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December 2023

Facility Beacon Hill Villa Service Type Long-Term Care
Health authority Vancouver Island Health Regulation/Legislation Community Care & Assisted Living Act
Street address 635 Superior St Accreditation status Accredited
City/postal code Victoria/V8V1V1 Accreditation expiry date not available
Phone number (250) 383-5447 Contact for complaints General Manager / Director of Care
Operator (Type) Retirement Concepts (For Profit) Phone number of complaint contact (250) 383-5447
Opened 1991 Personal spending account Yes
Councils Resident Council, Family Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Co-located with an assisted living residence No
Wait Time From 9 to 471 days, with an average of 169 days
Current language(s) spoken by staff n/a
Indigenous Territory Lekwungen peoples and the Songhees and Esquimalt Nations

Source: 1. Facility; 2. Health Authority; 3.Ministry of Health

Resident Fees for Personal Services
Cable monthly service included No Other extra fees ID bracelet, clothing labeling
Telephone monthly service included No
Internet monthly service included No

Source: Facility

Beds (as of March 31, 2023) Room Configuration (excluding short-stay beds) (as of March 31, 2023)
Private beds (not publicly funded) 0 Single Occupancy 66
Publicly funded beds (short and long-term) 80 Double Occupancy 7
Total beds 80 Other Occupancy 0

Source: 1. Ministry of Health; 2. Facility

Contracted Services
Professional nursing services Yes Housekeeping services Yes
Non-regulated services (care aides) Yes Plant/building maintenance Yes
Food services provided by Outside Contractor Food prepared and cooked on site Yes

Source: Facility

Funding 2021/22 2022/23
Total direct care hours (hours per resident per day) 3.16 3.36
Nursing care hours (hours per resident per day) 2.94 3.00
Registered Nurse (hours per resident per day) 0.29 0.29
Licensed Practical Nurse (hours per resident per day) 0.43 0.46
Care Aide (hours per resident per day) 2.22 2.25
Allied health hours (hours per resident per day) 0.22 0.36
Food costs per resident per day (actual cost) $6.05 $8.37
Facility per diem rate $261.19 $274.75
Monthly client rate for publicly funded bed (single) From $1,237 to $3,576 with an average of $1,886 From $1,338 to $3,847 with an average of $2,212

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

Licensing, 2022/23
Complaints
Number of licensing complaints 20 Number of substantiated licensing complaints 7
Incidents Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 0 0.0 0.9 Medication error with adverse event 1 1.3 0.3
Abuse / neglect 5 6.3 0.8 Missing or wandering person 3 3.8 0.7
Fall with injury/adverse event 7 8.8 8.6 Other injury 10 12.5 1.9
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 3.8 3.7
Unexpected Illness 4 5.0 21.0 Attempted suicide 0 0.0 0.1
Expected death 18 22.5 25.5 Other - clinical 1 1.3 0.8
Unexpected death 2 2.5 0.7 Other - service delivery 1 1.3 0.7
Inspections
Risk Rating Medium Risk Score 18
Number of Inspections 1 Number of licensing infractions found 7
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 2 Medication 0
Staffing 2 Program 0
Policies & procedures 0 Records & reporting 3
Care & supervision 0 Resident Bill of Rights 0
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2022/23) Facility B.C.
Average age of population 84 83
Percent female 56.9% 63.3%
Percent 85 years or older 51.4% 52.8%
Percent younger than 65 years 2.0% 5.6%
Average length of stay (days) 836 817
Percent of residents diagnosed with depression 27.4% 22.9%
Percent of residents dependent in activities of daily living 23.7% 32.4%
Percent of residents in a wheelchair 36.0% 53.3%
Percent of residents with dementia (mild to severe) 68.5% 62.9%
Percent of residents with severe cognitive impairment (includes severe dementia) 27.1% 27.5%
Percent of residents with physically abusive behaviour 13.2% 8.4%
Average index of social engagement 2.7 2.7
Percent of residents with low social engagement 49.2% 48.0%
Case mix index 0.54 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2022/23) Facility B.C.
Percent of residents receiving physical therapy 0.6% 11.1%
Percent of residents receiving recreation therapy 0.9% 30.3%
Percent of residents receiving occupational therapy 0.0% 5.5%
Percent of residents receiving depression medication 51.7% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 22.7% 27.9%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 38.6% 34.9%
Percent of residents taking nine or more medications 26.2% 44.6%
Percent of residents with daily physical restraints 3.9% 6.0%
Percent of residents with falls in the last 30 days 13.5% 12.8%
Percent of residents with a worsened pressure ulcer 1.6% 2.2%
Percent of residents with four or more emergency room visits 0.0% 1.4%

Source: 1. Canadian Institute for Health Information; 2. Health Authority

Vaccination Coverage (2022/23) Facility B.C.
Percent of residents vaccinated for influenza n/a 87.5%
Percent of health care workers vaccinated for influenza n/a 39.1%
Percent of residents vaccinated for COVID-19 85.0% 84.0%

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