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November 2024

Facility Evergreen House - Lions Gate Hospital Service type Long-Term Care
Health authority Vancouver Coastal Health Regulation/Legislation Hospital Act
Street address 231 East 15th Street Accreditation status Accredited
City/postal code North Vancouver/V7L2L7 Accreditation expiry date not available
Phone number (604) 984-5811 Contact for complaints Melanie Leckovic, Manager
Operator (type) Vancouver Coastal Health (Health Authority) Phone number of complaint contact (604) 984-5927
Opened 1971 Personal spending account n/a
Councils Separate Resident and Family Council, Family Council Visitor parking (cost) Yes (fee charged)
Co-located with a publicly subsidized assisted living residence No
Wait time* n/a
Current language(s) spoken by staff English, Farsi, Tagalog, Cantonese, Russian, Mandarin, German
Indigenous territory Coast Salish 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 No Other extra fees Hairdressing, podiatry, dentistry
Telephone monthly service included No
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 22
Publicly funded beds (short and long-term) 284 Double occupancy 11
Total beds 284 Other occupancy 60

Source: 1. Ministry of Health; 2. Facility

Contracted Services
Professional nursing services No Housekeeping services Yes
Non-regulated services (care aides) No Plant/building maintenance No
Food services provided by Outside Contractor Food prepared and cooked on site No

Source: Facility

Funding 2022/23 2023/24
Total direct care hours (hours per resident per day) 3.58 3.59
Nursing care hours (hours per resident per day) 3.22 3.23
Registered Nurse (hours per resident per day) 0.34 0.31
Licensed Practical Nurse (hours per resident per day) 0.69 0.69
Care Aide (hours per resident per day) 2.20 2.23
Allied health hours (hours per resident per day) 0.36 0.36
Food costs per resident per day (actual cost) $8.54 $9.35
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 $2,236 From $1,417 to $3,974 with an average of $2,294

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

Licensing, 2023/24
Complaints
Number of licensing complaints 2 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 16 5.6 8.2 Other injury 0 0.0 2.3
Food or other poisoning 0 0.0 0.1 Aggressive behaviour 3 1.1 3.5
Unexpected Illness 33 11.6 20.9 Attempted suicide 0 0.0 0.1
Expected death 40 14.1 23.6 Other - clinical 1 0.4 0.8
Unexpected death 0 0.0 0.8 Other - service delivery 0 0.0 0.9
Inspections
Risk rating n/a Risk score n/a
Number of inspections 8 Number of licensing infractions found 8
Licensing Infractions
Licensing 0 Nutrition & food services 2
Physical facility, equipment & furnishings 0 Medication 1
Staffing 2 Program 0
Policies & procedures 0 Records & reporting 1
Care & supervision 2 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 84 83
Percent female 62.2% 63.2%
Percent 85 years or older 57.7% 52.5%
Percent younger than 65 years 5.3% 5.3%
Average length of stay (days) 863 829
Percent of residents diagnosed with depression 21.9% 22.2%
Percent of residents dependent in activities of daily living 42.1% 31.7%
Percent of residents in a wheelchair 68.5% 54.1%
Percent of residents with dementia (mild to severe) 52.3% 62.1%
Percent of residents with severe cognitive impairment (includes severe dementia) 23.8% 27.0%
Percent of residents with physically abusive behaviour 5.9% 8.3%
Average index of social engagement 2.4 2.8
Percent of residents with low social engagement 55.0% 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 2.5% 11.0%
Percent of residents receiving recreation therapy 0.8% 31.7%
Percent of residents receiving occupational therapy 0.2% 5.2%
Percent of residents receiving depression medication 54.0% 51.6%
Percent of residents taking antipsychotic drugs without a diagnosis of psychosis 28.5% 27.7%
Percent of residents taking antipsychotic drugs with or without a diagnosis of psychosis 31.1% 35.3%
Percent of residents taking nine or more medications 64.9% 46.2%
Percent of residents with daily physical restraints 2.0% 6.0%
Percent of residents with falls in the last 30 days 8.5% 12.3%
Percent of residents with a worsened pressure ulcer 2.8% 2.1%
Percent of residents with four or more emergency room visits 0.5% 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 91.5% 84.3%
Percent of health care workers vaccinated for influenza 25.8% 35.5%
Percent of residents vaccinated for COVID-19 77.0% 75.2%

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