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December 2021

Facility Mount Saint Joseph Hospital
Health authority Vancouver Coastal Health Regulation/Legislation Hospital Act
Street address 3080 Prince Edward Street Accreditation status Accredited
City/postal code Vancouver Accreditation expiry date November 2022
Phone number (604) 874-1141 Contact for complaints Clinical Nurse Leader / Social Worker / Operations Leader/Resident Relation Leader
Operator (Type) Providence Health Care Society (Not For Profit) Phone number of complaint contact (604) 877-8520 / (604) 877-8541/ (604) 877-8542/(604) 806-8264
Opened 2004 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 14 days, with an average of 7 days
Current language(s) spoken by staff English, Tagalog, Punjabi, Hindi, Cantonese, Mandarin, Polish, Korean, Japanese, German

Source: Facility

Facility Fees for Personal Services
Cable monthly service included No Other extra fees Haircuts, podiatry
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 16
Publicly funded beds (short- and long-term) 99 Semi-private rooms 8
Total beds 99 Multi-person rooms 17

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 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 3.36 3.40
Nursing care hours (hours per resident per day) 3.01 3.04
Registered Nurse (hours per resident per day) n/a 0.53
Licensed Practical Nurse (hours per resident per day) n/a 0.00
Care Aide (hours per resident per day) n/a 2.51
Allied health hours (hours per resident per day) 0.35 0.35
Food costs per resident per day (actual cost) 2 $9.15 $10.40
Facility per diem rate2 $231.48 $267.08

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

Licensing (2020/21)
Complaints, 2020/21
Number of licensing complaints 0 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 4 4 5.8 Other injury 0 0 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 4 4 3.5
Unexpected illness 19 19.2 12.3 Attempted suicide 0 0 0.1
Expected death 35 35.4 23.4 Other - clinical 0 0 0.5
Unexpected death 0 0 0.6 Other - service delivery 0 0 0.4
Inspections
Risk Rating Low Risk Score 8
Number of Inspections 6 Number of licensing infractions found 4
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 1 Medication 1
Staffing 0 Program 0
Policies & procedures 0 Records & reporting 0
Care & supervision 2 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 88 84
Percent female 70.3% 63.6%
Percent 85 years or older 71.3% 54.1%
Percent younger than 65 years 1.6% 5.7%
Average length of stay (days) 1,534 900
Percent of residents diagnosed with depression 24.8% 23.4%
Percent of residents dependent in activities of daily living 41.2% 32.4%
Percent of residents in a wheelchair 60.5% 52.1%
Percent of residents with dementia (mild to severe) 56.6% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 38.6% 28.4%
Percent of residents with physically abusive behaviour 6.1% 8.6%
Average index of social engagement 1.8 2.6
Percent of residents with low social engagement 71.7% 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 3.5% 10.1%
Percent of residents receiving recreation therapy 1.6% 28.4%
Percent of residents receiving occupational therapy 6.1% 5.6%
Percent of residents receiving depression medication 34.4% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 21.7% 25.7%
Percent of residents with daily physical restraints 0.3% 6.5%
Percent of residents with falls in the last 30 days 13.7% 12.8%
Percent of residents with a worsened pressure ulcer 1.5% 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza n/a 88.5%
Percent of health care workers vaccinated for influenza 70.2% 63.4%
Percent of residents vaccinated for COVID-19 97.9% 95.7%

Source: BC Centre for Disease Control