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October 2022

Facility Evergreen House - Lions Gate Hospital Service Type Long-Term Care
Health authority Vancouver Coastal Health Regulation/Legislation Hospital Act
Street address 231 East 15th Street Accreditation status Accredited
City/postal code North Vancouver Accreditation expiry date not available
Phone number (604) 984-5811 Contact for complaints Melanie Leckovic, Manager
Operator (Type) Vancouver Coastal Health (Health Authority) Phone number of complaint contact (604) 984-5927
Opened 1971 Personal spending account n/a
Councils Resident Council, Family Council Visitor parking (cost) Yes (fee charged)
Meetings held Regular Schedule Average Wait Time From 1 to 363 days, with an average of 20 days
Current language(s) spoken by staff English, Farsi, Tagalog, Cantonese, Russian, Mandarin, German
Indigenous Territory Coast Salish peoples

Source: Facility

Resident Fees for Personal Services
Cable monthly service included No Other extra fees Hairdressing, podiatry, dentistry
Telephone monthly service included No
Internet monthly service included No

Source: Facility

Beds (March 31, 2022) Room Configuration (March 31, 2022)
Private beds (not publicly funded) 0 Single Occupancy 22
Publicly funded beds (short and long-term) 284 Double Occupancy 11
Total beds 284 Other Occupancy 60

Source: 1. Ministry of Health, 2. Facility

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

Source: Facility

Funding 2020/21 2021/22
Total direct care hours (hours per resident per day) 1 3.42 3.52
Nursing care hours (hours per resident per day) 3.06 3.16
Registered Nurse (hours per resident per day) 0.41 0.41
Licensed Practical Nurse (hours per resident per day) 0.55 0.55
Care Aide (hours per resident per day) 2.10 2.20
Allied health hours (hours per resident per day) 0.36 0.36
Food costs per resident per day (actual cost) 2 $8.94 $8.66
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 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 2 0.7 1.3 Missing or wandering person 2 0.7 1.0
Fall with injury / Adverse event 18 6.3 9.2 Other injury 5 1.8 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 1.1 4.6
Unexpected illness 63 22.2 20.3 Attempted suicide 0 0.0 0.1
Expected death 84 29.6 26.8 Other - clinical 0 0.0 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 2 0.7 1.4
Inspections
Risk Rating Medium Risk Score 15
Number of Inspections 5 Number of licensing infractions found 17
Licensing Infractions
Licensing 1 Nutrition & food services 0
Physical facility, equipment & furnishings 1 Medication 0
Staffing 0 Program 0
Policies & procedures 1 Records & reporting 4
Care & supervision 9 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 84 83
Percent female 62.1% 63.2%
Percent 85 years or older 58.4% 53.4%
Percent younger than 65 years 6.3% 5.8%
Average length of stay (days) 869 855
Percent of residents diagnosed with depression 24.7% 23.3%
Percent of residents dependent in activities of daily living 44.6% 32.0%
Percent of residents in a wheelchair 67.1% 52.8%
Percent of residents with dementia (mild to severe) 52.6% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 28.9% 27.9%
Percent of residents with physically abusive behaviour 5.2% 8.8%
Average index of social engagement 2.7 2.7
Percent of residents with low social engagement 48.7% 49.3%
Case mix index 0.60 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2021/22) Facility B.C.
Percent of residents receiving physical therapy 13.8% 10.9%
Percent of residents receiving recreation therapy 27.1% 30.1%
Percent of residents receiving occupational therapy 7.6% 5.7%
Percent of residents receiving depression medication 60.1% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 29.6% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 31.6% 34.0%
Percent of residents with daily physical restraints 2.7% 6.4%
Percent of residents with falls in the last 30 days 10.7% 12.9%
Percent of residents with a worsened pressure ulcer 2.8% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza 95.6% 90.2%
Percent of health care workers vaccinated for influenza 36.1% 53.7%
Percent of residents vaccinated for COVID-19 93.3% 92.6%

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