Evergreen House – Lions Gate Hospital

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/V7L2L7	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	Co-located with an assisted living residence	No
Wait Time	From 1 to 562 days, with an average of 55 days
Current language(s) spoken by staff	English, Farsi, Tagalog, Cantonese, Russian, Mandarin, German
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	Hairdressing, podiatry, dentistry
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	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	2021/22	2022/23
Total direct care hours (hours per resident per day)	3.52	3.38
Nursing care hours (hours per resident per day)	3.16	2.95
Registered Nurse (hours per resident per day)	0.41	0.60
Licensed Practical Nurse (hours per resident per day)	0.55	0.42
Care Aide (hours per resident per day)	2.20	1.93
Allied health hours (hours per resident per day)	0.36	0.43
Food costs per resident per day (actual cost)	$8.66	$8.54
Facility per diem rate	n/a	n/a
Monthly client rate for publicly funded bed (single)	From $1,237 to $3,576 with an average of $2,078	From $1,338 to $3,847 with an average of $2,236

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

Licensing, 2022/23
Complaints
Number of licensing complaints	3	Number of substantiated licensing complaints	2

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	1	0.4	0.9	Medication error with adverse event	0	0.0	0.3
Abuse / neglect	0	0.0	0.8	Missing or wandering person	0	0.0	0.7
Fall with injury/adverse event	30	10.6	8.6	Other injury	1	0.4	1.9
Food or other poisoning	0	0.0	0.1	Aggressive behaviour	12	4.2	3.7
Unexpected Illness	67	23.6	21.0	Attempted suicide	2	0.7	0.1
Expected death	52	18.3	25.5	Other - clinical	0	0.0	0.8
Unexpected death	0	0.0	0.7	Other - service delivery	0	0.0	0.7

Inspections
Risk Rating	High	Risk Score	25
Number of Inspections	12	Number of licensing infractions found	14

Licensing Infractions
Licensing	3	Nutrition & food services	0
Physical facility, equipment & furnishings	0	Medication	0
Staffing	2	Program	0
Policies & procedures	3	Records & reporting	1
Care & supervision	5	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	84	83
Percent female	61.8%	63.3%
Percent 85 years or older	57.6%	52.8%
Percent younger than 65 years	6.3%	5.6%
Average length of stay (days)	744	817
Percent of residents diagnosed with depression	26.5%	22.9%
Percent of residents dependent in activities of daily living	45.0%	32.4%
Percent of residents in a wheelchair	66.1%	53.3%
Percent of residents with dementia (mild to severe)	53.1%	62.9%
Percent of residents with severe cognitive impairment (includes severe dementia)	25.0%	27.5%
Percent of residents with physically abusive behaviour	5.2%	8.4%
Average index of social engagement	2.6	2.7
Percent of residents with low social engagement	51.6%	48.0%
Case mix index	0.59	0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2022/23)	Facility	B.C.
Percent of residents receiving physical therapy	1.3%	11.1%
Percent of residents receiving recreation therapy	1.1%	30.3%
Percent of residents receiving occupational therapy	0.7%	5.5%
Percent of residents receiving depression medication	56.6%	51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis	31.5%	27.9%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis	33.7%	34.9%
Percent of residents taking nine or more medications	62.4%	44.6%
Percent of residents with daily physical restraints	2.5%	6.0%
Percent of residents with falls in the last 30 days	10.1%	12.8%
Percent of residents with a worsened pressure ulcer	3.6%	2.2%
Percent of residents with four or more emergency room visits	1.5%	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	95.9%	87.5%
Percent of health care workers vaccinated for influenza	29.4%	39.1%
Percent of residents vaccinated for COVID-19	84.0%	84.0%

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

Link to web page
Go to Evergreen House - Lions Gate Hospital website