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October 2022

Facility Peace Arch Hospital Foundation Lodge Service Type Long-Term Care
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 15575 16A Avenue Accreditation status Accredited
City/postal code Surrey Accreditation expiry date October 2022
Phone number (778) 545-6200 Contact for complaints Social Worker
Operator (Type) Fraser Health (Health Authority) Phone number of complaint contact (778) 545-6200
Opened 2020 Personal spending account Yes
Councils Resident Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 2 to 115 days, with an average of 24 days
Current language(s) spoken by staff Polish, Punjabi, Hindi, German, Guajarati, Vietnamese, Korean, Mandarin, Cantonese, Tagalog
Indigenous Territory Semiahmoo, Kwantlen and Katzie peoples

Source: Facility

Resident Fees for Personal Services
Cable monthly service included Yes Other extra fees Newspapers, hearing aids and batteries, personal transportation, companion services, personal dry cleaning, foot care, hairdressing
Telephone monthly service included Yes
Internet monthly service included No

Source: Facility

Beds (March 31, 2022) Room Configuration (March 31, 2022)
Private beds (not publicly funded) 0 Single Occupancy 112
Publicly funded beds (short and long-term) 122 Double Occupancy 0
Total beds 122 Other Occupancy 0

Source: 1. Ministry of Health, 2. Facility

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

Source: Facility

Funding 2020/21 2021/22
Total direct care hours (hours per resident per day) 1 3.44 3.44
Nursing care hours (hours per resident per day) 3.05 3.05
Registered Nurse (hours per resident per day) 0.40 0.40
Licensed Practical Nurse (hours per resident per day) 0.67 0.67
Care Aide (hours per resident per day) 1.98 1.98
Allied health hours (hours per resident per day) 0.39 0.39
Food costs per resident per day (actual cost) 2 $7.12 n/a
Facility per diem rate2 n/a n/a

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

Licensing (2021/22)
Complaints, 2021/22
Number of licensing complaints 2 Number substantiated licensing complaints 2
Incidents, 2021/22 Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 1 0.9 0.8 Medication error with adverse event 0 0.0 0.3
Abuse / neglect 3 2.7 1.3 Missing or wandering person 1 0.9 1.0
Fall with injury / Adverse event 11 9.8 9.2 Other injury 0 0.0 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 0 0.0 4.6
Unexpected illness 12 10.7 20.3 Attempted suicide 0 0.0 0.1
Expected death 48 42.9 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 10
Number of Inspections 4 Number of licensing infractions found 7
Licensing Infractions
Licensing 1 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 0
Staffing 1 Program 0
Policies & procedures 1 Records & reporting 2
Care & supervision 1 Resident Bill of Rights 0
Hygiene & communicable disease control 1 Other 0

Source: Health Authority

Resident Profile (2021/22) Facility B.C.
Average age of population 86 83
Percent female 74.6% 63.2%
Percent 85 years or older 63.9% 53.4%
Percent younger than 65 years 1.7% 5.8%
Average length of stay (days) 147 855
Percent of residents diagnosed with depression 13.1% 23.3%
Percent of residents dependent in activities of daily living 31.5% 32.0%
Percent of residents in a wheelchair 30.9% 52.8%
Percent of residents with dementia (mild to severe) 40.7% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 25.8% 27.9%
Percent of residents with physically abusive behaviour 5.0% 8.8%
Average index of social engagement 2.6 2.7
Percent of residents with low social engagement 52.5% 49.3%
Case mix index 0.57 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2021/22) Facility B.C.
Percent of residents receiving physical therapy 3.9% 10.9%
Percent of residents receiving recreation therapy 41.8% 30.1%
Percent of residents receiving occupational therapy 3.0% 5.7%
Percent of residents receiving depression medication 50.4% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 27.6% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 31.9% 34.0%
Percent of residents with daily physical restraints 1.9% 6.4%
Percent of residents with falls in the last 30 days 13.0% 12.9%
Percent of residents with a worsened pressure ulcer 3.4% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza 88.3% 90.2%
Percent of health care workers vaccinated for influenza n/a 53.7%
Percent of residents vaccinated for COVID-19 97.0% 92.6%

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