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December 2021

Facility Cherington Place
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 13453 111A Ave Accreditation status Accredited
City/postal code Surrey Accreditation expiry date not available
Phone number (604) 581-2885 Contact for complaints Director of Care
Operator (Type) Belvedere Seniors Living (For Profit) Phone number of complaint contact (604) 581-2885
Opened 1960 Personal spending account No
Councils Resident Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 5 to 93 days, with an average of 23 days
Current language(s) spoken by staff Arabic, Cantonese, Czech, French, German, English, Hindi, Mandarin, Punjabi, Spanish, Tagalog, Urdu, Korean

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) 0 Private rooms 33
Publicly funded beds (short- and long-term) 75 Semi-private rooms 21
Total beds 75 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 2.95 3.00
Nursing care hours (hours per resident per day) 2.64 2.64
Registered Nurse (hours per resident per day) n/a 0.30
Licensed Practical Nurse (hours per resident per day) n/a 0.33
Care Aide (hours per resident per day) n/a 2.01
Allied health hours (hours per resident per day) 0.31 0.36
Food costs per resident per day (actual cost) 2 $8.13 $8.03
Facility per diem rate2 $218.57 $223.94

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

Licensing (2020/21)
Complaints, 2020/21
Number of licensing complaints 2 Number substantiated licensing complaints 0
Incidents, 2020/21 Total
Number
Per 100 beds Total
Number
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 1 1.3 5.8 Other injury 0 0 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 0 0 3.5
Unexpected illness 7 9.3 12.3 Attempted suicide 0 0 0.1
Expected death 12 16 23.4 Other - clinical 0 0 0.5
Unexpected death 0 0 0.6 Other - service delivery 0 0 0.4
Inspections
Risk Rating n/a Risk Score n/a
Number of Inspections 1 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 84 84
Percent female 78.2% 63.6%
Percent 85 years or older 59.1% 54.1%
Percent younger than 65 years 6.0% 5.7%
Average length of stay (days) 686 900
Percent of residents diagnosed with depression 27.0% 23.4%
Percent of residents dependent in activities of daily living 31.3% 32.4%
Percent of residents in a wheelchair 62.9% 52.1%
Percent of residents with dementia (mild to severe) 62.2% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 29.3% 28.4%
Percent of residents with physically abusive behaviour 3.5% 8.6%
Average index of social engagement 2.9 2.6
Percent of residents with low social engagement 46.3% 50.0%
Case mix index 0.56 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2020/21) Facility B.C.
Percent of residents receiving physical therapy 0.0% 10.1%
Percent of residents receiving recreation therapy 18.1% 28.4%
Percent of residents receiving occupational therapy 1.5% 5.6%
Percent of residents receiving depression medication 42.9% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 15.2% 25.7%
Percent of residents with daily physical restraints 0.0% 6.5%
Percent of residents with falls in the last 30 days 13.4% 12.8%
Percent of residents with a worsened pressure ulcer 0.5% 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza 94.2% 88.5%
Percent of health care workers vaccinated for influenza 75.3% 63.4%
Percent of residents vaccinated for COVID-19 97.3% 95.7%

Source: BC Centre for Disease Control