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December 2021

Facility Luther Court
Health authority Vancouver Island Health Regulation/Legislation Community Care & Assisted Living Act
Street address 1525 Cedar Hill Cross Rd Accreditation status Accredited
City/postal code Victoria Accreditation expiry date September 2022
Phone number (250) 477-7241 Contact for complaints Executive Director
Operator (Type) Luther Court Society (Not For Profit) Phone number of complaint contact (250) 477-7241 x26
Opened 1979 Personal spending account Yes
Councils No Councils Visitor parking (cost) Yes (no fee)
Meetings held n/a Average Wait Time From 78 to 399 days, with an average of 225 days
Current language(s) spoken by staff German, French, Punjabi, Hindi, Tagalog, Spanish

Source: Facility

Facility Fees for Personal Services
Cable monthly service included No Other extra fees oral health, foot care wheelchair & walker cleaning
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 60
Publicly funded beds (short- and long-term) 60 Semi-private rooms 0
Total beds 60 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 3.38 3.38
Nursing care hours (hours per resident per day) 2.98 3.03
Registered Nurse (hours per resident per day) n/a 0.34
Licensed Practical Nurse (hours per resident per day) n/a 0.51
Care Aide (hours per resident per day) n/a 2.19
Allied health hours (hours per resident per day) 0.40 0.35
Food costs per resident per day (actual cost) 2 $9.50 $11.80
Facility per diem rate2 $248.58 $255.20

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 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 6.7 5.8 Other injury 1 1.7 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 8 13.3 3.5
Unexpected illness 1 1.7 12.3 Attempted suicide 0 0 0.1
Expected death 22 36.7 23.4 Other - clinical 1 1.7 0.5
Unexpected death 0 0 0.6 Other - service delivery 0 0 0.4
Inspections
Risk Rating Medium Risk Score 16
Number of Inspections 1 Number of licensing infractions found 16
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 0 Medication 1
Staffing 1 Program 0
Policies & procedures 1 Records & reporting 12
Care & supervision 1 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 59.5% 63.6%
Percent 85 years or older 59.1% 54.1%
Percent younger than 65 years 7.4% 5.7%
Average length of stay (days) 936 900
Percent of residents diagnosed with depression 30.4% 23.4%
Percent of residents dependent in activities of daily living 33.3% 32.4%
Percent of residents in a wheelchair 32.9% 52.1%
Percent of residents with dementia (mild to severe) 71.7% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 55.3% 28.4%
Percent of residents with physically abusive behaviour 9.7% 8.6%
Average index of social engagement 1.7 2.6
Percent of residents with low social engagement 76.4% 50.0%
Case mix index 0.59 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2020/21) Facility B.C.
Percent of residents receiving physical therapy 3.0% 10.1%
Percent of residents receiving recreation therapy 0.0% 28.4%
Percent of residents receiving occupational therapy 1.3% 5.6%
Percent of residents receiving depression medication 53.6% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 11.9% 25.7%
Percent of residents with daily physical restraints 0.0% 6.5%
Percent of residents with falls in the last 30 days 16.7% 12.8%
Percent of residents with a worsened pressure ulcer 1.0% 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza 90.0% 88.5%
Percent of health care workers vaccinated for influenza 82.3% 63.4%
Percent of residents vaccinated for COVID-19 98.3% 95.7%

Source: BC Centre for Disease Control