
Reports
Annual Publications
Systemic Reports
Click on the years below to expand the list of reports.
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Jul 29, 2025
From Shortfall to Crisis: Growing Demand for Long-Term Care Beds in B.C.
In this report, the Seniors Advocate calls on the Province to address the increasing shortfall in long-term care bed supply. It reveals B.C. is not prepared to care for the most vulnerable seniors today or in the future due to the ongoing, increasing shortage of long-term care beds.
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Mar 26, 2025
Reframing Ageing: British Columbians' Thoughts on Ageism
In November and December 2024, the Office of the Seniors Advocate launched a survey and asked British Columbians of all ages to share their perceptions and experiences with ageism, and whether it has impacted their lives. The survey found 84% of 9,200 respondents believe ageism in an issue in B.C. This report summarizes the feedback through five themes: social inclusion, employment, health care, the media, and safety, and includes the experiences shared by British Columbians.
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Jul 04, 2024
Forgotten Rights: Seniors Not Afforded Equal Rent Protection
The Office of the Seniors Advocate is urging the provincial government to act quickly and enforce the Residential Tenancy Act (RTA) to protect the 30,000 B.C. seniors in retirement homes from illegal rent increases and evictions. Forgotten Rights: Seniors Not Afforded Equal Rent Protection highlights the practice of many landlords to ignore the RTA and leave seniors facing annual cost increases ranging from the rate of inflation to as much as 24%.
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Jun 05, 2024
Ageing Matters: Listening to B.C. Seniors
The 'Ageing Matters' report reaffirms B.C. seniors on fixed incomes are disproportionately impacted by the high cost of living and unable to absorb increased costs for housing, food, medical equipment, mobility aids and other necessities for healthy ageing.
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Feb 15, 2024
Resourceful and Resilient: Challenges Facing B.C.'s Rural Seniors
In this report, Seniors Advocate Isobel Mackenzie summarizes the disproportionate challenges to healthy aging experienced by seniors living in B.C.’s rural communities.
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Nov 16, 2023
Every Voice Counts: Long-Term Care Resident and Visitor Survey Results 2023
BC Seniors Advocate Isobel Mackenzie has released results from the second provincewide survey of thousands of long-term care residents and their family members. The survey covered 297 publicly subsidized care facilities in B.C. and received responses from over 10,000 residents and almost 8,000 family members and close friends.
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Sep 25, 2023
Billions More Reasons to Care: Contracted Long-Term Care-Funding Review Update
In this report, Seniors Advocate Isobel Mackenzie provides a second review into government’s funding of publicly subsidized for-profit and not-for-profit operated long-term care homes and has again found spending differences impacting care for residents, many cost increases exceeding inflation, a lack of clarity on many reported expenses and inequitable funding for capital assets.
- Jun 28, 2023
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Feb 23, 2023
We Must Do Better: Home Support Services for B.C. Seniors
In this report, BC Seniors Advocate Isobel Mackenzie provides a comprehensive review of the province's home support services and finds they are in need of fundamental restructuring. This second review demonstrates that the program is not keeping pace with the needs of a growing seniors’ population and the service remains unaffordable to a large number of seniors.
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Sep 22, 2022
BC Seniors: Falling Further Behind
In this report, Seniors Advocate Isobel Mackenzie details the results of a systemic review of the impact of rising costs on B.C. seniors who depend on government pensions and ranks B.C. as the lowest in its financial support for seniors compared to other provinces and territories.
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Dec 08, 2021
Hidden and Invisible: Seniors Abuse and Neglect in British Columbia
In this report, Seniors Advocate Isobel Mackenzie details the results of a systemic review of seniors’ abuse and neglect in British Columbia. The review examined the protections that exist for B.C. seniors, the prevalence of seniors’ abuse and neglect, the method of reporting abuse and neglect, and the response to reports of seniors’ abuse and neglect.
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Oct 06, 2021
Review of COVID-19 Outbreaks in Care Homes in British Columbia
In this report, Seniors Advocate Isobel Mackenzie released the results of a province-wide review of COVID-19 outbreaks in long-term care and assisted living sites during the first year of the pandemic.
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Nov 03, 2020
Staying Apart to Stay Safe: The Impact of Visit Restrictions on Long-Term Care and Assisted Living Survey
In this report, Seniors Advocate Isobel Mackenzie shares findings of a five-week survey about the impact of COVID-19 related visit restrictions at long-term care and assisted living homes. The survey, answered by residents, their family members and the general public, had over 13,000 valid responses.
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Feb 04, 2020
A Billion Reasons to Care
A Billion Reasons to Care is the first provincial review of the $1.4 billion-dollar contracted long-term care sector in British Columbia. The review examined industry contracts, annual audited financial statements and detailed reporting on revenue and expenditures for the years 2016/17 and 2017/18.
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Jun 19, 2019
Home Support Review
Home support is falling short in meeting needs. This review finds inadequate levels of care.
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Sep 20, 2018
Seniors at Home and in Long-Term Care – 2017/18 Snapshot
This report highlights 2017/18 health data for B.C. residents receiving home care and living in long-term care facilities.
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Aug 01, 2018
From Residential Care to Hospital: An Emerging Pattern
This report compares hospitalization rates between residents in contracted residential care facilities and those residents in publicly owned and operated facilities.
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May 10, 2018
Seniors Transportation: Affordable, Appropriate, and Available
This report, which reflects over a year of consultation and research, concludes that changes are required to address some of the existing transportation systems and a new program will be required to fill some of the gaps.
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Sep 15, 2017
Every Voice Counts: Provincial Residential Care Survey Results
This is the most extensive survey of its kind ever conducted in Canada, targeting over 22,000 individuals in 292 residential care facilities.
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Aug 30, 2017
Caregivers in Distress: A Growing Problem
Seniors Advocate Isobel Mackenzie released an update report today confirming that caregiver distress is rising in B.C. while supports and services are not keeping pace with growing need.
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Feb 02, 2017
Moving In the Right Direction: HandyDART Survey Results
BC’s Seniors Advocate released results of a province-wide survey of almost 7,500 HandyDART users in the province today. The survey highlights that while 91% of users are satisfied with the service when they receive it, almost 1/3 of respondents say it is not meeting, or only moderately meeting, their transportation needs.
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Nov 24, 2016
Making Progress: Placement, Drugs and Therapy Update
The progress report highlights that some improvements are being made in the provisions of rehabilitative therapies to seniors in residential care, as well as the use of antipsychotic medications. Data also show that the premature placement of seniors into residential care is also declining.
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Sep 19, 2016
Listening to your voice: Home support survey results
The Office of the Seniors Advocate releases results from the comprehensive home support survey conducted last year. This report presents the collective voice of almost 10,000 home support clients and their family members who responded to our survey.
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Jun 29, 2016
Resident to Resident Aggression in B.C. Care Homes
The Office of the Seniors Advocate releases its review of incidents of resident to resident aggression in B.C.'s licensed residential care facilities. The review gathered and examined data from a variety of sources, including Health Authorities, reporting systems, and facilities themselves.
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Sep 14, 2015
Caregivers in Distress: More Respite Needed
An examination of B.C.'s unpaid caregivers finds that one-third of them are in distress, one of the highest rates in Canada.
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May 21, 2015
Seniors’ Housing in B.C.: Affordable, Appropriate, Available
This report by the Seniors Advocate examines housing issues across independent living, assisted living and residential care.
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Apr 07, 2015
Placement, Drugs and Therapy…We Can Do Better
This report by the Seniors Advocate found systemic issues in placements, medications and rehabilitative therapy across B.C.
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Mar 04, 2015
B.C. Seniors Survey: Bridging the Gaps
This first survey by the Office of the Seniors Advocate asked B.C. seniors a series of questions on issues from housing and transportation to their knowledge of services and programs.
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Oct 22, 2014
The Journey Begins: Together, We Can Do Better
The first report by the Seniors Advocate summarizes findings from the start of her appointment in April 2014 and outlines her plans to bring forward objective and meaningful information.

