{"id":19025,"date":"2022-05-29T21:58:20","date_gmt":"2022-05-30T01:58:20","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=19025"},"modified":"2022-09-08T11:08:31","modified_gmt":"2022-09-08T15:08:31","slug":"doug-ford-is-spending-billions-to-expand-nursing-home-chains-with-some-of-the-worst-covid-19-death-rates","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/doug-ford-is-spending-billions-to-expand-nursing-home-chains-with-some-of-the-worst-covid-19-death-rates\/","title":{"rendered":"Doug Ford is spending billions to expand nursing home chains with some of the worst COVID-19 death rates"},"content":{"rendered":"

(May 27, 2022)\u00a0\u00a0<\/span><\/p>\n

By: Marco Chown Oved, Kenyon Wallace & Ed Tubb,Toronto Star<\/span><\/p>\n

Nursing home chains with some of the highest <\/span>COVID-19<\/span><\/a> death rates are set to reap big financial rewards under the Ford government\u2019s $6.4-billion expansion of the province\u2019s long-term-care system.<\/span><\/p>\n

According to records obtained by the Star, more than half of the approximately 60,000 new and redeveloped beds in the government\u2019s plan are set to go to private, for-profit companies \u2014 many of which had far higher death rates than non-profit and city-run chains.<\/span><\/p>\n

Non-profit nursing homes are set to receive just over 30 per cent of the total beds. Municipal chains, which reported by far the lowest death rates during the pandemic, will receive just six per cent.<\/span><\/p>\n

The end result is billions of dollars in taxpayer money going to the very model of elderly care that failed during the pandemic \u2014 resulting in nearly 4,400 resident deaths \u2014 locking it in for decades.<\/span><\/p>\n

\u201cWe\u2019ve just been through the worst mass tragedy in long-term care in a generation and those operators who were the worst, who were responsible for the most deaths, they\u2019re now getting the most funding. I\u2019m outraged,\u201d said Natalie Mehra, executive director of the Ontario Health Coalition, which represents more than 400 seniors\u2019 groups, patient organizations and unions across the province.<\/span><\/p>\n

\u201cWe have this opportunity to do something different. Instead, we\u2019re setting up a long-term-care system to be chain-owned by the same companies that failed their residents, left them in squalor, abandoned them to die. How could this be?\u201d<\/span><\/p>\n

Accountability for the deaths in long-term care has emerged as a wedge issue in the <\/span>provincial election campaign<\/span><\/a>. Both the provincial Liberals and the New Democratic Party are vowing to end for-profit long-term care if elected on June 2. The Progressive Conservatives, in contrast, are moving to entrench it.\u00a0<\/span><\/p>\n

A spokesperson for the Ontario Progressive Conservative party said the plan \u201cwill help reduce the wait-list and provide seniors with the quality of care they need and deserve, now and in the future.\u201d<\/span><\/p>\n

The spokesperson said the province is investing $72 million over three years to double the number of inspectors across the province and is doubling fines for individuals and corporations in long-term care that violate care standards.<\/span><\/p>\n

To date, no fines have been issued by the province to any long-term-care home for pandemic failures.<\/span><\/p>\n

The province\u2019s plan will expand Ontario\u2019s long-term-care capacity by more than 40 per cent, from about 77,000 beds to about 110,000. With that expansion comes billions in public money to help operators buy land, construct new homes and redevelop existing facilities.<\/span><\/p>\n

In total, the plan calls for 31,000 new long-term-care beds by 2028, with funding to replace another 28,000 beds built to out-of-date standards.<\/span><\/p>\n

Revera, the for-profit chain operating the most long-term-care homes in Ontario, has been awarded the most new and redeveloped beds: 5,248. Next is Extendicare, another for-profit giant, with 4,248 total beds. Third is Schlegel, a for-profit chain that will see its operations nearly double in size, with 3,152 total beds.\u00a0<\/span><\/p>\n

These companies all had far worse resident death rates than non-profit and municipal operators.\u00a0<\/span><\/p>\n

\u201cWe take great issue with the \u2026 assertion that Extendicare or any other health-care provider contending with the devastation and unprecedented challenge of a global pandemic was \u2018responsible for\u2019 loss of life,\u201d said an Extendicare spokesperson in response to questions from the Star.<\/span><\/p>\n

The list of top recipients also includes some of Ontario\u2019s worst-performing LTC chains when ranked by pandemic death rate.<\/span><\/p>\n

The highest death rate of any large LTC chain was reported by Rykka Care Centres, with 11.1 resident deaths per 100 beds. It\u2019s getting 1,728 total beds \u2014 the seventh-most. Rykka, a subsidiary of Markham-based Responsive Group, operates Anson Place in Hagersville, which reported 23 resident deaths in a facility of just 61 beds.<\/span><\/p>\n

The second-highest death rate among large chains belongs to Southbridge Care Homes, which reported 9.1 resident deaths per 100 beds. It is getting 2,816 total beds, the fourth-highest total. Southbridge\u2019s facilities include Pickering\u2019s Orchard Villa, one of five Ontario homes that were taken over by the Canadian Forces amid deadly outbreaks. Seventy Orchard Villa residents died of COVID.<\/span><\/p>\n

Nicola Major, a spokesperson for Responsive Group, told the Star that new and modern long-term-care homes are \u201clong overdue\u201d in Ontario.<\/span><\/p>\n

\u201cWith a rapidly aging population, the demands for long-term-care spaces will increase significantly in the years to come,\u201d she said.\u00a0<\/span><\/p>\n

\u201cThe long-term-care homes that were hit early in the pandemic were hit the hardest regardless of ownership. Very critical lessons have been learned about managing COVID-19 in the interest of public health and safety, which are reflected today.\u201d<\/span><\/p>\n

Southbridge spokesperson Beryl Collingwood said non-profits, municipalities and the private sector need to be at the table if Ontario is going to have systems in place to meet the future needs of seniors.\u00a0<\/span><\/p>\n

\u201cThis is a critical moment. The population over 80 years of age is increasing every year and will double in just 13 years,\u201d she said. \u201cWe need to focus our efforts on delivering quality care, supporting residents\u2019 quality of life, and ensuring seniors are safe and feel valued.\u201d<\/span><\/p>\n

Presented with the list of recipients, Mario Possamai, who led the provincial government\u2019s investigation into health-care worker safety after the 2003 SARS outbreak, said he was \u201cshocked.\u201d<\/span><\/p>\n

\u201cIf there\u2019s one theme emerging from the pandemic, it\u2019s a real indictment of the private-sector model for long-term care,\u201d he said. \u201cIf this goes ahead, we\u2019ll be stuck in a very bad position for many, many years.\u201d<\/span><\/p>\n

Long-term care was ground zero for the COVID-19 pandemic. The deaths of nearly 2,000 residents in Ontario\u2019s first wave pushed Premier Doug Ford to declare an \u201ciron ring\u201d around the long-term-care sector. Then came a second wave that produced a similar toll.<\/span><\/p>\n

Through those first two waves, multiple Star analyses have shown, <\/span>Ontario\u2019s for-profit homes reported far higher resident death rates<\/span><\/a>; through to this week, for-profit operators have reported an average of 7.4 COVID-19 deaths for every 100 beds they operate; non-profit and municipally run homes have together averaged 3.3.<\/span><\/p>\n

The for-profit industry disputes this, and many operators continue to tell the Star death rates have nothing to do with ownership type. Instead, Ontario\u2019s for-profit operators and industry representatives argue their worse outcomes reflect other factors \u2014 most notably the fact that for-profits operate many more older homes that were built to standards grandfathered in that allowed for shared bedrooms.<\/span><\/p>\n

\u201cA long-term-care home\u2019s age, size and proximity to community spread are the causative predictors of a severe outbreak, not the ownership model of the home,\u201d an Extendicare spokesperson said. \u201cExtendicare is delighted Ontario\u2019s government has approved our proposals to replace all our older homes, build to modern standards for safety and resident quality of life.\u201d<\/span><\/p>\n

Revera spokesperson Larry Roberts said: \u201cThe vast majority of older long- term-care homes in need of redevelopment are owned by private operators. Revera is receiving the most beds because we have the largest number of older homes in need of redevelopment.\u201d<\/span><\/p>\n

A Star analysis published last year found <\/span>for-profits reported higher death rates in both older homes and in newer homes<\/span><\/a><\/span>, in communities with rampant virus spread, and in those without.\u00a0<\/span><\/p>\n

Last year, the Ontario government began trickling out funding announcements for new and refurbished beds, part of a \u201ccommitment to modernize the long-term-care sector\u201d that would \u201censure our most vulnerable residents enjoy the level of care, comfort and safety they deserve,\u201d then Long-Term Care Minister Merrilee Fullerton said at the time.<\/span><\/p>\n

The once-in-a-generation renewal of the nursing home sector involves selling surplus public land, financing the construction of new homes and paying to tear down and replace older homes, built when standards allowed up to four residents to share a room \u2014 an infection-control weakness that significantly contributed to increased spread of COVID-19.<\/span><\/p>\n

Ford\u2019s long-term-care expansion plan mirrors that of the Conservatives under Mike Harris back in 1998 when the province put out 20,000 long-term-care beds for tender. To encourage construction, the government offered to subsidize construction costs with public money over 20 years. In the end, operators \u2014 for-profit, non-profit and municipal \u2014 would own and operate homes and beds partially paid for by Ontario taxpayers.<\/span><\/p>\n

The plan worked. Dozens of operators took the government up on its offer. About 60 per cent of beds at that time went to for-profit operators, with the most going to Extendicare, Leisureworld (later to become Sienna) and CPL REIT (later to become Revera).<\/span><\/p>\n

The Ford government\u2019s plan is essentially the same, but this time around operators will be paid back over 25 years.<\/span><\/p>\n

\u201cI have d\u00e9j\u00e0 vu of 1998,\u201d said Tamara J. Daly, professor of health policy and equity at York University who has been studying long-term care for 20 years. \u201cIt\u2019s essentially more of the same. The reason it\u2019s shocking is because we know so much more, or we at least have more evidence to show that it\u2019s a failed model.\u201d<\/span><\/p>\n

The Ontario Health Coalition\u2019s Mehra notes that the government does not have to go down this route. Licences for some 30,000 outdated beds, mostly in for-profit facilities, end in July 2025.\u00a0<\/span><\/p>\n

There is precedent for ending for-profit long-term care elsewhere. For example, while Ontario is going in for the long haul with Extendicare, Saskatchewan, where Extendicare facilities also saw poor outcomes, is severing ties with the corporation. Saskatchewan\u2019s Health Authority took over all of Extendicare\u2019s five long-term-care homes in the province last year after 39 residents died of COVID at just one home.<\/span><\/p>\n

\u201cWhy would we not pay for homes that are owned and operated in the public interest rather than to take as much profit out as possible from the care of the elderly and the frail?\u201d Mehra said. \u201cThe public is paying for this, regardless of who owns them, so why wouldn\u2019t we make them public and not-for-profit?\u201d<\/span><\/p>\n

Link to original article<\/span><\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

(May 27, 2022)\u00a0\u00a0 By: Marco Chown Oved, Kenyon Wallace & Ed Tubb,Toronto Star Nursing home chains with some of the highest COVID-19 death rates are set to reap big financial rewards under the Ford government\u2019s $6.4-billion expansion of the province\u2019s long-term-care system. According to records obtained by the Star, more than half of the approximately […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-19025","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"\nDoug Ford is spending billions to expand nursing home chains with some of the worst COVID-19 death rates - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(May 27, 2022)\u00a0\u00a0 By: Marco Chown Oved, Kenyon Wallace & Ed Tubb,Toronto Star Nursing home chains with some of the highest COVID-19 death rates are set\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/doug-ford-is-spending-billions-to-expand-nursing-home-chains-with-some-of-the-worst-covid-19-death-rates\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doug Ford is spending billions to expand nursing home chains with some of the worst COVID-19 death rates - 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