Ministry of Health & Long-Term Care (MOHLTC) statement on Cedarwood Lodge

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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.

 SaultOnline.com broke the story, you can read it here

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.

 

 

10 COMMENTS

  1. I am a visitor to the Sault and am so angry to be reading this. I put some of the blame on the Government because it looks like there was not follow up. I just wonder if this is a provincially run home or is it privately owned. I do know they still have to abide by the same legislation and policies, however I have done a lot of research and assessment of homes and find the provincially run ones are failing at a faster rate. Unfortunately our elderly are going to homes to die and that is not what they are meant for. When did the respect of our elders become much less. This story is so sad and frustrating and I do hope that it improves so no one else gets harmed.

  2. HEALTH CARE is in CRITICAL CONDITION

    YOU CAN HELP IMPROVE HEALTH CARE!

    You, your family and friends will need to use Health Care services including the hospital, Long-Term & Home Care and Mental Health Services.

    We have a By-election coming up soon. Politicians need to know that improving Health Care is important to you! You can show them by attending a meeting at the Moose Hall on Trunk Road on April 12 at 7:00 PM.

    At this event, people have the chance to tell us their experiences, suggestions, ideas and concerns about Health Care in the Sault by sharing publicly to our panel (2 minutes); talking to one of our workers privately who can record the responses; submitting a written document at the meeting or sending an e-mail.

    We will use the information collected at this meeting for our Health Care All-Candidates’ Meeting, May 10 at the Marconi Club. The political parties need to tell the voters what they will do to improve the Health Care System so we can decide who to vote for in the By-Election & upcoming Provincial Election in 2018. We will also use the information to organize information sessions to improve Public Health Care in our Community.

    SUPPORT THE IDEAS OF YOUR FRIENDS, NEIGHBOURS, FAMILY AND FRONT LINE WORKERS BY ATTENDING.

    If we work together, we CAN make a difference.

    Sault Ste. Marie & Area Health Coalition margodale@shaw.ca 705 254 2885

  3. It almost seems like these long term care facilities consider the elderly as a bother…that they are there to die…the last stop before the cemetery. These older folks deserve the best care possible. They are the ones who have paid taxes for decades to help preserve a healthcare system that they assumed would be there for them when THEY needed it. We have let them down. We are not demanding excellence. We have become complacent.Shame on the provincial LIBERALS for not seeing that adequate funding is available.

  4. lynn brown has been on health care issues and running stories to help us all. she is getting information out to all public great work lynn keep going as more health care crisis here and need brought out to let general public know thanks lynn

  5. I read ONE of the available complaints.
    In this ONE there were THREE noncompliance written orders. .. a resident demanded a certain worker not enter their room, fell down, wasn’t addressed and assessed properly in accordance to the rules they are paid to obide by and then DIED IN HOSPITAL .
    WHAAAAT? !
    I am having a hard time accepting that this even occurred… i hope that person was FIRED AND WORN UP TO LOSE ANY CREDENTIALS HE OR SHE ACCUMULATED OVER THEIR TERM AS A “CARE GIVER”
    I hope to hell I’m never in a place where so very very many orders are ignored and elderly shoved around like asparagus on a plate of cake and Ice cream.
    Despicable
    ONE DEATH DUE TO NEGLIGENCE AND I’D HAVE AN ONDUTY OFFICER. PERIOD.

  6. No, Thank you Lynne! We do care, and in my case the more I cared the more walls I ran into at the facility where my parent was housed (not Cedarwood, but same issues) Anything I did to help my loved one, and many who had no family to speak for them, changed things ‘that day’ but everything always went sideways again as soon as I left. It has been just over a year since my parent passed away in that horrible place, the hurt and anger is still so deep I still have a hard time just thinking about it. So many complaints, so many times I had to present myself in person to get the proper meds, the proper care, the proper dignity. The amount of time I had to be there cost me dearly, it was literally like a full time job. And damn it all to hell that all my efforts to enact change made no difference. NONE. My biggest regret in life is not having any energy left to go after that facility, but it will crush your soul and that is exactly what it did to mine, crush it.

    • It is unclear as to if you had these issues at Cedarwood or another facility. You state in the beginning of your comment “not Cedarwood, but same issues” but then as you go on make it seem like you are indeed talking about Cedarwood. Just wanting clarification.

      • No, I am not talking about Cedarwood. I am talking about one of the largest long term care facilities in town.

        • Maple view…I’m not surprised. There is a lot of crooked shit going on in that place.

          • Comprehension my friend. Mapleview is on northern ave, this entire story didn’t mention them once…So I hope you’re surprised now!

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