Rest homes

Northland

Radius Lester Heights Hospital, Whangarei
Owned by: Radius Residential Care
Investigated by: Health and Disability Commissioner
Date of investigation: Commenced February 2010, report released June 2012
Investigation found resident did not receive an appropriate standard of care. See full report.

Whangaroa Health Services Trust, Kaeo
Owned by: Whangaroa Health Services Trust
Investigated by: Ministry of Health
Date of investigation: March 2010
Inspection March 2010 following complaint about care. Found complaint unsubstantiated. See full report.

Norfolk Court Rest Home, Dargaville
Owned by: Norfolk Court Rest Home
Investigated by: Ministry of Health
Date of investigation: March 2009
Inspection March 2009 found significant shortfalls in care including abuse between residents, short staffing and poor infection control processes. Required to implement 27 corrective actions. See full report. See full report.

Lester Heights Hospital, Whangarei
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: May 2007 & December 2007. See our October 2009 report.

Oakhaven Hospital, Whangarei
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: May 2007 & December 2007. See our October 2009 report.

Potter Home, Whangarei
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: May 2007 & December 2007. See our October 2009 report.

Auckland

Fairview Care, Albany
Owned by: Fairview Care
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised April 2014
Investigation found deficiencies in care provided to a 95-year-old woman. The woman lost 10 percent of her weight over a six-month period but the home did little to investigate the weight loss and later postponed a scheduled review by the GP. Before she was seen by the GP, her condition deteriorated and she was admitted to hospital where she was diagnosed with pneumonia. See full report.

Orewa Secure Care, Orewa
Owned by: Orewa Secure Care
Investigated by: Ministry of Health
Date of investigation: Report finalised January 2014
Inspection January 2014 following an anonymous complaint about care provided to a male resident. The inspection found the home had failed to record observations of the man after a fall. The incident form stated only that “observations had been normal”. Fourteen corrective actions were required. See full report.

The Willows Home and Hospital
Owned by: The Willows Rest Home
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised June 2014
Investigation found the home provided a poor standard of care to an 86-year-old woman. Changes in the woman's health condition weren't adequately monitored, and her personal care and hygiene wasn't maintained to an acceptable standard. She had suffered a suspected mini-stroke, a number of falls, swallowing difficulties and rapid weight loss. See full report.

Aranui Home and Hospital, Auckland
Owned by: Aranui Home and Hospital Limited
Investigated by: Ministry of Health
Date of investigation: January 2013
Inspection January 2013 found residents weren't receiving adequate care and staff were rostered to fill shifts when they weren't skilled or qualified to perform required duties. Also found there was "little or no evidence" of any significant progress in remedying shortfalls identified by the previous audit. See full report.

Edmund Hillary Retirement Village, Auckland
Owned by: Ryman Healthcare
Investigated by: Health and Disability Commissioner
Date of investigation: Report finalised June 2013
Investigation found inadequate care provided to an elderly woman. Staff failed to properly assess a pressure ulcer, which gradually worsened and resulted in the woman being urgently referred to hospital for treatment. The home also failed to monitor the woman’s nutritional status. She later died after being admitted to hospital. See full report.

Radius St Joans Hospital, Auckland
Owned by: Radius Residential Care
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised November 2013
Investigation found staff failed to provide services with reasonable care and skill to a woman resident. The woman developed a pressure ulcer which failed to heal, and became infected and necrotic. She was admitted to hospital with a high fever and in renal failure. She died of sepsis secondary to the pressure ulcer. The investigation found the home was vicariously liable for the clinical failures of staff and had also failed to ensure staff were adequately oriented to, and supported in, their roles.
See full report.

Kindred Rest Home, Auckland (now closed)
Owned by: Kindred Rest home
Investigated by: Ministry of Health
Date of investigation: November 2012
Inspection November 2012 found facility was not providing a safe and appropriate environment, and the overall condition of the home was "extremely poor". It was agreed residents should be transferred to Sylvia Park Rest Home and Hospital (which is owned by the same provider). See full report.

Lady Alice Rest Home, Auckland
Owned by: Cressida Care
Investigated by: Ministry of Health
Date of investigation: October 2012
Inspection October 2012 found registered nurse hours were insufficient, a large number of residents needed a higher level of care than was being provided, and assessments of residents following "adverse events" had not been occurring.
See full report.

Eversleigh Hospital, North Shore, Auckland
Owned by: Cressida Eversleigh
Investigated by: Ministry of Health
Date of investigation: June 2012
Inspection June 2012 found a high number of complaints given the facility's size, confirmed issues of abuse and bullying, inexperienced staff with no senior clinical oversight, manager role not always held by suitably qualified or experienced person resulting in poor outcomes for residents, poor orientation for new staff, and poor cleanliness in the kitchen. Required to implement 33 corrective actions.
See full report.

Northbridge Lifecare Trust, Auckland
Owned by: Northbridge Lifecare Trust
Investigated by: Health and Disability Commissioner
Date of investigation: Commenced April 2010, report released June 2012
Investigation found facility did not have adequate safety nets to ensure a resident received adequate care and monitoring during a short stay.
See full report.

Sylvia Park Rest Home, Auckland
Owned by: Sylvia Park Resthome Ltd
Investigated by: Ministry of Health
Date of investigation: July 2012
Inspection July 2012 found evidence of neglect, lack of accurate and comprehensive nursing assessment of residents, management did not have training in health care provision for the elderly, little clinical oversight and staff management in place to ensure resident safety, and inadequate care plans. Required to implement 24 corrective actions.
See full report.

Rathgar Court, Auckland
Owned by: Ideal Rathgar Homes
Investigated by: Ministry of Health
Date of investigation: November 2011
Inspection November 2011 found manager and part-owner had no experience in running a health facility and there was little clinical oversight and staff management in place to ensure resident safety. Home is now closed.
See full report.

Forrest Hill Continuing Care Complex, North Shore, Auckland
Owned by: Forrest Hill Retirement Home
Investigated by: Ministry of Health
Date of investigation: January 2010

Ons Dorp Care Centre, Auckland
Owned by: Dutch Village Trust
Investigated by: Ministry of Health
Date of investigation: May 2010
Inspection May 2010 found inadequate management of staff, insufficient planning and delivery of services, under-reporting of adverse events, and poor governance. Required to implement 27 corrective actions.
See full report.

St Andrews Village, Auckland
Owned by: Auckland Presbyterian Hospital Trustees
Investigated by: Ministry of Health
Date of investigation: October 2010
Inspection October 2010 found resident received critical injuries due to a breach of handling protocols; the event was the third in a series of fall injuries sustained by the resident. Required to implement six corrective actions.
See full report. See full report.

Summerset by the Park, Manukau City
Owned by: Summerset Care
Investigated by: Ministry of Health
Date of investigation: July 2010
Inspection July 2010 found inadequate complaints management, inadequate care planning, and gaps in staff training. Required to implement 16 corrective actions. See full report.

West Harbour Gardens Residental Care, Auckland
Owned by: Terra Nova Homes
Investigated by: Ministry of Health
Date of investigation: June 2010
Inspection June 2010 found inadequate complaints management, no recorded staff education on challenging behaviour, and no evidence of family involvement in care planning. Required to implement four corrective actions. See full report.

Jervois Private Hospital, Auckland
Owned by: Terra Nova Homes
Investigated by: Ministry of Health
Date of investigation: November 2009
Inspection November 2009 found facility had not provided registered-nurse cover for all duties and caregiver absences were not always filled. Required to implement two corrective actions. See full report.

Regency Home and Hospital, Auckland
Owned by: Bosnyak Lifecare Management
Investigated by: Ministry of Health
Date of investigation: August 2009
Inspection August 2009 found home did not reduce the risk of potential harm for resident with high risk of falls and resident with mental health problems. See full report.

Rossmore Rest Home, Auckland
Owned by: Happy Rain
Investigated by: Ministry of Health
Date of investigation: January 2009
Inspection January 2009 found significant issues of concern with service delivery, including inadequate staff training. Required to implement 15 corrective actions. See full report.

Tui House, Auckland
Owned by: Tui House
Investigated by: Ministry of Health
Date of investigation: February 2009
Inspection February 2009 following complaint from ACC relating to wrong medication given to resident. Report states Ministry of Health is satisfied with corrective actions taken. See full report.

Belhaven Rest Home, Auckland
Owned by: Belhaven Limited
Investigated by: Ministry of Health
Date of investigation: Closed by Ministry, July 2008

Edmund Hillary Retirement Village, Auckland
Owned by: Ryman Healthcare
Investigated by: Ministry of Health
Date of investigation: October 2008. See full report. See also Health and Disability Commissioner report.

Manurewa Private Rest Home and Hospital, Auckland
Owned by: Ultimate Care Group
Investigated by: Ministry of Health
Date of investigation: August 2008. See our October 2009 report.

Waikato

Kintala Lodge, Hamilton
Owned by: Liberty 2000
Investigated by: Ministry of Health
Date of investigation: March 2013
Inspection March 2013 following complaint about care. Aspects of the complaint relating to falls, unexplained injuries, and management of weight loss were substantiated. See full report.

Raeburn Rest Home, Cambridge
Owned by: Oceania Care
Investigated by: Ministry of Health
Date of investigation: October 2012
Inspection October 2012 following complaints about care. Eight of 10 allegations were not substantiated at the inspection. Two allegations regarding abuse, and infection prevention and control were substantiated. The inspection found "appropriate action had already been taken with regard to the allegation of abuse". Required to implement 3 corrective actions relating to infection prevention. See full report.

Radius Maeroa Lodge, Hamilton
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: September 2011
Inspection September 2011 found staff skill mixes were not adequate to provide safe levels of service delivery and complaints were not always documented. Required to implement 16 corrective actions. See full report.

Eastcare Residential Home, Hamilton
Owned by: Kaylex Care
Investigated by: Ministry of Health
Date of investigation: June 2009
Inspection June 2009 found shortfalls in residents' care associated with inadequate staffing and care planning. Inspectors reported the facility was cold and there was a strong smell of urine throughout the home. Required to implement 21 corrective actions. See full report.

Kimihia Home and Hospital, Huntly
Owned by: North Waikato Care of the Aged Trust
Investigated by: Ministry of Health
Date of investigation: March 2009
Inspection March 2009 found physical abuse occuring between residents and significant shortfalls in standards of care. Required to implement 25 corrective actions. See full report.

Kintala Lodge Rest Home, Hamilton
Owned by: Liberty 2000
Investigated by: Ministry of Health
Date of investigation: November 2009
Inspection November 2009 following complaint from medical centre about care. Found deficiencies in review and evaluation of care plans and complaints management. Required to implement 10 corrective actions. See full report.

Bay of Plenty

Cedar Manor Rest Home and Hospital, Tauranga
Owned by: Bupa Care
Investigated by: Ministry of Health
Date of investigation: April 2013
Inspection April 2013 following complaint about care. Nine of 11 allegations were not substantiated at the inspection. Two issues relating to personal hygiene, and evaluation of the effect of medication changes were partially substantiated. See full report.

Killarney Rest Home, Tauranga
Owned by: Killarney Rest Home (2009) Ltd. Operation of the home was taken over by NNNM Enterprises in June 2013.
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised November 2013
Investigation found home provided "very poor" care to an elderly woman who had advanced dementia. The woman suffered several falls at the home. She was left for nearly a week with a fractured hip and in considerable pain. The investigation found the home failed to complete admission documentation, a care plan or a falls risk assessment. See full report.

Sheaffs Rest Home, Whakatane
Owned by: Ellora Enterprises
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised June 2013
Investigation found inadequate care provided to a 77-year-old man. Care given by the registered nurse was below expected standards and the facility manager had failed in her responsibility to ensure a quality service. The rest home had also breached the Code of Consumer Rights. See full report.

Hawke’s Bay

Elmwood House, Napier
Owned by: Elmwood House Partnership
Investigated by: Ministry of Health
Date of investigation: August 2013
Inspection August 2013 following complaint about care. Found all but two aspects of the complaint were substantiated including that a resident sustained an unexplained head injury and was not seen by a GP in a timely manner, residents were left unsupervised and some were tied to chairs. See full report.

Taranaki

Radius Heatherlea Care Centre, New Plymouth
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: May 2015
Inspection found the home didn't fully comply with 2 standards. It was required to implement 2 corrective actions to ensure care assessments and clinical reviews of adverse events were completed promptly. For 9 of 17 adverse event reports, there was evidence of considerable delays in clinical review. See full report.

Carrington Rest Home, New Plymouth (closed 2012)
Owned by: Beta Pacifica
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised June 2014
Investigation found the home failed to provide services with reasonable care and skill to an elderly woman. Monitoring of the woman’s vital signs and condition by an inexperienced graduate nurse was found to be inadequate. The woman’s health deteriorated over a nine day period. She was admitted to hospital on the 10th day but died three days later. The investigation criticised the home for assigning the nurse too much responsibility and failing to provide clinical supervision. See full report.

Elizabeth R Rest Home and Hospital, Stratford
Owned by: Bupa
Investigated by: Ministry of Health
Date of investigation: Report finalised December 2013
Inspection December 2013 found an elderly male resident was strapped to a chair because the facility was short-staffed. The man had skin wounds which medical notes indicated may have been caused by his skin rubbing against the strap used to restrain him. Antibiotics were prescribed to treat one wound which had become infected. The inspection found staffing levels at the home were inadequate and the staffing policy wasn’t being followed. The home was also failing to adhere to its policy on using restraints. See full report.

Marinoto Rest Home, Inglewood
Owned by: Jennifer Margaret Pratt
Investigated by: Ministry of Health
Date of investigation: May 2013
Inspection May 2013 following complaint about care provided to a resident. All aspects of the complaint were substantiated including that the resident wasn't checked by a GP after falling and sustaining a head injury, and was vomiting and distressed throughout the day but received no medical assessment or appropriate monitoring. See full report.

Mercy Jenkins Care Centre, Eltham
Owned by: Cressida Eltham
Investigated by: Ministry of Health
Date of investigation: July 2012
Inspection July 2012 found shortfalls in several areas including staffing levels and skill mix, evaluation of care, provision of activities, and infection prevention. See full report.

Renaissance Rest Home and Private Hospital, New Plymouth
Owned by: Cressida Healthcare (home under new ownership)
Investigated by: Ministry of Health
Date of investigation: June 2012
Inspection June 2012 following complaints about care. Complaints were substantiated with shortfalls found in 24 areas including complaints management, clinical management, care planning, staffing levels and skill mix, medication management, nutrition, cleaning, and infection prevention. See full report.

Elizabeth R, Stratford
Owned by: Oceania Care
Investigated by: Ministry of Health
Date of investigation: October 2011
Inspection October 2011 found healthcare standards were not being fully met and several shortfalls identified in previous audits had not been remedied. Required to implement 21 corrective actions. See full report.

Norfolk Lodge, Waitara
Owned by: Norfolk Lodge
Investigated by: Ministry of Health
Date of investigation: September 2010
Inspection September 2010 following complaint about care. Found complaint unsubstantiated. See full report.

Manawatu-Wanganui

New Vista Rest Home, Wanganui
Owned by: New Vista Rest Home
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised October 2013
Investigation found home failed to provide services with reasonable care and skill to a woman resident. Poor oversight and lack of communication meant the woman was left without her medication for a weekend. She was admitted to hospital after her legs became oedematous (swollen from excessive watery fluid) and had fluid oozing from them. The investigation found “sub-optimal” care was provided in several areas and the home had failed to meet its responsibilities to the woman. See full report.

Wimbledon Villa, Feilding
Owned by: GJ & JM Bellaney Limited
Investigated by: Ministry of Health
Date of investigation: March 2013
Inspection March 2013 found home had breached the conditions of its certification by failing to inform the Director-General of Health of a resident's death. Also found the facility manager had “limited knowledge and understanding of aged care". A previous visit by health officials in February 2012 identified “serious concerns” about the actions of a registered nurse. See full report.

Avonlea Hospital and Home, Taumaranui
Owned by: Avonlea Trust Board
Investigated by: Ministry of Health
Date of investigation: August 2011
Inspection August 2011 following complaint about care. Aspects of the complaint regarding registered nurse cover and care plan documentation were partially substantiated. No corrective actions required as shortfalls had already been identified in a previous audit. See full report.

Brightwater Home, Palmerston North
Owned by: Presbyterian Support Central
Investigated by: Ministry of Health
Date of investigation: February 2011
Inspection February 2011 found inadequate short-term care planning and inadequate infection prevention and control to manage scabies outbreak. Required to implement 11 corrective actions. See full report.

Karina Rest Home, Palmerston North
Owned by: Seniorcare Hospitals (home under new ownership)
Investigated by: Ministry of Health
Date of investigation: October 2010
Inspection October 2010 found inadequate staff competency and training, inadequate care planning and complaints management. Required to implement 25 corrective actions. See full report.

Rose A Lea Rest Home, Palmerston North
Owned by: J & B Wenmouth
Investigated by: MidCentral District Health Board
Date of investigation: Closed by DHB, November 2009

Wattle Downs Rest Home, Whanganui
Owned by: Wattle Downs Holdings
Investigated by: Ministry of Health
Date of investigation: February 2009
Inspection February 2009 found unacceptable levels of care, insufficient caregiver training and unsafe medicine management. Required to implement 21 corrective actions. See full report.

Wellington

Huntleigh Home, Wellington
Owned by: Presbytarian Support Central
Investigated by: Ministry of Health
Date of investigation: August 2016
Inspection found the home didn't provide care requested by a resident and her privacy wasn't respected. It was required to implement five corrective actions relating to residents' rights, complaints management and care planning. See full report.

Metlifecare Wairarapa, Masterton
Owned by: Metlifecare
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised February 2014
Investigation found repeated failures by staff to provide care to an elderly man. His weight and hydration levels weren't adequately monitored, and wound care was poorly coordinated. His wounds had become necrotic. The man was also assessed as having a high risk for falls but there was no plan to manage this risk. The investigation found the home failed to ensure there was adequate clinical oversight or orientation for its staff, or that staff complied with policies. See full report.

Malvina Major Retirement Village, Wellington
Owned by: Ryman Healthcare
Investigated by: Ministry of Health
Date of investigation: July 2013
Inspection following complaint by a resident’s daughter that her mother was left covered in faeces. Inspection found the facility was failing to fully meet required rest home standards and was required to implement corrective actions. See full report.

Metlifecare Coastal Villas, Paraparaumu
Owned by: Metlifecare Limited
Investigated by: Ministry of Health
Date of investigation: February 2011
Inspection February 2011 found inadequate management of pressure ulcers, medication given to a resident without a prescription chart, lack of dressings and other equipment. Required to implement 16 corrective actions. See full report.

Lyndswood Rest Home, Wellington
Owned by: Bernadette Enterprise (home under new ownership)
Investigated by: Ministry of Health
Date of investigation: October 2010
Inspection October 2010 following complaint about care. Complaint largely unsubstantiated but inspection found inadequate assessment of a resident following the prescription of psychotropic medications, and shortfalls in record keeping. Required to implement seven corrective actions. See full report.

Malvina Major Retirement Village, Wellington
Owned by: Ryman Healthcare
Investigated by: Ministry of Health
Date of investigation: August 2010
Inspection August 2010 following complaint about care. Found complaint unsubstantiated. See full report.

Alexandra Rest Home, Wellington - inquest into resident's death
Owned by: Village at the Park Lifecare (operator at time of death)
Investigated by: Coroner Garry Evans
Date of investigation: Coroner's report issued March 2009
Delay of resident's treatment linked to inadequate staffing.

Huntleigh Home, Wellington
Owned by: Presbyterian Support Central
Investigated by: Ministry of Health
Date of investigation: November 2009
Inspection November 2009 found some deficiencies in service delivery, lack of cleanliness and there appeared to be inadequate staff training. Required to implement 13 corrective actions. See full report.

Johnsonvale Home, Wellington
Owned by: Johnsonvale Home Trust
Investigated by: Ministry of Health
Date of investigation: September 2009
Inspection September 2009 found instances of abuse of residents by other residents, inadequate assessment of some residents' needs, and extremely high fall rate. Required to implement 44 corrective actions. See full report.

Norman Kirk Rest Home, Upper Hutt - inquest into resident's death
Owned by: Oceania Care (home since closed)
Investigated by: Coroner Garry Evans
Date of investigation: Coroner's report issued December 2009
Injuries sustained by resident linked to inadequate staffing.

Village at the Park, Wellington
Owned by: Village at the Park Care
Investigated by: Ministry of Health
Date of investigation: November 2009
Inspection November 2009 found dementia wing routinely staffed by untrained caregivers and residents' care not adequately managed. Required to implement 14 corrective actions. See full report.

Summerset Care, Upper Hutt
Owned by: Summerset Care
Investigated by: Ministry of Health
Date of investigation: November 2008. See full report. See also Health and Disability Commissioner report.

Marlborough

Springlands Retirement Village, Blenheim
Owned by: Springlands Senior Living
Investigated by: Ministry of Health
Date of investigation: September 2012
Inspection September 2012 found insufficient clinical oversight of residents and shortfalls in 21 areas including complaints management, staffing levels and skill mix, staff training, care planning, and medication management. See full report.

West Coast

Granger House Rest Home and Richard Seddon Hospital, and Kowhai Manor, Greymouth Owned by: Kiwiannia Care
Investigated by: Ministry of Health
Date of investigation: September 2015
Inspection found the facilities didn’t fully comply with 13 standards. The owner was required to implement 19 corrective actions including employing a qualified manger, reviewing staffing levels, ensuring care plans were accurate and reflected residents needs, and providing adequate supplies (including wound care supplies and linen). Kowhai Manor was closed by the Ministry of Health in March 2017. Kiwiannia Care is in receivership. See full report.

Canterbury

Annaliese Haven Rest Home, Kaiapoi
Owned by: Elsdon Enterprises
Investigated by: Ministry of Health
Date of investigation: February 2016
Inspection found the home didn't fully comply with 12 expected standards. It was required to implement 12 corrective actions including ensuring staffing levels were adequate to meet residents' needs, reviewing care plans within expected timeframes, notifying families of resident incidents and acknowledging complaints. See full report.

Karadean Court Lifecare, Oxford
Owned by: Ultimate Care Group
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Commenced September 2010, report released June 2012
Investigation found two nursing staff and the Ultimate Care Group breached a resident's rights to services of an appropriate standard. The resident was admitted to a rest home bed when he required hospital-level care. The care provided was substandard and concerns raised by family members were not fully documented or acted upon. Commissioner found Ultimate Care did not sufficiently support and provide oversight of senior staff and did not ensure services were provided with reasonable care and skill. See full report.

Radius Elloughton Gardens, Timaru
Owned by: Radius Residential Care
Investigated by: Ministry of Health
Date of investigation: November 2016
Inspection found the home didn't fully comply with 2 standards. It was required to implement 2 corrective actions to ensure the complaints register was completed and medication adminstration complied with requirements. See full report.

Middlepark Rest Home and Village, Christchurch
Owned by: Oceania Care
Investigated by: Deputy Health and Disability Commissioner
Date of investigation: Report finalised January 2014
Investigation found the home failed to provide appropriate treatment to an elderly woman when she developed an infection. The woman was in significant pain by the time she was admitted to hospital. She died shortly afterwards. The investigation found the home and three registered nurses at the facility had breached the Code of Consumers' Rights. See full report.

Bermuda House, Christchurch (now closed)
Owned by: Arlen Carter
Investigated by: Ministry of Health
Date of investigation: September 2012
Inspection September 2012 following complaints about care. Inspection found insufficient clinical oversight of residents and shortfalls in 30 areas including informed consent, privacy, complaints management, staffing levels and skill mix, care planning, medication management, nutrition and food management, and infection prevention. See full report.

Wiltshire Home and Hospital, Rangiora
Owned by: Wiltshire Ltd
Investigated by: Canterbury District Health Board
Date of investigation: July 2012
Inspection July 2012 found staff shortages, poor wound care, dehydration and unmanaged weight loss affecting some residents, insufficient continence products and other equipment, inadequate pain management, and lack of infection prevention and control measures. Canterbury DHB appointed a temporary manager. See full report.

Villa Gardens Home and Hospital, Christchurch
Owned by: Oceania Care Group
Investigated by: Health and Disability Commissioner
Date of investigation: October 2008 (two investigations). Report one. Report two.

Otago

Home of St Barnabas, Dunedin
Owned by: Home of St Barnabas Trust
Investigated by: Ministry of Health
Date of investigation: Report finalised January 2014
Inspection January 2014 substantiated a complaint that a resident was not checked for five hours after she had a fall. The inspection also found a resident with dementia had been found wandering in the streets on two occasions. Eleven corrective actions were required. See full report.

Ross Home and Hospital, Dunedin
Owned by: Presbyterian Support Otago
Investigated by: Deputy Health and Disability Commissioner
Inspection found facility had breached a resident's rights by failing to follow appropriate restraint procedures, not having appropriate reporting systems in place in the dementia unit, failing to ensure staff communicated effectively with each other about the resident's care, and failing to ensure staff evaluated his progress. See full report.

Lindsay Unit, Ross Home and Hospital, Dunedin
Owned by: Presbyterian Support Services Otago
Investigated by: Ministry of Health
Date of investigation: December 2010
Inspection December 2010 found potentially serious shortcomings in care planning, lack of training to manage pressure ulcers, and inadequate adverse event reporting. Required to implement 21 corrective actions. See full report.