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October 2022

Facility Menno Hospital Service Type Long-Term Care
Health authority Fraser Health Regulation/Legislation Hospital Act
Street address 32945 Marshall Road Accreditation status Accredited
City/postal code Abbotsford Accreditation expiry date not available
Phone number (604) 859-7631 Contact for complaints Karen L Baillie, CEO or Smitha Varghese, Director of Care
Operator (Type) Mennonite Benevolent Society (Not For Profit) Phone number of complaint contact (604) 859-7631
Opened 1960 Personal spending account Yes
Councils Resident Council, Family Council Visitor parking (cost) Yes (fee charged)
Meetings held Regular Schedule Average Wait Time From 2 to 598 days, with an average of 56 days
Current language(s) spoken by staff English
Indigenous Territory

Source: Facility

Resident Fees for Personal Services
Cable monthly service included No Other extra fees n/a
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 59
Publicly funded beds (short and long-term) 151 Double Occupancy 43
Total beds 151 Other Occupancy 2

Source: 1. Ministry of Health, 2. Facility

Contracted Services
Professional nursing services Yes 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 2020/21 2021/22
Total direct care hours (hours per resident per day) 1 3.37 3.37
Nursing care hours (hours per resident per day) 2.99 3.11
Registered Nurse (hours per resident per day) 0.30 0.23
Licensed Practical Nurse (hours per resident per day) 0.45 0.65
Care Aide (hours per resident per day) 2.24 2.24
Allied health hours (hours per resident per day) 0.38 0.26
Food costs per resident per day (actual cost) 2 $8.61 $8.81
Facility per diem rate2 $240.10 $246.09

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

Licensing (2021/22)
Complaints, 2021/22
Number of licensing complaints 3 Number substantiated licensing complaints 0
Incidents, 2021/22 Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 1 0.7 0.8 Medication error with adverse event 0 0.0 0.3
Abuse / neglect 0 0.0 1.3 Missing or wandering person 0 0.0 1.0
Fall with injury / Adverse event 19 12.6 9.2 Other injury 1 0.7 2.0
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 1 0.7 4.6
Unexpected illness 55 36.4 20.3 Attempted suicide 0 0.0 0.1
Expected death 56 37.1 26.8 Other - clinical 3 2.0 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 0 0.0 1.4
Inspections
Risk Rating Low Risk Score 10
Number of Inspections 2 Number of licensing infractions found 6
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 0
Staffing 2 Program 0
Policies & procedures 1 Records & reporting 1
Care & supervision 1 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 86 83
Percent female 71.4% 63.2%
Percent 85 years or older 66.4% 53.4%
Percent younger than 65 years 3.6% 5.8%
Average length of stay (days) 682 855
Percent of residents diagnosed with depression 17.8% 23.3%
Percent of residents dependent in activities of daily living 32.5% 32.0%
Percent of residents in a wheelchair 67.3% 52.8%
Percent of residents with dementia (mild to severe) 59.1% 63.3%
Percent of residents with severe cognitive impairment (includes severe dementia) 20.4% 27.9%
Percent of residents with physically abusive behaviour 3.7% 8.8%
Average index of social engagement 2.1 2.7
Percent of residents with low social engagement 61.2% 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 21.3% 10.9%
Percent of residents receiving recreation therapy 65.1% 30.1%
Percent of residents receiving occupational therapy 3.0% 5.7%
Percent of residents receiving depression medication 48.6% 51.3%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 16.6% 27.3%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 28.9% 34.0%
Percent of residents with daily physical restraints 1.0% 6.4%
Percent of residents with falls in the last 30 days 9.1% 12.9%
Percent of residents with a worsened pressure ulcer 1.3% 2.2%

Source: Canadian Institute for Health Information

Vaccination Coverage (2021/22) Facility B.C.
Percent of residents vaccinated for influenza 87.2% 90.2%
Percent of health care workers vaccinated for influenza n/a 53.7%
Percent of residents vaccinated for COVID-19 89.9% 92.6%

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