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October 2022

Facility The Residence at Clayton Heights Service Type Long-Term Care
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 18788 71st Avenue Accreditation status Not Accredited
City/postal code Surrey Accreditation expiry date not applicable
Phone number (604) 576-2273 Contact for complaints Director of Care
Operator (Type) The Pinnacle Care Group (For Profit) Phone number of complaint contact (604) 576-2273 x102
Opened 2012 Personal spending account Yes
Councils Resident Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 3 to 540 days, with an average of 51 days
Current language(s) spoken by staff English, German, Fijian, Hindi, Punjabi, Tagalog, Vietnamese, Mandarin, Cantonese
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) 0 Single Occupancy 131
Publicly funded beds (short and long-term) 131 Double Occupancy 0
Total beds 131 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 No
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 3.36
Nursing care hours (hours per resident per day) 3.00 3.00
Registered Nurse (hours per resident per day) 0.20 0.20
Licensed Practical Nurse (hours per resident per day) 0.58 0.58
Care Aide (hours per resident per day) 2.22 2.22
Allied health hours (hours per resident per day) 0.36 0.36
Food costs per resident per day (actual cost) 2 $9.04 $8.64
Facility per diem rate2 $240.35 $246.14

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 0 0.0 0.8 Medication error with adverse event 0 0.0 0.3
Abuse / neglect 0 0.0 1.3 Missing or wandering person 0 0.0 1.0
Fall with injury / Adverse event 3 2.3 9.2 Other injury 1 0.8 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 0 0.0 4.6
Unexpected illness 4 3.1 20.3 Attempted suicide 0 0.0 0.1
Expected death 10 7.6 26.8 Other - clinical 0 0.0 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 0 0.0 1.4
Inspections
Risk Rating Low Risk Score 7
Number of Inspections 5 Number of licensing infractions found 3
Licensing Infractions
Licensing 1 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 0
Staffing 0 Program 0
Policies & procedures 0 Records & reporting 0
Care & supervision 2 Resident Bill of Rights 0
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2021/22) Facility B.C.
Average age of population 82 83
Percent female 56.8% 63.2%
Percent 85 years or older 45.0% 53.4%
Percent younger than 65 years 4.5% 5.8%
Average length of stay (days) 467 855
Percent of residents diagnosed with depression 11.7% 23.3%
Percent of residents dependent in activities of daily living 36.9% 32.0%
Percent of residents in a wheelchair 55.3% 52.8%
Percent of residents with dementia (mild to severe) 72.5% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 23.4% 27.9%
Percent of residents with physically abusive behaviour 14.5% 8.8%
Average index of social engagement 2.1 2.7
Percent of residents with low social engagement 66.2% 49.3%
Case mix index 0.58 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2021/22) Facility B.C.
Percent of residents receiving physical therapy 0.9% 10.9%
Percent of residents receiving recreation therapy 11.9% 30.1%
Percent of residents receiving occupational therapy 11.3% 5.7%
Percent of residents receiving depression medication 59.0% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 34.8% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 35.5% 34.0%
Percent of residents with daily physical restraints 1.6% 6.4%
Percent of residents with falls in the last 30 days 8.5% 12.9%
Percent of residents with a worsened pressure ulcer 0.3% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza 96.2% 90.2%
Percent of health care workers vaccinated for influenza n/a 53.7%
Percent of residents vaccinated for COVID-19 93.1% 92.6%

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