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November 2024

Facility Ellen Sinclair Kennett Lodge Service type Long-Term Care
Health authority Fraser Health Regulation/Legislation Community Care & Assisted Living Act
Street address 15575 16A Avenue Accreditation status Accredited
City/postal code Surrey/V4A 0C7 Accreditation expiry date June 2027
Phone number (778) 545-6200 Contact for complaints Social Worker
Operator (type) Fraser Health (Health Authority) Phone number of complaint contact (778) 545-6200
Opened 2020 Personal spending account Yes
Councils Separate Resident and Family Council Visitor parking (cost) Yes (no fee)
Co-located with a publicly subsidized assisted living residence No
Wait time* suppressed
Current language(s) spoken by staff Polish, Punjabi, Hindi, German, Gujarati, Vietnamese, Korean, Mandarin, Cantonese, Tagalog
Indigenous territory Semiahmoo, Kwantlen and Katzie peoples

Source: 1. Facility; 2. Health Authority; 3.Ministry of Health

* Definition changed, please refer to Glossary of Terms at https://www.seniorsadvocatebc.ca/long-term-care-directory/glossary-of-terms/
Resident Fees for Personal Services
Cable monthly service included Yes Other extra fees Newspapers, hearing aids and batteries, personal transportation, companion services, personal dry cleaning, foot care, hairdressing
Telephone monthly service included Yes
Internet monthly service included No

Source: Facility

Beds (as of March 31, 2024) Room Configuration (excluding short-stay beds) (as of March 31, 2024)
Private beds (not publicly funded) 0 Single occupancy 112
Publicly funded beds (short and long-term) 127 Double occupancy 0
Total beds 127 Other occupancy 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 2022/23 2023/24
Total direct care hours (hours per resident per day) 3.44 3.44
Nursing care hours (hours per resident per day) 3.05 3.05
Registered Nurse (hours per resident per day) 0.40 0.40
Licensed Practical Nurse (hours per resident per day) 0.67 0.67
Care Aide (hours per resident per day) 1.98 1.98
Allied health hours (hours per resident per day) 0.39 0.39
Food costs per resident per day (actual cost) $7.73 $9.32
Facility per diem rate n/a n/a
Monthly client rate for a publicly subsidized bed (single) From $1,338 to $3,847 with an average of $2,123 From $1,417 to $3,974 with an average of $2,112

Source: 1. Ministry of Health; 2. Health Authority

Licensing, 2023/24
Complaints
Number of licensing complaints 1 Number of substantiated licensing complaints 1
Incidents Total
Number
Per 100 beds Total
Number
Per 100 beds
Facility B.C. Facility B.C.
Disease outbreak or occurrence 0 0.0 0.5 Medication error with adverse event 0 0.0 0.2
Abuse / neglect 0 0.0 0.9 Missing or wandering person 0 0.0 1.1
Fall with injury/adverse event 2 1.6 8.2 Other injury 0 0.0 2.3
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 2.4 3.5
Unexpected Illness 7 5.5 20.9 Attempted suicide 0 0.0 0.1
Expected death 37 29.1 23.6 Other - clinical 0 0.0 0.8
Unexpected death 2 1.6 0.8 Other - service delivery 0 0.0 0.9
Inspections
Risk rating Low Risk score 13
Number of inspections 5 Number of licensing infractions found 10
Licensing Infractions
Licensing 0 Nutrition & food services 0
Physical facility, equipment & furnishings 3 Medication 1
Staffing 1 Program 0
Policies & procedures 4 Records & reporting 1
Care & supervision 0 Resident Bill of Rights 0
Hygiene & communicable disease control 0 Other 0

Source: Health Authority

Resident Profile (2023/24) Facility B.C.
Average age of population 85 83
Percent female 66.1% 63.2%
Percent 85 years or older 57.6% 52.5%
Percent younger than 65 years 3.1% 5.3%
Average length of stay (days) 569 829
Percent of residents diagnosed with depression 15.0% 22.2%
Percent of residents dependent in activities of daily living 35.3% 31.7%
Percent of residents in a wheelchair 51.0% 54.1%
Percent of residents with dementia (mild to severe) 53.5% 62.1%
Percent of residents with severe cognitive impairment (includes severe dementia) 30.3% 27.0%
Percent of residents with physically abusive behaviour 7.0% 8.3%
Average index of social engagement 2.7 2.8
Percent of residents with low social engagement 48.8% 46.2%
Case mix index 0.58 0.58

Source: Canadian Institute for Health Information

Care Services & Quality Indicators (2023/24) Facility B.C.
Percent of residents receiving physical therapy 7.0% 11.0%
Percent of residents receiving recreation therapy 44.3% 31.7%
Percent of residents receiving occupational therapy 1.0% 5.2%
Percent of residents receiving depression medication 57.0% 51.6%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 43.9% 27.7%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 46.5% 35.3%
Percent of residents taking nine or more medications 62.5% 46.2%
Percent of residents with daily physical restraints 0.8% 6.0%
Percent of residents with falls in the last 30 days 11.3% 12.3%
Percent of residents with a worsened pressure ulcer 3.7% 2.1%
Percent of residents with four or more emergency room visits 0.0% 1.1%

Source: 1. Canadian Institute for Health Information; 2. Health Authority

Vaccination Coverage (2023/24) Facility B.C.
Percent of residents vaccinated for influenza 89.3% 84.3%
Percent of health care workers vaccinated for influenza 15.1% 35.5%
Percent of residents vaccinated for COVID-19 79.6% 75.2%

Source: 1. BC Centre for Disease Control; 2. Ministry of Health; 3. Facility