The city-run nursing home where an elderly resident was killed over the weekend has a documented history of abuse, untrained staff and unsanitary living conditions.

Those reports — 31 ministry inspection logs in 29 months — offer a window into a frightening environment at Castleview Wychwood Towers, from feces-stained furniture and broken bedside bells to complaints about residents crying in vain to go to the bathroom. In addition to a staff member being convicted of sexual assault in 2012, allegations and complaints of abuse have continued.

The Star examined all the inspection reports for the 10 nursing homes run by the city. Of those, Castleview had the most inspections — 22 in 2011 alone — and appeared to have the most severe complaints.

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Castleview, on Christie St. near Dupont St., also ranks third in Toronto for the highest total of inspection reports since 2010.

Residents were having breakfast Saturday morning, in Castleview’s dining room with staff present, said a source who has knowledge of the incident but is not authorized to comment. Francisco DaSilva, 87, and Francesco Greco, 81, then returned to the room they shared.

It’s not clear what happened next, but police found DaSilva dead in his room after 8:45 a.m., suffering “obvious injuries to the head,” according to police. A post-mortem examination was to be done Monday morning, said homicide’s Det. Ted Lioumanis.

Greco was charged with second-degree murder. His bail hearing was delayed until Tuesday amid efforts to find a translator, Lioumanis said. He remains in custody.

The detective said Greco’s state of mind and possible mental illness are currently the subject of investigation.

Castleview has 456 beds on seven floors, split between two wings. The most recent inspection, carried out in May and June, revealed a litany of problems for which the Ministry of Health and Long-Term Care ordered immediate action.

The home’s administrator, Nancy Lew, did not respond to the Star’s request for comment.

In the most recent report, inspectors found furnishings and bell strings, used to call for assistance, covered in feces. They personally intervened during unsafe feeding procedures. There were unsecured stairwells and exterior doors.

The Star has previously investigated incidents at the home.

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In 2011, 71-year-old resident Danae Chambers, who suffered from severe dementia, was raped in her bed by 47-year-old staff member Leonid Kozlov, who pleaded guilty to sexual assault and was sentenced to 12 months in jail.

In that case, as with many of the inspection reports posted on the ministry’s website for the public, there are few details provided about the incidents listed, and it’s not always clear what is alleged to have happened.

An inspection earlier in 2011 found that allegations in two cases — that staff had abused residents — were not reported to the director of care, as required. It’s not known what the allegations were about, or what, if anything, was done about them.

Another 2011 inspection revealed that systems in place to prevent residents with dementia from wandering were not working properly, and the building was not sufficiently secured.

In March and April, a ministry inspector reported two registered nurses at the home spoke to a resident in a “demeaning manner” and made “inappropriate comments of a sexual nature.” On a different day, the report says, staff watched as the same nurses took cellphone pictures of the naked resident as a “strategy to shame the resident and convince the resident to dress.”

One of those nurses was seen again making “inappropriate comments” to the resident “in an attempt to shame the resident, while the resident was in distress waiting for the ambulance for transfer to the hospital.”

According to the report, staff didn’t report details of the incident to the administrator for 14 days, “due to worries about personal and professional repercussions.” The director of care wasn’t notified about the photos for 29 days — and was never told about the inappropriate comments.

That same report noted that in 2012, nearly two-thirds of frontline staff had not been trained on residents’ rights and mandatory reporting.

Half of all staff hadn’t received training on mental health issues, despite a description on the city’s website saying the home has “achieved a respected and high level of knowledge and effectiveness in dementia care.”

In an email, Marsha Nicholson, director of resident care and service for the city, said Castleview’s case complexity is higher than the divisional average. She added that Castleview, ranked with the nine other facilities, is in the “mid-range” of the average number of complaints over a three-year period.

Privately run homes have also experienced serious problems. Earlier this year, Joycelyn Dickson, 72, was beaten to death at the Wexford Residence and another resident was severely injured. Resident Peter Roy Brooks was charged with second-degree murder and aggravated assault.

Miranda Ferrier, president of the Ontario Personal Support Workers Association, said the situation at Castleview is not an anomaly but does appear to be worse than others.

“Every long-term care facility is short-staffed. Every single long-term care facility, there is neglect of patients, there is abuse,” she said.

However, Ferrier said people in her organization who gathered over the weekend were surprised to see Castleview had 22 incident reports in one year. Four or five would be the norm.

“It is so concerning,” she said. “Something like this … doesn’t just happen.”