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October 2022

Facility The Hamlets at Duncan Service Type Long-Term Care
Health authority Vancouver Island Health Regulation/Legislation Community Care & Assisted Living Act
Street address 2591 Beverly Street Accreditation status Not Accredited
City/postal code Duncan Accreditation expiry date not applicable
Phone number (250) 597-7995 Contact for complaints Administrative Assistant
Operator (Type) H&H Total Care Services Inc. (For Profit) Phone number of complaint contact (250) 597-7995
Opened 2021 Personal spending account Yes
Councils Resident & Family Council (combined) Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 18 to 509 days, with an average of 162 days
Current language(s) spoken by staff English, French, Spanish, Vietnamese, Korean, Mandarin, Cantonese, Tagalog, Filipino, Japenese
Indigenous Territory Cowichan Tribes

Source: Facility

Resident Fees for Personal Services
Cable monthly service included Yes Other extra fees Specialized equipment, foot care and hairdressing
Telephone monthly service included n/a
Internet monthly service included Yes

Source: Facility

Beds (March 31, 2022) Room Configuration (March 31, 2022)
Private beds (not publicly funded) 0 Single Occupancy 38
Publicly funded beds (short and long-term) 38 Double Occupancy 0
Total beds 38 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 n/a n/a
Nursing care hours (hours per resident per day) n/a n/a
Registered Nurse (hours per resident per day) n/a n/a
Licensed Practical Nurse (hours per resident per day) n/a n/a
Care Aide (hours per resident per day) n/a n/a
Allied health hours (hours per resident per day) n/a n/a
Food costs per resident per day (actual cost) 2 n/a $19.26
Facility per diem rate2 n/a $254.91

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

Licensing (2021/22)
Complaints, 2021/22
Number of licensing complaints 4 Number substantiated licensing complaints 1
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 1 2.6 1.3 Missing or wandering person 0 0.0 1.0
Fall with injury / Adverse event 8 21.1 9.2 Other injury 3 7.9 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 7.9 4.6
Unexpected illness 12 31.6 20.3 Attempted suicide 0 0.0 0.1
Expected death 2 5.3 26.8 Other - clinical 1 2.6 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 4 10.5 1.4
Inspections
Risk Rating n/a Risk Score n/a
Number of Inspections 1 Number of licensing infractions found 10
Licensing Infractions
Licensing 0 Nutrition & food services 1
Physical facility, equipment & furnishings 1 Medication 0
Staffing 3 Program 0
Policies & procedures 1 Records & reporting 3
Care & supervision 0 Resident Bill of Rights 1
Hygiene & communicable disease control 0 Other n/a

Source: Health Authority

Resident Profile (2021/22) Facility B.C.
Average age of population 84 83
Percent female 64.6% 63.2%
Percent 85 years or older 51.5% 53.4%
Percent younger than 65 years 3.1% 5.8%
Average length of stay (days) 149 855
Percent of residents diagnosed with depression 50.8% 23.3%
Percent of residents dependent in activities of daily living 7.9% 32.0%
Percent of residents in a wheelchair 27.8% 52.8%
Percent of residents with dementia (mild to severe) 56.3% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 19.8% 27.9%
Percent of residents with physically abusive behaviour 21.4% 8.8%
Average index of social engagement 3.3 2.7
Percent of residents with low social engagement 27.0% 49.3%
Case mix index 0.65 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2021/22) Facility B.C.
Percent of residents receiving physical therapy 16.7% 10.9%
Percent of residents receiving recreation therapy 83.3% 30.1%
Percent of residents receiving occupational therapy 12.7% 5.7%
Percent of residents receiving depression medication 56.3% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 20.0% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 45.3% 34.0%
Percent of residents with daily physical restraints 0.0% 6.4%
Percent of residents with falls in the last 30 days 39.1% 12.9%
Percent of residents with a worsened pressure ulcer 0.0% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza 84.4% 90.2%
Percent of health care workers vaccinated for influenza n/a 53.7%
Percent of residents vaccinated for COVID-19 82.4% 92.6%

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