Complete Care At Grande Prairie

Penalties

• Mar 27, 2025 — Fine ($65,556)

Inspection findings

1. May 14, 2026 Health · 11 findings
   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     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.

     Corrected Jun 6, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Jun 6, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Jun 6, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 6, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Jun 6, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jun 4, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0233 Egress Deficiencies

     Install resident room doors of proper design and width.

     Corrected Jun 4, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jun 4, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 4, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Jun 4, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jun 4, 2026 · CMS fire safety

2. Mar 27, 2025 Health · 4 findings
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Apr 21, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 21, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 21, 2025 · CMS health inspection

3. Nov 14, 2024 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0018 Emergency Preparedness Deficiencies

     Establish procedures for tracking staff and patients during an emergency.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0025 Emergency Preparedness Deficiencies

     Create arrangements with other facilities to receive patients.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

     Corrected Dec 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 6, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Dec 20, 2024 · CMS fire safety

4. Jan 8, 2024 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     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.

     Corrected Jan 26, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 31, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jan 31, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 26, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jan 24, 2024 · CMS health inspection

5. Sep 12, 2023 Health · 8 findings
   • Not serious Scope/severity D Complaint

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

     Corrected Oct 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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.

     Corrected Oct 5, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Oct 5, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Oct 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Oct 5, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Oct 5, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Oct 5, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0908 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

     Corrected Nov 3, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BIELINSKI, RENEE — operational/managerial control, NOT APPLICABLE, since 07/11/2022
• BIELINSKI, RENEE — adp of the snf, NOT APPLICABLE, since 07/11/2022
• HELLMAN, YOSEF — adp of the snf, NOT APPLICABLE, since 06/01/2022
• HELLMAN, YOSEF — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• HUGHES, CRYSTAL — adp of the snf, NOT APPLICABLE, since 06/01/2022
• HUGHES, CRYSTAL — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• KLUGMAN, JACOB — adp of the snf, NOT APPLICABLE, since 06/01/2022
• SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 11/17/2022
• SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 11/17/2022
• STEELE, WILLIAM — adp of the snf, NOT APPLICABLE, since 06/01/2022
• STEELE, WILLIAM — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — managing control - governing body, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — corporate officer, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — trustee of the snf, NOT APPLICABLE, since 06/01/2022
• STERNBUCH, DANIEL — adp of the snf, NOT APPLICABLE, since 06/01/2022
• STERNBUCH, DANIEL — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• DES CAPITAL LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• GRANDE PRAIRIE PROPCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• JRK INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• PC SWI HOLDCO LLC — 5% or greater direct ownership interest, 100%, since 06/01/2022
• PC SWI TOPCO LLC — 5% or greater indirect ownership interest, since 06/01/2022
• PEACE CAPITAL HOLDINGS II LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• SMS 2021 TRUST — 5% or greater indirect ownership interest, since 06/01/2022
• SMS 2021 TRUST — adp of the snf, NOT APPLICABLE, since 06/01/2022
• WI 6 PROPCO HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• WI 6 PROPCO TOPCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022