdisciplinary care conference."

After reviewing a sample of resident charts and care plans, the report says the inspectorfound they didn't meet the requirements.

Under each descriptionof the issues is a note stating that as theRHRAhas revoked the home's licence there's "no applicable follow-up."