Redstone, Malton Village, Region of Peel
Most municipalities in Ontario manage at least one long-term care home. In larger cities like Toronto and Ottawa, they manage several homes.
Here is a brief recap of Ontario’s long-term care home system: (from a previous blog post – March 16, 2020)
There are 626 long-term care homes in Ontario (as of 2019); of these, there are 3 categories:
For-Profit: 58%, Not-for-Profit: 24%, Municipal: 16%
What are the commonalities?
- Funding: All 3 types are funded by the Ministry of Health and Long-Term Care through the Local Health Integration Network (LHIN) based on the same formula.
In addition: Municipalities can opt to top up funding for their homes through tax payers’ dollars. Some of the other homes have either foundations or fundraising programs that can top up their funding for capital expenditures or program enhancement.
- Resident costs: In all 3 types, residents are required to contribute a co-payment for accommodation of basic ($1848.73), semi-private ($2,228.63) or private ($2640.78). These costs are as of 2018 and there is a cost of living increase each July.
- Legislation: All 3 types are subject to the same standards, rules and regulations.
How are the homes managed?
- The for-profit long-term care homes are managed by their corporate office through their Chief Executive Officers (CEO’s)
- The not-for-profit long-term care homes are managed by a Board of Directors through their CEO’s
- The municipal or city-run long-term care homes have a formal mechanism in place for their management through a committee of City Council and a staff director.
In our last blog post, we featured the innovation in city-run homes in Toronto including a joint model of funding. The Region of Peel led the way a few years when it adopted an innovative model for its homes. Homes in other municipalities like the Glebe Centre in Ottawa have also shown similar leadership. Please make this an election issue in the upcoming municipal elections.