February 2023

Understanding long-term care homes

Sandra Lopes | Research Officer

Notes

[1]  Statistics Canada, A portrait of Canada’s growing population aged 85 and older from the 2021 Census, April 27, 2022. Unless otherwise noted, all links were last accessed on January 18, 2023. 

[2] Ministry of Long-Term Care, Estimates Briefing Book, 2022-2023, p. 58. 

[3] Ministry of Long-Term Care, Estimates Briefing Book, 2022-2023, p. 58. 

[4]  Ministry of Long-Term Care, Estimates Briefing Book, 2022-2023, p.58 and Canadian Institute for Health Information,  Long-term care homes in Canada: How many and who owns them?, June 10, 2021.

[5] Canadian Institute for Health Information, Long-term care homes in Canada: How many and who owns them?, June 10, 2021. 

[6] Canadian Institute for Health Information, How many long-term care beds are there in Canada?, June 10, 2021. 

[7]  Health Quality Ontario, Wait Times for Long-Term Care Homes

[8] Financial Accountability Office of Ontario, Long-Term Care Homes Program: A Review of the Plan to Create 15,000 New Long-Term Care Beds in Ontario, 2019. p. 1 and p. 3.

[9] Fixing Long-Term Care Act, 2021, s. 1. 

[10] Ministry of Long Term Care, Long-Term Care Homes. See also Fixing Long-Term Care Act, 2021, ss. 99-101 and 109. 

[11] Fixing Long-Term Care Act, 2021, s. 154. 

[12] Fixing Long-Term Care Act, 2021, s. 192. 

[13] Fixing Long-Term Care Act, 2021, s. 159. 

[14] Ministry of Long-Term Care, Estimates Briefing Book, 2022-2023, p. 62. 

[15]  Ministry of Long-Term Care, Long-term care homes level-of-care per diem, occupancy and acuity-adjustment funding policy, p. 2 and Ministry of Long-Term Care - Ontario Health Accountability Agreement, December 1, 2021- March 31, 2024. 

[16] Ministry of Long-Term Care, Long-term care homes level-of-care per diem, occupancy and acuity-adjustment funding policy, April 1, 2021, p. 4. 

[17] Ministry of Long-Term Care,  Long-term Care Homes Level-of-Care Per Diem Summary, April 1, 2022. 

[18] Ministry of Long-Term Care,  Long-term Care Homes Level-of-Care Per Diem Summary, April 1, 2022.  

[19] Ministry of Long-Term Care, “Overview of Long-Term Care Funding – Level of Care Funding Envelopes and Reconciliation Process,” p. 4 and Ministry of Long-Term Care, Long-term care homes level-of-care per diem, occupancy and acuity-adjustment funding policy, April 1, 2021, p. 7.

[20] Ministry of Long-Term Care, Paying for long-term care.

[21] Ministry of Long-Term Care, Policy: Updated 2022-2023 Long-Term Care Staffing Increase, November 2022. 

[22] Between December 1, 2022 and March 31, 2023 the fund will also provide $4.35 on a per bed basis.   Ministry of Long-Term Care, Ontario’s Long-Term Care Staffing Plan (2021-2025): Investments to Increase Direct Care Time for Residents and the Supporting Professional Growth Fund, Frequently Asked Questions (Fiscal Year Two funding: 2022-23), November 2022, p. 10. 

[23] Association of Municipalities of Ontario, Coming of Age: The Municipal Role in Caring for Ontario’s Seniors, June 2011, p. 5. 

[24] Office of the Auditor General of Ontario, “Food and Nutrition in Long-Term-Care Homes,” 2019 Value-for-Money Audit, Volume 1, Chapter 3.05, p. 301. 

[25] The Honourable Frank N. Marrocco, Angela Coke, and Dr. Jack Kitts, “Ontario’s Long-Term Care COVID-19 Commission Final Report,” April 30, 2021, p. 81.

[26] Ministry of Long-Term Care, “Overview of Long-Term Care Funding – Level of Care Funding Envelopes and Reconciliation Process,” p. 5 and p. 11. 

[27] Funding may be provided all or in part through another agency as set out in the applicable Development Agreement. Ministry of Long-Term Care, Long-term care Home Capital Development Funding Policy, 2022, p. 3 

[28] Ministry of Long-Term Care, Long-term care Home Capital Development Funding Policy, 2022, p. 5. 

[29] Ministry of Long-Term Care, Long-term care Home Capital Development Funding Policy, 2022, p. 6. 

[30] Ministry of Long-Term Care, Long-term care Home Capital Development Funding Policy, 2022, p. 14. 

[31] Ministry of Long-Term Care, Estimates Briefing Book, 2022-2023, p. 59.

[32] Ontario, Ontario Health Teams: Guidance for Health Care Providers and Organizations,  p. 22.

[33] Ministry of Health, Ontario Health Teams.  

[34] Ontario Regulation 246/22: General, s. 184

[35] R.R.O. 1990, Regulation 965: Hospital Management, s. 16, under the Public Hospitals Act

[36] Fixing Long-Term Care Act, 2021, s. 60.1 and Ontario Regulation 246/22: General, ss. 204.1, 204.2 and 204.3. 

[37]  Fixing Long-Term Care Act, 2021, s. 76.  

[38]  Fixing Long-Term Care Act, 2021, s. 78.  

[39] Ministry of Long-Term Care, Long-term care staffing study, July 30, 2020.

[40] Ontario, Long-term care home complaint process

[41] Honourable Eileen E. Gillese, Commissioner of the Long-Term Care Homes Public Inquiry, Public Inquiry into the Safety and Security of Residents in the Long-Term Care Homes System, 2019. 

[42]  Ministry of Long-Term Care, Long-term care staffing study, July 30, 2020. 

[43] The Honourable Frank N. Marrocco, Angela Coke, and Dr. Jack Kitts, “Ontario’s Long-Term Care COVID-19 Commission Final Report,” April 30, 2021.