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December 2021

Facility Holyrood Manor
Health authority Fraser Health Regulation/Legislation Hospital Act
Street address 22710 Holyrood Ave Accreditation status Accredited
City/postal code Maple Ridge Accreditation expiry date not available
Phone number (604) 467-8831 Contact for complaints Executive Director
Operator (Type) Revera Long Term Care Inc. (For Profit) Phone number of complaint contact (604) 467-8831 x222
Opened 1995 Personal spending account Yes
Councils Family Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 3 to 354 days, with an average of 37 days
Current language(s) spoken by staff n/a

Source: Facility

Facility 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 1 (March 31, 2021) Room Configuration 2 (March 31, 2021)
Private beds (not publicly funded) 1 Private rooms 77
Publicly funded beds (short- and long-term) 124 Semi-private rooms 24
Total beds 125 Multi-person rooms 0

Source: 1. Ministry of Health, 2. Facility

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

Source: Facility

Funding 2019/20 2020/21
Total direct care hours (hours per resident per day) 1 3.15 3.36
Nursing care hours (hours per resident per day) 2.80 2.94
Registered Nurse (hours per resident per day) n/a 0.39
Licensed Practical Nurse (hours per resident per day) n/a 0.41
Care Aide (hours per resident per day) n/a 2.14
Allied health hours (hours per resident per day) 0.35 0.42
Food costs per resident per day (actual cost) 2 $8.15 $8.48
Facility per diem rate2 $230.87 $247.02

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

Licensing (2020/21)
Complaints, 2020/21
Number of licensing complaints 1 Number substantiated licensing complaints 1
Incidents, 2020/21 Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 2 1.6 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 14 11.2 5.8 Other injury 1 0.8 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 5 4 3.5
Unexpected illness 7 5.6 12.3 Attempted suicide 0 0 0.1
Expected death 32 25.6 23.4 Other - clinical 3 2.4 0.5
Unexpected death 0 0 0.6 Other - service delivery 1 0.8 0.4
Inspections
Risk Rating n/a Risk Score n/a
Number of Inspections 3 Number of licensing infractions found 5
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 0
Staffing 2 Program 0
Policies & procedures 1 Records & reporting 0
Care & supervision 1 Resident Bill of Rights 1
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2020/21) Facility B.C.
Average age of population 85 84
Percent female 75.2% 63.6%
Percent 85 years or older 60.5% 54.1%
Percent younger than 65 years 5.5% 5.7%
Average length of stay (days) 705 900
Percent of residents diagnosed with depression 26.6% 23.4%
Percent of residents dependent in activities of daily living 35.5% 32.4%
Percent of residents in a wheelchair 55.8% 52.1%
Percent of residents with dementia (mild to severe) 71.7% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 28.8% 28.4%
Percent of residents with physically abusive behaviour 10.9% 8.6%
Average index of social engagement 2.3 2.6
Percent of residents with low social engagement 53.1% 50.0%
Case mix index 0.6 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2020/21) Facility B.C.
Percent of residents receiving physical therapy 2.5% 10.1%
Percent of residents receiving recreation therapy 55.6% 28.4%
Percent of residents receiving occupational therapy 0.9% 5.6%
Percent of residents receiving depression medication 41.5% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 27.7% 25.7%
Percent of residents with daily physical restraints 1.6% 6.5%
Percent of residents with falls in the last 30 days 9.8% 12.8%
Percent of residents with a worsened pressure ulcer 3.9% 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza 87.6% 88.5%
Percent of health care workers vaccinated for influenza 90.4% 63.4%
Percent of residents vaccinated for COVID-19 91.8% 95.7%

Source: BC Centre for Disease Control