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December 2021

Facility Evergreen House - Lions Gate Hospital
Health authority Vancouver Coastal Health Regulation/Legislation Hospital Act
Street address 231 East 15th Street Accreditation status Accredited
City/postal code North Vancouver Accreditation expiry date not available
Phone number (604) 984-5811 Contact for complaints Melanie Leckovic, Manager
Operator (Type) Vancouver Coastal Health (Health Authority) Phone number of complaint contact (604) 984-5927
Opened 1971 Personal spending account n/a
Councils Resident Council, Family Council Visitor parking (cost) Yes (fee charged)
Meetings held Regular Schedule Average Wait Time From 2 to 159 days, with an average of 15 days
Current language(s) spoken by staff English, Farsi, Tagalog, Cantonese, Russian, Mandarin, German

Source: Facility

Facility Fees for Personal Services
Cable monthly service included No Other extra fees Hairdressing, podiatry, dentistry
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 27
Publicly funded beds (short- and long-term) 289 Semi-private rooms 11
Total beds 289 Multi-person rooms 60

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 No

Source: Facility

Funding 2019/20 2020/21
Total direct care hours (hours per resident per day) 1 3.36 3.42
Nursing care hours (hours per resident per day) 3.00 3.06
Registered Nurse (hours per resident per day) n/a 0.41
Licensed Practical Nurse (hours per resident per day) n/a 0.55
Care Aide (hours per resident per day) n/a 2.10
Allied health hours (hours per resident per day) 0.36 0.36
Food costs per resident per day (actual cost) 2 $8.32 $8.94
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 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 1 0.3 0.8 Medication error with adverse event 1 0.3 0.1
Abuse / neglect 1 0.3 0.5 Missing or wandering person 1 0.3 0.6
Fall with injury / Adverse event 11 3.8 5.8 Other injury 1 0.3 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 3 1 3.5
Unexpected illness 49 17 12.3 Attempted suicide 1 0.3 0.1
Expected death 51 17.6 23.4 Other - clinical 0 0 0.5
Unexpected death 0 0 0.6 Other - service delivery 0 0 0.4
Inspections
Risk Rating Medium Risk Score 15
Number of Inspections 4 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 65.0% 63.6%
Percent 85 years or older 56.0% 54.1%
Percent younger than 65 years 6.5% 5.7%
Average length of stay (days) 693 900
Percent of residents diagnosed with depression 22.8% 23.4%
Percent of residents dependent in activities of daily living 39.0% 32.4%
Percent of residents in a wheelchair 69.2% 52.1%
Percent of residents with dementia (mild to severe) 53.3% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 29.8% 28.4%
Percent of residents with physically abusive behaviour 6.4% 8.6%
Average index of social engagement 3.1 2.6
Percent of residents with low social engagement 40.3% 50.0%
Case mix index 0.62 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2020/21) Facility B.C.
Percent of residents receiving physical therapy 26.7% 10.1%
Percent of residents receiving recreation therapy 47.7% 28.4%
Percent of residents receiving occupational therapy 8.2% 5.6%
Percent of residents receiving depression medication 60.7% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 28.2% 25.7%
Percent of residents with daily physical restraints 3.3% 6.5%
Percent of residents with falls in the last 30 days 11.5% 12.8%
Percent of residents with a worsened pressure ulcer 3.3% 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 53.0% 63.4%
Percent of residents vaccinated for COVID-19 95.3% 95.7%

Source: BC Centre for Disease Control