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December 2021

Facility Peace Arch Hospital Foundation Lodge
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 15575 16A Avenue Accreditation status Accredited
City/postal code Surrey Accreditation expiry date October 2022
Phone number (778) 545-6200 Contact for complaints Social Worker
Operator (Type) Fraser Health (Health Authority) Phone number of complaint contact (778) 545-6200
Opened 2020 Personal spending account Yes
Councils Resident Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 2 to 143 days, with an average of 41 days
Current language(s) spoken by staff Polish, Punjabi, Hindi, German, Guajarati, Vietnamese, Korean, Mandarin, Cantonese, Tagalog

Source: Facility

Facility Fees for Personal Services
Cable monthly service included Yes Other extra fees Newspapers, hearing aids and batteries, personal transportation, companion services, personal dry cleaning, foot care, hairdressing
Telephone monthly service included Yes
Internet monthly service included No

Source: Facility

Beds 1 (March 31, 2021) Room Configuration 2 (March 31, 2021)
Private beds (not publicly funded) 0 Private rooms 127
Publicly funded beds (short- and long-term) 127 Semi-private rooms 0
Total beds 127 Multi-person rooms 0

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 Operator Food prepared and cooked on site Yes

Source: Facility

Funding 2019/20 2020/21
Total direct care hours (hours per resident per day) 1 n/a 3.44
Nursing care hours (hours per resident per day) n/a 3.05
Registered Nurse (hours per resident per day) n/a 0.40
Licensed Practical Nurse (hours per resident per day) n/a 0.67
Care Aide (hours per resident per day) n/a 1.98
Allied health hours (hours per resident per day) n/a 0.39
Food costs per resident per day (actual cost) 2 n/a $7.12
Facility per diem rate2 n/a n/a

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

Licensing (2020/21)
Complaints, 2020/21
Number of licensing complaints 3 Number substantiated licensing complaints 0
Incidents, 2020/21 Total
Per 100 beds Total
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 0 0 0.8 Medication error with adverse event 0 0 0.1
Abuse / neglect 0 0 0.5 Missing or wandering person 0 0 0.6
Fall with injury / Adverse event 18 14.2 5.8 Other injury 0 0 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 1 0.8 3.5
Unexpected illness 7 5.5 12.3 Attempted suicide 0 0 0.1
Expected death 55 43.3 23.4 Other - clinical 0 0 0.5
Unexpected death 0 0 0.6 Other - service delivery 0 0 0.4
Risk Rating n/a Risk Score n/a
Number of Inspections 3 Number of licensing infractions found 0
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 0
Staffing 0 Program 0
Policies & procedures 0 Records & reporting 0
Care & supervision 0 Resident Bill of Rights 0
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2020/21) Facility B.C.
Average age of population n/a 84
Percent female n/a 63.6%
Percent 85 years or older n/a 54.1%
Percent younger than 65 years n/a 5.7%
Average length of stay (days) n/a 900
Percent of residents diagnosed with depression n/a 23.4%
Percent of residents dependent in activities of daily living n/a 32.4%
Percent of residents in a wheelchair n/a 52.1%
Percent of residents with dementia (mild to severe) n/a 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) n/a 28.4%
Percent of residents with physically abusive behaviour n/a 8.6%
Average index of social engagement n/a 2.6
Percent of residents with low social engagement n/a 50.0%
Case mix index n/a 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2020/21) Facility B.C.
Percent of residents receiving physical therapy n/a 10.1%
Percent of residents receiving recreation therapy n/a 28.4%
Percent of residents receiving occupational therapy n/a 5.6%
Percent of residents receiving depression medication n/a 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis n/a 25.7%
Percent of residents with daily physical restraints n/a 6.5%
Percent of residents with falls in the last 30 days n/a 12.8%
Percent of residents with a worsened pressure ulcer n/a 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza 85.8% 88.5%
Percent of health care workers vaccinated for influenza 72.7% 63.4%
Percent of residents vaccinated for COVID-19 92.1% 95.7%

Source: BC Centre for Disease Control