Mount St. Mary Hospital Quick Facts
| Facility | Mount St. Mary Hospital | ||
|---|---|---|---|
| Health authority | Vancouver Island Health | Regulation/Legislation | Hospital Act |
| Street address | 861 Fairfield Rd. | Accreditation status | Not Accredited |
| City/postal code | Victoria | Accreditation expiry date | not applicable |
| Phone number | (250) 480-3103 | Contact for complaints | Director of Care |
| Operator (Type) | Marie Esther Society (Not For Profit) | Phone number of complaint contact | (250) 480-3111 |
| Opened | 2003 | Personal spending account | Yes |
| Councils | Resident & Family Council (combined) | Visitor parking (cost) | Yes (no fee) |
| Meetings held | Regular Schedule | Average Wait Time | From 6 to 348 days, with an average of 190 days |
| Current language(s) spoken by staff | German, Cantonese, French, Filipino, Polish, Cantonese, Spanish, Croatian, Japanese | ||
Source: Facility
| Facility Fees for Personal Services | |||
|---|---|---|---|
| Cable monthly service included | No | Other extra fees | Monthly admin fee |
| Telephone monthly service included | No | ||
| Internet monthly service included | Yes | ||
Source: Facility
| Beds 1 (March 31, 2021) | Room Configuration 2 (March 31, 2021) | ||
|---|---|---|---|
| Private beds (not publicly funded) | 0 | Private rooms | 184 |
| Publicly funded beds (short- and long-term) | 200 | Semi-private rooms | 8 |
| Total beds | 200 | Multi-person rooms | 0 |
Source: 1. Ministry of Health, 2. Facility
| Contracted Services | |||
|---|---|---|---|
| Professional nursing services | No | Housekeeping services | No |
| 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 | 3.23 | 3.36 |
| Nursing care hours (hours per resident per day) | 3.04 | 3.15 |
| Registered Nurse (hours per resident per day) | n/a | 0.19 |
| Licensed Practical Nurse (hours per resident per day) | n/a | 0.55 |
| Care Aide (hours per resident per day) | n/a | 2.42 |
| Allied health hours (hours per resident per day) | 0.19 | 0.21 |
| Food costs per resident per day (actual cost) 2 | $9.90 | $9.51 |
| Facility per diem rate2 | $237.92 | $250.54 |
Source: 1. Ministry of Health, 2. Health Authority
| Licensing (2020/21) | |||
|---|---|---|---|
| Complaints, 2020/21 | |||
| Number of licensing complaints | 7 | Number substantiated licensing complaints | 0 |
| Incidents, 2020/21 | |||
| Serious adverse events | 6 | ||
| Inspections | |||
|---|---|---|---|
| Risk Rating | Low | Risk Score | n/a |
| Number of Inspections | 0 | 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 | 73.4% | 63.6% |
| Percent 85 years or older | 60.6% | 54.1% |
| Percent younger than 65 years | 8.9% | 5.7% |
| Average length of stay (days) | 865 | 900 |
| Percent of residents diagnosed with depression | 28.6% | 23.4% |
| Percent of residents dependent in activities of daily living | 35.6% | 32.4% |
| Percent of residents in a wheelchair | 60.4% | 52.1% |
| Percent of residents with dementia (mild to severe) | 50.6% | 63.6% |
| Percent of residents with severe cognitive impairment (includes severe dementia) | 27.7% | 28.4% |
| Percent of residents with physically abusive behaviour | 7.0% | 8.6% |
| Average index of social engagement | 2.5 | 2.6 |
| Percent of residents with low social engagement | 49.8% | 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 | 1.0% | 10.1% |
| Percent of residents receiving recreation therapy | 3.9% | 28.4% |
| Percent of residents receiving occupational therapy | 35.0% | 5.6% |
| Percent of residents receiving depression medication | 55.5% | 50.5% |
| Percent of residents taking antipsychotic drugs without a diagnosis of psychosis | 23.5% | 25.7% |
| Percent of residents with daily physical restraints | 0.0% | 6.5% |
| Percent of residents with falls in the last 30 days | 14.4% | 12.8% |
| Percent of residents with a worsened pressure ulcer | 3.6% | 2.3% |
Source: Canadian Institute for Health Information
| Vaccination Coverage (2020/21) | Facility | B.C. |
|---|---|---|
| Percent of residents vaccinated for influenza | 66.0% | 88.5% |
| Percent of health care workers vaccinated for influenza | 63.2% | 63.4% |
| Percent of residents vaccinated for COVID-19 | 95.7% | 95.7% |
Source: BC Centre for Disease Control