In a letter dated March 28th, 2017, to Mr. Richard Joly, Chief Executive Officer, Northeast CCAC, from Karen Simpson, Director, Long-Term Care Inspections Branch, Cedarwood Lodge, an interim long-term care home in Sault Ste. Marie, was ordered to cease all further admissions effective immediately. Cedarwood Lodge opened in Spring, 2015 at the old F.J Davey Home, (Great Northern Rd.) with a capacity of 50 beds.
“The ceasing of admissions has been directed based on my belief that there is a risk of harm to the health or well-being of residents in the home or persons who might be admitted as residents.” stated Karen Simpson, MOHLTC inspector.
According to Ministry (MOHLTC) spokesperson, David Jensen, in a written statement to Superior Media, “Ministry inspectors identified non-compliances with the Long-Term Care Homes Act, 2007 (LTCHA), during a Resident Quality Inspection in late 2016.
Fifteen areas of non-compliance were identified, including six compliance orders and a referral to the Director related to duty to protect residents from abuse. The compliance orders are related to:
Not ensuring that staff and others collaborate with each other in the assessment of the resident and development and implementation of the care plan, – specifically that physician’s orders were changed without authorization from the physician.
Not following resident plans of care.
Not protecting residents from abuse. This was referred to the Director for further action.
Not managing responsive behaviours.
Not having a program in place for skin and wound care as well as no falls prevention program.
Not reporting abuse to the Director immediately.
Other non-compliance has been identified that did not result in Compliance Orders.
These recent examples of non-compliance are in addition to a Cease of Admissions that was issued in 2015.”
Q: Is the Ministry looking at possible options for the residents currently in the care of Cedarwood. Will they be moved?
“A Cease of Admissions ensures the licensee and staff in the home direct all resources to the current residents of the home rather than expending resources on new admissions. It also focuses the licensee to ensure that issues are corrected quickly which results in care improvements for residents.”
“LTC home licensees are responsible for ensuring they are in compliance with the LTCHA and Ontario Regulation 79/10 (Regulation).” stated Jensen
“Ministry inspectors conduct inspections based on information received related to resident care and safety. An inspector makes the decision on what action or sanction to take based on the scope, severity and compliance history of any particular non-compliance. Orders are reissued when the inspector determines, upon follow-up, that an order has not been fully complied with or the licensee remains in non-compliance with a requirement in the LTCHA or the Regulation, and to ensure the licensee comes into full compliance.
Persistent non-compliance can result in further sanctions such as a referral to the Director (under the LTCHA) who has the authority to issue other sanctions or take other actions, such as issuing a Director’s Order, ceasing admissions, issuing a Mandatory Management Order, or revoking a license.
During the 2016 Resident Quality Inspection at Cedarwood Lodge Ministry inspectors identified a significant number of findings of non-compliance with requirements under the LTCHA which led to the cease of admissions. A Cease of Admissions provides the home time to focus on addressing the non-compliance for the residents currently residing in the home.”
Q: What are the next steps for Cedarwood Lodge?
“The LTC home will need to focus on taking the necessary steps in addressing the Orders issued to the home. The cease of admission will be in effect until the licensee has satisfied the Director (under the LTCHA) that they have taken the appropriate action(s) to address the risk issues identified.” he said.
“The Ministry continues to inspect the LTC home regularly.”
Jensen provided Saultonline with a breakdown of costs associated with daily care for the elderly and vulnerable in long-term care homes.
“The average cost of long-term care is currently estimated at $191.62 per resident per day. This cost is funded by the Ontario government and with contributions from resident accommodation co-payment.”
This funding is provided to LTC homes under the following categories:
Level of Care Funding (including resident accommodation co-payment)
Supplementary Funding for specific government programs or initiatives
The breakdown of funding is as follows:
|The following is a summary of the current base Level of Care (LOC) per diem funding as of July 1, 2016.|
|LOC Envelopes||Funding Amount|
|Nursing and Personal Care (NPC)||$94.37|
|Program and Support Services (PSS)||$9.41|
|Raw Food (RF)||$8.33|
|Other Accommodations (OA)||$54.52|
|Total Level of Care (LOC) Per diem||$166.63|
|In addition, the government provides some supplementary funding targeted at specific programs or initiatives.|
|Estimated Supplementary Funding||$24.99|
|Estimated Average Daily Cost of an LTC bed in Ontario||$191.62|
Superior Media will continue to follow this story.
Repeated requests for interviews to Sudbury based Autumnwood Community Care Inc. and Cedarwood Lodge’s Administrator have not been returned. Superior Media will continue to request statements from Joe DiPietro, President – Autumnwood Community Care Inc. and Rudy Putton – Administrator, Cedarwood Lodge.
In May, 2015, the province of Ontario invested $2,399,987 million for the new long term care beds at Cedarwood Lodge. The creation of the beds was a key component of the Alternate Level of Care Plan for Sault Ste Marie, developed in consultation with the Ministry of Health and Long-Term Care, North East LHIN, Sault Area Hospital and community partners.
To read the MOHLTC Inspection Reports, including the Ministry’s ‘cease admissions’ directive, go here: http://publicreporting.ltchomes.net/en-ca/homeprofile.aspx?Home=7093&tab=1
Saultonline appreciates the passionate and thoughtful comments on the story, posted April 1, 2017. It is obvious that our community cares a great deal about our elders. Thank you.