Long-Term Care Homes Act, 2007

ONTARIO REGULATION 79/10

General

Historical version for the period December 1, 2016 to December 31, 2016.

Last amendment: O. Reg. 410/16.

This is the English version of a bilingual regulation.

CONTENTS

PART I
INTERPRETATION
Definitions
1. / Definitions
2. / “Abuse” — definition
3. / “Accommodation” — definition
4. / “Drug” — definition
5. / “Neglect” — definition
6. / “Regular nursing staff” — definition
7. / “Veteran” — definition
Policies and Records
8. / Policies, etc., to be followed, and records
PART II
RESIDENTS: RIGHTS, CARE AND SERVICES
Safe and Secure Home
9. / Doors in a home
10. / Elevators
11. / Floor space
12. / Furnishings
13. / Privacy curtains
14. / Shower grab bars
15. / Bed rails
16. / Windows
17. / Communication and response system
18. / Lighting
19. / Generators
20. / Cooling requirements
21. / Air temperature
22. / Plumbing
23. / Compliance with manufacturers’ instructions
Care Plans and Plans of Care
24. / 24-hour admission care plan
25. / Initial plan of care
26. / Plan of care
27. / Care conference
28. / Plan of care, transitional
29. / Changes in plan of care, consent
General Requirements for Programs
30. / General requirements
Nursing and Personal Support Services
31. / Nursing and personal support services
32. / Personal care
33. / Bathing
34. / Oral care
35. / Foot care and nail care
36. / Transferring and positioning techniques
37. / Personal items and personal aids
38. / Notification re personal belongings, etc.
39. / Mobility devices
40. / Dress
41. / Bedtime and rest routines
42. / End-of-life care
43. / Communication methods
44. / Availability of supplies
45. / 24-hour nursing care — exceptions
45.1 / Exemption, small homes at hospitals
46. / Certification of nurses
47. / Qualifications of personal support workers
Required Programs
48. / Required programs
49. / Falls prevention and management
50. / Skin and wound care
51. / Continence care and bowel management
52. / Pain management
Responsive Behaviours
53. / Responsive behaviours
Altercations and Other Interactions
54. / Altercations and other interactions between residents
Behaviours and Altercations
55. / Behaviours and altercations
Restorative Care
56. / Restorative care
57. / Integrating restorative care into programs
58. / Transferring and positioning
59. / Therapy services
60. / Space and supplies — therapy services
61. / Therapy services staff qualifications
62. / Social work and social services work
63. / Social work and social services work qualifications
64. / Designated lead
Recreational and Social Activities
65. / Recreational and social activities program
66. / Designated lead
67. / Recreational and social activities qualifications
Nutrition Care and Hydration Programs
68. / Nutrition care and hydration programs
69. / Weight changes
70. / Dietary services
71. / Menu planning
72. / Food production
73. / Dining and snack service
74. / Registered dietitian
75. / Nutrition manager
76. / Cooks
77. / Food service workers, minimums
78. / Food service workers, training and qualifications
Medical Services
79. / Medical services program
80. / Availability of medical services
81. / Individualized medical directives and orders
Attending Physicians and RNs (EC)
82. / Attending physician or RN (EC)
83. / Agreement with attending physician
84. / Agreement with registered nurse in extended class
Religious and Spiritual Practices
85. / Religious and spiritual practices
Accommodation Services
86. / Accommodation services programs
87. / Housekeeping
88. / Pest control
89. / Laundry service
90. / Maintenance services
91. / Hazardous substances
92. / Designated lead — housekeeping, laundry, maintenance
Pets
93. / Pets
Volunteers
94. / Volunteer program
95. / Designated lead
Prevention of Abuse and Neglect
96. / Policy to promote zero tolerance
97. / Notification re incidents
98. / Police notification
99. / Evaluation
Reporting and Complaints
100. / Complaints procedure: licensee
101. / Dealing with complaints
102. / Transitional, complaints
103. / Complaints — reporting certain matters to Director
104. / Licensees who report investigations under s. 23 (2) of Act
105. / Non-application re certain staff
106. / Transitional, investigation and reports
107. / Reports re critical incidents
Misuse of Funding
108. / Misuse of funding
Minimizing of Restraining
109. / Policy to minimize restraining of residents, etc.
110. / Requirements relating to restraining by a physical device
111. / Requirements relating to the use of a PASD
112. / Prohibited devices that limit movement
113. / Evaluation
Drugs
114. / Medication management system
115. / Quarterly evaluation
116. / Annual evaluation
117. / Medical directives and orders — drugs
118. / Information in every resident home area or unit
Pharmacy Service Provider
119. / Retaining of pharmacy service provider
120. / Responsibilities of pharmacy service provider
121. / System for notifying pharmacy service provider
Obtaining and Keeping Drugs
122. / Purchasing and handling of drugs
123. / Emergency drug supply
124. / Drug supply
125. / Monitored dosage system
126. / Packaging of drugs
127. / Changes in directions for administration
128. / Sending of drugs with a resident
129. / Safe storage of drugs
130. / Security of drug supply
131. / Administration of drugs
132. / Natural health products
133. / Drug record (ordering and receiving)
134. / Residents’ drug regimes
135. / Medication incidents and adverse drug reactions
136. / Drug destruction and disposal
137. / Restraining by administration of drug, etc., under common law duty
Absences
138. / Absences
139. / Absent residents
140. / Recording of absences
141. / Licensee to stay in contact
142. / Care during absence
143. / Where interim bed resident considered to be long-stay resident
Discharge
144. / Restriction on discharge
145. / When licensee may discharge
146. / When licensee shall discharge
147. / Discharge when beds closed
148. / Requirements on licensee before discharging a resident
149. / Responsibility of placement co-ordinator
150. / Licensee to assist with alternatives to long-term care home
151. / Transitional, absences and discharges due to absences
PART III
ADMISSION OF RESIDENTS
152. / Definition
153. / Ineligibility to be placement co-ordinator
154. / Information to be provided by placement co-ordinator
Eligibility for Admission
155. / Criteria for eligibility, long-stay
156. / Same, short-stay admission, respite care and convalescent care programs
157. / Same, spouse or partner
158. / Same, veterans
159. / Same, redevelopment transfers
Application for Determination of Eligibility
160. / Application for determination of eligibility
Application for Authorization of Admission
161. / Application for authorization of admission
Approval by Licensee
162. / Approval by licensee
163. / Exceptions
164. / Limit on waiting lists
Keeping of Waiting List
165. / Keeping of waiting lists
166. / Requirements to be placed on waiting list
167. / Removal from waiting list, long-stay
168. / Removal from waiting list, short-stay
Placement into Categories on Waiting List
169. / Application — short-stay
170. / Application — long-stay
171. / Crisis category
172. / Spouse/partner reunification
172.1 / Former specialized unit residents
173. / Religious, ethnic or linguistic origin
174. / Others
175. / Veteran category
176. / Exchange category
177. / Re-admission category
178. / Related temporary long-term care home category
179. / Re-opened long-term care home category
180. / Replacement long-term care home category
Ranking of Categories
181. / Ranking of categories
Ranking Within Categories
182. / Ranking within categories
Change of Category
183. / Change of category
Authorization of Admission
184. / Withdrawal of approval by licensee
185. / Authorization of admission
186. / Duty to inform placement co-ordinator of vacancies
187. / Reserving ahead — short-stay respite care
188. / Length of short-stay, respite care and convalescent care
Interim Bed Short-Stay Program
189. / Keeping of waiting list, interim beds
190. / Approval by licensee, interim beds
191. / Limit on waiting lists, interim beds
192. / Requirements to be placed on waiting list, interim beds
193. / Ranking on waiting list, interim beds
194. / Removal from waiting list, interim beds
195. / Authorization of admission, interim beds
196. / Length of interim bed stay and other rules
197. / Removal from long-stay waiting list of interim bed resident
Specialized Units
198. / Designation of specialized units
199. / Agreement with LHIN
200. / Keeping of waiting list, specialized unit
201. / Requirements to be placed on waiting list, specialized unit
202. / Waiting list categories and ranking
203. / Authorization of admission, specialized unit
204. / Reassessment
205. / Transfer, specialized units
205.1 / Transfer from specialized unit — resident admitted pursuant to a stipulation
206. / Revocation of designation of specialized unit
Transfer List
207. / Transfer list
Special Circumstances
208. / Admissions process, special circumstances
208.1 / Special circumstances, convalescent care
Transitional, Admissions
209. / Transitional, admissions
209.1 / Transitional, short-stay residents
210. / Transitional, residents in interim beds
PART IV
COUNCILS
211. / Detailed allocation
PART V
OPERATION OF HOMES
Administrator
212. / Administrator
Director of Nursing and Personal Care
213. / Director of Nursing and Personal Care
Medical Director
214. / Medical Director
Criminal Reference Checks
215. / Criminal reference check
Training and Orientation
216. / Training and orientation program
217. / Designated lead
218. / Orientation
219. / Retraining
220. / Transition
221. / Additional training — direct care staff
222. / Exemptions, training
223. / Orientation for volunteers
Information
224. / Information for residents, etc.
225. / Posting of information
226. / Transitional, information and posting
Regulated Documents
227. / Regulated documents
Quality Improvement
228. / Continuous quality improvement
Infection Prevention and Control Program
229. / Infection prevention and control program
Emergency Plans
230. / Emergency plans
Records
231. / Resident records
232. / Records of current residents
233. / Retention of resident records
234. / Staff records
235. / Records of current staff
236. / Retention of staff records
237. / Records, revocation of licence
238. / Transitional, records
Reports
239. / Annual reports
240. / Reports re key personnel
Trust Accounts
241. / Trust accounts
242. / Transitional, trust accounts
PART VI
FUNDING
Reconciliation and Recovery
243. / Reconciliation and recovery
244. / Transitional, reconciliation and recovery
Non-Allowable Resident Charges
245. / Non-allowable resident charges
Charges for Accommodation
246. / Determination of payments
247. / Maximum amounts of payments
247.1 / Exceptions — maximum amounts of payments
247.2 / Exceptions — occupancy on or after July 1, 2013 in certain circumstances
247.3 / Exceptions — occupancy on or after September 1, 2014 in certain circumstances
247.4 / Exceptions — occupancy on or after July 1, 2015 in certain circumstances
248. / Term
249. / Annual net income
250. / Private policy of insurance
251. / Dependant
252. / Dependant annual net income
253. / Reduction in basic accommodation charge
254. / Restriction, interest charges
255. / Resident in interim bed
256. / Payment for first and last day
257. / Payment for day following discharge
258. / Responsibility for payment during absence
259. / Notice of accommodation charge increase
Preferred Accommodation
260. / Preferred accommodation maximum
Statements
261. / Statements
Accounts and Records
262. / Licensee to retain records
263. / Requirements for records
264. / Transitional, records
Non-Arm’s Length Transactions
265. / Non-arm’s length transactions
PART VII
LICENSING
266. / Definition
267. / Premises that do not require licence
268. / Public interest: need
269. / Non-profit and for-profit
270. / Limits on eligibility for licence
271. / Non-profit to for-profit circumstances
272. / Limits on share transfers: non-profit subsidiaries
273. / Public meetings
274. / Person with security interest operating home through management contract
275. / Approval of gaining controlling interest
276. / Requirements for management contracts
277. / Temporary licences and temporary emergency licences — exemptions
278. / Temporary emergency licences
279. / Short-term authorizations
280. / Amendments with consent
281. / Licence with beds of different terms
PART VIII
MUNICIPAL HOMES AND FIRST NATIONS HOMES
Part VIII Homes
282. / Definition
283. / Application of Act to Part VIII homes
284. / Composition of committees of management
285. / Application of Part VII of Regulation
Territorial District Homes
286. / Application and interpretation
286.1 / Dissolution
287. / Objects
288. / Established as corporation
289. / Rights, powers, etc.
290. / Requirements for members
291. / Membership —- general
292. / Quorum
293. / Chair
294. / Notice
295. / Apportionments by boards of management
296. / Division of territorial districts
297. / Transitional, boards of management
PART IX
COMPLIANCE AND ENFORCEMENT
298. / Where notice may be given of inspection
299. / Factors to be taken into account
300. / Reasonable compensation
301. / Protection of privacy in reports
302. / Transitional, compliance and enforcement
PART X
ADMINISTRATION, MISCELLANEOUS AND TRANSITION
Service and Notice
303. / Service and notice
Notice of Indirect Collection
304. / Notice of indirect collection
Construction, Renovation, etc., of Homes
305. / Construction, renovation, etc., of homes
Closure of Beds
306. / Closure of beds
307. / Transfer, closed beds
Closure of Homes
308. / Closure of a home, notice to Director
309. / Closure of home, notice to residents and applicants
310. / Closure plans and closure agreements
311. / Shorter notice periods and deadlines
312. / Closure of home under temporary emergency licence
313. / Special rules re Part VIII homes
Fees
314. / Fees
315. / Fees for audits and financial reviews
Exemptions
316. / Exemptions, certain homes
317. / Exemptions, homes with EldCap beds
318. / Exemptions, alternative settings
Transition
319. / One home, one replacement licence
320. / Request for classification review
321. / Development and redevelopment agreements
322. / Licensee obligations under service agreements
323. / Transitional, interim beds
324. / Transitional, short-term authorizations
325. / Transitional, transfer applications
326. / Transitional, share transfers
327. / Transitional, management contracts
328. / Transitional, beds in abeyance
329. / Transitional, closing of homes and beds
330. / Transitional, certain HARHA agreements
331. / Transitional, security interests
332. / Transitional, notice
333. / Transitional, committees of management
Schedule 2 / The board of management for the district of kenora
Schedule 3 / The board of management for the district of manitoulin
Schedule 4 / The board of management for the district of nipissing east
Schedule 5 / The board of management for the district of nipissing west
Schedule 6 / The board of management for the district of parry sound east
Schedule 7 / The board of management for the district of parry sound west

PART I
INTERPRETATION