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December 2023

Facility Mount St. Mary Hospital Service Type Long-Term Care
Health authority Vancouver Island Health Regulation/Legislation Hospital Act
Street address 861 Fairfield Rd. Accreditation status Accredited with CARF
City/postal code Victoria/V8V5A9 Accreditation expiry date June 18, 2025
Phone number (250) 480-3100 Contact for complaints Director of Care
Operator (Type) Marie Esther Society (Not For Profit) Phone number of complaint contact (250) 480-3103
Opened 2003 Personal spending account Yes
Councils Resident & Family Council (combined) Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Co-located with an assisted living residence No
Wait Time From 6 to 456 days, with an average of 169 days
Current language(s) spoken by staff German, Cantonese, French, Filipino, Polish, Cantonese, Spanish, Croatian, Japanese
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 Monthly admin fee
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 184
Publicly funded beds (short and long-term) 200 Double Occupancy 8
Total beds 200 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) 3.45 3.45
Nursing care hours (hours per resident per day) 3.22 3.22
Registered Nurse (hours per resident per day) 0.23 0.23
Licensed Practical Nurse (hours per resident per day) 0.55 0.55
Care Aide (hours per resident per day) 2.45 2.45
Allied health hours (hours per resident per day) 0.23 0.23
Food costs per resident per day (actual cost) $9.59 $10.85
Facility per diem rate $261.97 $275.26
Monthly client rate for publicly funded bed (single) From $1,237 to $3,576 with an average of $2,091 From $1,338 to $3,847 with an average of $2,207

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

Licensing, 2022/23
Number of licensing complaints 3 Number of substantiated licensing complaints 0
Serious adverse events 0
Risk Rating n/a Risk Score n/a
Number of Inspections n/a Number of licensing infractions found n/a
Licensing Infractions
Licensing n/a Nutrition & food services n/a
Physical facility, equipment & furnishings n/a Medication n/a
Staffing n/a Program n/a
Policies & procedures n/a Records & reporting n/a
Care & supervision n/a Resident Bill of Rights n/a
Hygiene & communicable disease control n/a Other n/a

Source: Health Authority

Resident Profile (2022/23) Facility B.C.
Average age of population 84 83
Percent female 66.8% 63.3%
Percent 85 years or older 53.5% 52.8%
Percent younger than 65 years 5.9% 5.6%
Average length of stay (days) 719 817
Percent of residents diagnosed with depression 25.1% 22.9%
Percent of residents dependent in activities of daily living 33.9% 32.4%
Percent of residents in a wheelchair 55.1% 53.3%
Percent of residents with dementia (mild to severe) 51.9% 62.9%
Percent of residents with severe cognitive impairment (includes severe dementia) 28.4% 27.5%
Percent of residents with physically abusive behaviour 5.3% 8.4%
Average index of social engagement 2.2 2.7
Percent of residents with low social engagement 57.2% 48.0%
Case mix index 0.60 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2022/23) Facility B.C.
Percent of residents receiving physical therapy 2.3% 11.1%
Percent of residents receiving recreation therapy 13.9% 30.3%
Percent of residents receiving occupational therapy 24.1% 5.5%
Percent of residents receiving depression medication 59.8% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 23.7% 27.9%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 25.9% 34.9%
Percent of residents taking nine or more medications 42.7% 44.6%
Percent of residents with daily physical restraints 0.0% 6.0%
Percent of residents with falls in the last 30 days 15.1% 12.8%
Percent of residents with a worsened pressure ulcer 3.6% 2.2%
Percent of residents with four or more emergency room visits 0.4% 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 55.5% 87.5%
Percent of health care workers vaccinated for influenza n/a 39.1%
Percent of residents vaccinated for COVID-19 87.0% 84.0%

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