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December 2021

Facility Cumberland Lodge
Health authority Vancouver Island Health Regulation/Legislation Community Care & Assisted Living Act
Street address 2696 Windermere Ave Accreditation status Accredited
City/postal code Cumberland Accreditation expiry date April 2022
Phone number (250) 331-8505 x 68321 Contact for complaints Manager / Clinical Nurse Leader
Operator (Type) Vancouver Island Health (Health Authority) Phone number of complaint contact (250) 331-8505 x68305 / (250) 331-8505 x68350
Opened 1977 Personal spending account Yes
Councils Resident Council Visitor parking (cost) Yes (no fee)
Meetings held Regular Schedule Average Wait Time From 225 to 841 days, with an average of 444 days
Current language(s) spoken by staff French, English, Finnish, Spanish, Filipino, Limited German

Source: Facility

Facility Fees for Personal Services
Cable monthly service included No Other extra fees One-time fee clothing labelling, one-time fee for metal ID bracelet upon admission, medications not otherwise covered, some transportation costs
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 40
Publicly funded beds (short- and long-term) 66 Semi-private rooms 13
Total beds 66 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 3.36 3.36
Nursing care hours (hours per resident per day) 3.02 3.02
Registered Nurse (hours per resident per day) n/a 0.34
Licensed Practical Nurse (hours per resident per day) n/a 0.52
Care Aide (hours per resident per day) n/a 2.17
Allied health hours (hours per resident per day) 0.34 0.34
Food costs per resident per day (actual cost) 2 $8.99 $9.97
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 4 Number substantiated licensing complaints 3
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 1 1.5 0.5 Missing or wandering person 0 0 0.6
Fall with injury / Adverse event 0 0 5.8 Other injury 0 0 1.0
Food or other poisoning 0 0 0.1 Aggressive behaviour 8 12.1 3.5
Unexpected illness 0 0 12.3 Attempted suicide 0 0 0.1
Expected death 10 15.2 23.4 Other - clinical 0 0 0.5
Unexpected death 1 1.5 0.6 Other - service delivery 0 0 0.4
Inspections
Risk Rating Low Risk Score 6
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 85 84
Percent female 65.1% 63.6%
Percent 85 years or older 52.5% 54.1%
Percent younger than 65 years 4.0% 5.7%
Average length of stay (days) 529 900
Percent of residents diagnosed with depression 24.2% 23.4%
Percent of residents dependent in activities of daily living 30.4% 32.4%
Percent of residents in a wheelchair 35.4% 52.1%
Percent of residents with dementia (mild to severe) 73.1% 63.6%
Percent of residents with severe cognitive impairment (includes severe dementia) 23.8% 28.4%
Percent of residents with physically abusive behaviour 5.0% 8.6%
Average index of social engagement 4.2 2.6
Percent of residents with low social engagement 21.2% 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 10.0% 10.1%
Percent of residents receiving recreation therapy 56.5% 28.4%
Percent of residents receiving occupational therapy 12.7% 5.6%
Percent of residents receiving depression medication 55.4% 50.5%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 22.4% 25.7%
Percent of residents with daily physical restraints 13.4% 6.5%
Percent of residents with falls in the last 30 days 15.7% 12.8%
Percent of residents with a worsened pressure ulcer 2.8% 2.3%

Source: Canadian Institute for Health Information

Vaccination Coverage (2020/21) Facility B.C.
Percent of residents vaccinated for influenza 96.9% 88.5%
Percent of health care workers vaccinated for influenza 72.6% 63.4%
Percent of residents vaccinated for COVID-19 93.7% 95.7%

Source: BC Centre for Disease Control