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December 2023

Facility Sunset Lodge Service Type Long-Term Care
Health authority Vancouver Island Health Regulation/Legislation Community Care & Assisted Living Act
Street address 952 Arm Street Accreditation status Accredited
City/postal code Esquimalt/V9A4G7 Accreditation expiry date not available
Phone number (250) 385-3422 Contact for complaints Director of Care
Operator (Type) The Salvation Army (Not For Profit) Phone number of complaint contact (250) 385-3422 x237
Opened 1979 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 3 to 437 days, with an average of 126 days
Current language(s) spoken by staff English, Spanish, Russian, Cantonese
Indigenous Territory Lekwungen peoples and the Songhees and Esquimalt Nations

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

Resident Fees for Personal Services
Cable monthly service included No Other extra fees One-time fee for labeling clothes, wheelchair cleaning fee for resident owned equipment
Telephone monthly service included No
Internet monthly service included No

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 108
Publicly funded beds (short and long-term) 108 Double Occupancy 0
Total beds 108 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 2021/22 2022/23
Total direct care hours (hours per resident per day) 3.20 3.36
Nursing care hours (hours per resident per day) 2.90 3.00
Registered Nurse (hours per resident per day) 0.27 0.27
Licensed Practical Nurse (hours per resident per day) 0.52 0.48
Care Aide (hours per resident per day) 2.11 2.25
Allied health hours (hours per resident per day) 0.30 0.36
Food costs per resident per day (actual cost) $8.18 $9.31
Facility per diem rate $257.67 $270.31
Monthly client rate for publicly funded bed (single) From $1,237 to $3,576 with an average of $1,967 From $1,338 to $3,847 with an average of $2,085

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

Licensing, 2022/23
Complaints
Number of licensing complaints 10 Number of substantiated licensing complaints 1
Incidents Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 0 0.0 0.9 Medication error with adverse event 0 0.0 0.3
Abuse / neglect 3 2.8 0.8 Missing or wandering person 1 0.9 0.7
Fall with injury/adverse event 12 11.1 8.6 Other injury 4 3.7 1.9
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 2.8 3.7
Unexpected Illness 13 12.0 21.0 Attempted suicide 0 0.0 0.1
Expected death 22 20.4 25.5 Other - clinical 2 1.9 0.8
Unexpected death 6 5.6 0.7 Other - service delivery 4 3.7 0.7
Inspections
Risk Rating Low Risk Score 13
Number of Inspections 1 Number of licensing infractions found 6
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 1 Medication 0
Staffing 4 Program 0
Policies & procedures 0 Records & reporting 1
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 82 83
Percent female 56.6% 63.3%
Percent 85 years or older 43.2% 52.8%
Percent younger than 65 years 6.6% 5.6%
Average length of stay (days) 638 817
Percent of residents diagnosed with depression 19.5% 22.9%
Percent of residents dependent in activities of daily living 33.4% 32.4%
Percent of residents in a wheelchair 42.3% 53.3%
Percent of residents with dementia (mild to severe) 77.6% 62.9%
Percent of residents with severe cognitive impairment (includes severe dementia) 26.8% 27.5%
Percent of residents with physically abusive behaviour 7.1% 8.4%
Average index of social engagement 2.2 2.7
Percent of residents with low social engagement 57.7% 48.0%
Case mix index 0.55 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2022/23) Facility B.C.
Percent of residents receiving physical therapy 0.0% 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 51.5% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 39.5% 27.9%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 42.7% 34.9%
Percent of residents taking nine or more medications 19.5% 44.6%
Percent of residents with daily physical restraints 0.0% 6.0%
Percent of residents with falls in the last 30 days 14.9% 12.8%
Percent of residents with a worsened pressure ulcer 2.4% 2.2%
Percent of residents with four or more emergency room visits 0.7% 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 89.6% 87.5%
Percent of health care workers vaccinated for influenza n/a 39.1%
Percent of residents vaccinated for COVID-19 86.0% 84.0%

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