Acacia Ty Mawr – Seniors Advocate

Facility	Acacia Ty Mawr	Service Type	Long-Term Care
Health authority	Vancouver Island Health	Regulation/Legislation	Community Care & Assisted Living Act
Street address	2655 E Shawnigan Lake Rd	Accreditation status	Accredited
City/postal code	Shawnigan Lake/V0R2W0	Accreditation expiry date	October 2023
Phone number	(250) 743-2124	Contact for complaints	Executive Director
Operator (Type)	Trillium Communities (For Profit)	Phone number of complaint contact	(250) 743-2124 x2
Opened	1990	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 14 to 430 days, with an average of 242 days
Current language(s) spoken by staff	English and French
Indigenous Territory	Coast Salish peoples

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

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

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	31
Publicly funded beds (short and long-term)	35	Double Occupancy	2
Total beds	35	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	Yes
Food services provided by	Operator	Food prepared and cooked on site	Yes

Source: Facility

Funding	2021/22	2022/23
Total direct care hours (hours per resident per day)	3.36	3.36
Nursing care hours (hours per resident per day)	3.01	3.01
Registered Nurse (hours per resident per day)	0.43	0.43
Licensed Practical Nurse (hours per resident per day)	0.62	0.62
Care Aide (hours per resident per day)	1.96	1.96
Allied health hours (hours per resident per day)	0.35	0.35
Food costs per resident per day (actual cost)	$12.17	$12.83
Facility per diem rate	$274.32	$287.88
Monthly client rate for publicly funded bed (single)	From $1,237 to $3,576 with an average of $1,693	From $1,338 to $3,847 with an average of $1,911

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

Licensing, 2022/23
Complaints
Number of licensing complaints	2	Number of substantiated licensing complaints	0

Incidents	Total Number	Per 100 beds			Total Number	Per 100 beds
Incidents	Total Number	Facility	B.C.		Total Number	Facility	B.C.
Disease outbreak or occurrence	0	0.0	0.9	Medication error with adverse event	0	0.0	0.3
Abuse / neglect	3	8.6	0.8	Missing or wandering person	0	0.0	0.7
Fall with injury/adverse event	3	8.6	8.6	Other injury	0	0.0	1.9
Food or other poisoning	0	0.0	0.1	Aggressive behaviour	0	0.0	3.7
Unexpected Illness	4	11.4	21.0	Attempted suicide	0	0.0	0.1
Expected death	7	20.0	25.5	Other - clinical	2	5.7	0.8
Unexpected death	1	2.9	0.7	Other - service delivery	2	5.7	0.7

Inspections
Risk Rating	Low	Risk Score	8
Number of Inspections	1	Number of licensing infractions found	0

Licensing Infractions
Licensing	0	Nutrition & food services	0
Physical facility, equipment & furnishings	0	Medication	0
Staffing	0	Program	0
Policies & procedures	0	Records & reporting	0
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	83	83
Percent female	65.2%	63.3%
Percent 85 years or older	48.6%	52.8%
Percent younger than 65 years	5.8%	5.6%
Average length of stay (days)	1,261	817
Percent of residents diagnosed with depression	29.0%	22.9%
Percent of residents dependent in activities of daily living	31.5%	32.4%
Percent of residents in a wheelchair	46.0%	53.3%
Percent of residents with dementia (mild to severe)	81.5%	62.9%
Percent of residents with severe cognitive impairment (includes severe dementia)	26.6%	27.5%
Percent of residents with physically abusive behaviour	10.5%	8.4%
Average index of social engagement	2.5	2.7
Percent of residents with low social engagement	46.8%	48.0%
Case mix index	0.58	0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2022/23)	Facility	B.C.
Percent of residents receiving physical therapy	4.8%	11.1%
Percent of residents receiving recreation therapy	0.0%	30.3%
Percent of residents receiving occupational therapy	0.0%	5.5%
Percent of residents receiving depression medication	63.7%	51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis	48.3%	27.9%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis	55.9%	34.9%
Percent of residents taking nine or more medications	47.6%	44.6%
Percent of residents with daily physical restraints	16.2%	6.0%
Percent of residents with falls in the last 30 days	14.4%	12.8%
Percent of residents with a worsened pressure ulcer	1.0%	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	89.0%	84.0%

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

Link to web page
Go to Acacia Ty Mawr website