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November 2024

Facility Carlton Gardens Care Centre Service type Long-Term Care
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 4108 Norfolk Street Accreditation status Accredited
City/postal code Burnaby/V5G0B4 Accreditation expiry date 30 June 2024
Phone number (604) 419-3000 Contact for complaints Executive Director
Operator (type) AgeCare (Bloom Limited Partnership) (For Profit) Phone number of complaint contact (604) 419-3007
Opened 2012 Personal spending account Yes
Councils Separate Resident and Family Council Visitor parking (cost) No
Co-located with a publicly subsidized assisted living residence No
Wait time* suppressed
Current language(s) spoken by staff French, Amharic, Cantonese, Croatian, Italian, Japanese, Korean, Punjabi, Spanish, Tagalog, Vietnamese, English
Indigenous territory Coast Salish peoples

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

* Definition changed, please refer to Glossary of Terms at https://www.seniorsadvocatebc.ca/long-term-care-directory/glossary-of-terms/
Resident Fees for Personal Services
Cable monthly service included No Other extra fees Specialty products
Telephone monthly service included No
Internet monthly service included No

Source: Facility

Beds (as of March 31, 2024) Room Configuration (excluding short-stay beds) (as of March 31, 2024)
Private beds (not publicly funded) 11 Single occupancy 116
Publicly funded beds (short and long-term) 117 Double occupancy 6
Total beds 128 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 2022/23 2023/24
Total direct care hours (hours per resident per day) 3.36 3.36
Nursing care hours (hours per resident per day) 3.01 3.00
Registered Nurse (hours per resident per day) 0.31 0.30
Licensed Practical Nurse (hours per resident per day) 0.44 0.44
Care Aide (hours per resident per day) 2.26 2.26
Allied health hours (hours per resident per day) 0.36 0.36
Food costs per resident per day (actual cost) $9.74 $15.62
Facility per diem rate $275.11 $295.68
Monthly client rate for a publicly subsidized bed (single) From $1,338 to $3,847 with an average of $1,906 From $1,417 to $3,974 with an average of $2,041

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

Licensing, 2023/24
Complaints
Number of licensing complaints 0 Number of substantiated licensing complaints 0
Incidents Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 0 0.0 0.5 Medication error with adverse event 0 0.0 0.2
Abuse / neglect 0 0.0 0.9 Missing or wandering person 1 0.8 1.1
Fall with injury/adverse event 10 7.8 8.2 Other injury 0 0.0 2.3
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 2 1.6 3.5
Unexpected Illness 21 16.4 20.9 Attempted suicide 0 0.0 0.1
Expected death 23 18.0 23.6 Other - clinical 0 0.0 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 3 2.3 0.9
Inspections
Risk rating Low Risk score 8
Number of inspections 4 Number of licensing infractions found 4
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 1 Medication 0
Staffing 0 Program 0
Policies & procedures 1 Records & reporting 1
Care & supervision 1 Resident Bill of Rights 0
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2023/24) Facility B.C.
Average age of population 85 83
Percent female 65.3% 63.2%
Percent 85 years or older 57.3% 52.5%
Percent younger than 65 years 1.5% 5.3%
Average length of stay (days) 778 829
Percent of residents diagnosed with depression 11.6% 22.2%
Percent of residents dependent in activities of daily living 34.2% 31.7%
Percent of residents in a wheelchair 67.3% 54.1%
Percent of residents with dementia (mild to severe) 75.2% 62.1%
Percent of residents with severe cognitive impairment (includes severe dementia) 37.1% 27.0%
Percent of residents with physically abusive behaviour 13.3% 8.3%
Average index of social engagement 1.9 2.8
Percent of residents with low social engagement 69.6% 46.2%
Case mix index 0.57 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2023/24) Facility B.C.
Percent of residents receiving physical therapy 0.4% 11.0%
Percent of residents receiving recreation therapy 37.1% 31.7%
Percent of residents receiving occupational therapy 0.0% 5.2%
Percent of residents receiving depression medication 57.4% 51.6%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 36.6% 27.7%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 43.7% 35.3%
Percent of residents taking nine or more medications 36.8% 46.2%
Percent of residents with daily physical restraints 28.0% 6.0%
Percent of residents with falls in the last 30 days 12.3% 12.3%
Percent of residents with a worsened pressure ulcer 0.9% 2.1%
Percent of residents with four or more emergency room visits 1.9% 1.1%

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

Vaccination Coverage (2023/24) Facility B.C.
Percent of residents vaccinated for influenza 95.3% 84.3%
Percent of health care workers vaccinated for influenza n/a 35.5%
Percent of residents vaccinated for COVID-19 80.1% 75.2%

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