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October 2022

Facility Holyrood Manor Service Type Long-Term Care
Health authority Fraser Health Regulation/Legislation Hospital Act
Street address 22710 Holyrood Ave Accreditation status Unknown
City/postal code Maple Ridge Accreditation expiry date not available
Phone number (604) 467-8831 Contact for complaints Executive Director
Operator (Type) Revera Long Term Care Inc. (For Profit) Phone number of complaint contact (604) 467-8831 x222
Opened 1995 Personal spending account Yes
Councils Family Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 4 to 529 days, with an average of 73 days
Current language(s) spoken by staff n/a
Indigenous Territory Coast Salish peoples

Source: Facility

Resident Fees for Personal Services
Cable monthly service included No Other extra fees n/a
Telephone monthly service included No
Internet monthly service included No

Source: Facility

Beds (March 31, 2022) Room Configuration (March 31, 2022)
Private beds (not publicly funded) 1 Single Occupancy 77
Publicly funded beds (short and long-term) 124 Double Occupancy 24
Total beds 125 Other Occupancy 0

Source: 1. Ministry of Health, 2. Facility

Contracted Services
Professional nursing services No Housekeeping services n/a
Non-regulated services (care aides) No Plant/building maintenance n/a
Food services provided by Outside Contractor Food prepared and cooked on site Yes

Source: Facility

Funding 2020/21 2021/22
Total direct care hours (hours per resident per day) 1 3.36 3.37
Nursing care hours (hours per resident per day) 2.94 3.01
Registered Nurse (hours per resident per day) 0.39 0.24
Licensed Practical Nurse (hours per resident per day) 0.41 0.53
Care Aide (hours per resident per day) 2.14 2.24
Allied health hours (hours per resident per day) 0.42 0.36
Food costs per resident per day (actual cost) 2 $8.48 $9.04
Facility per diem rate2 $247.02 $252.63

Source: 1. Ministry of Health, 2. Health Authority

Licensing (2021/22)
Complaints, 2021/22
Number of licensing complaints 1 Number substantiated licensing complaints 0
Incidents, 2021/22 Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 1 0.8 0.8 Medication error with adverse event 0 0.0 0.3
Abuse / neglect 1 0.8 1.3 Missing or wandering person 2 1.6 1.0
Fall with injury / Adverse event 22 17.6 9.2 Other injury 4 3.2 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 9 7.2 4.6
Unexpected illness 19 15.2 20.3 Attempted suicide 0 0.0 0.1
Expected death 24 19.2 26.8 Other - clinical 1 0.8 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 0 0.0 1.4
Inspections
Risk Rating Medium Risk Score 17
Number of Inspections 4 Number of licensing infractions found 20
Licensing Infractions
Licensing 1 Nutrition & food services 0
Physical facility, equipment & furnishings 5 Medication 0
Staffing 4 Program 0
Policies & procedures 2 Records & reporting 0
Care & supervision 5 Resident Bill of Rights 0
Hygiene & communicable disease control 3 Other 0

Source: Health Authority

Resident Profile (2021/22) Facility B.C.
Average age of population 85 83
Percent female 73.6% 63.2%
Percent 85 years or older 59.0% 53.4%
Percent younger than 65 years 4.7% 5.8%
Average length of stay (days) suppressed 855
Percent of residents diagnosed with depression 29.1% 23.3%
Percent of residents dependent in activities of daily living 30.4% 32.0%
Percent of residents in a wheelchair 60.8% 52.8%
Percent of residents with dementia (mild to severe) 66.5% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 24.1% 27.9%
Percent of residents with physically abusive behaviour 9.5% 8.8%
Average index of social engagement 2.2 2.7
Percent of residents with low social engagement 57.0% 49.3%
Case mix index 0.62 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2021/22) Facility B.C.
Percent of residents receiving physical therapy 0.0% 10.9%
Percent of residents receiving recreation therapy 58.2% 30.1%
Percent of residents receiving occupational therapy 0.0% 5.7%
Percent of residents receiving depression medication 45.6% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 28.1% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 31.4% 34.0%
Percent of residents with daily physical restraints 3.2% 6.4%
Percent of residents with falls in the last 30 days 10.3% 12.9%
Percent of residents with a worsened pressure ulcer 3.5% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza n/a 90.2%
Percent of health care workers vaccinated for influenza n/a 53.7%
Percent of residents vaccinated for COVID-19 85.8% 92.6%

Source: 1. BC Centre for Disease Control; 2. Ministry of Health; 3. Health Authority; 4. Facility