Supportive Living Family Experience Survey Report Jan 2015

Promoting and improving patient safety and health service quality across Alberta.

SUPPORTIVE LIVINGFAMILY EXPERIENCESURVEY REPORT

January 2015

TABLE OF CONTENTS

1.0 EXECUTIVE SUMMARY ........................................................................................................ 1 2.0 REPORT ORGANIZATION ..................................................................................................... 5 3.0 BACKGROUND ...................................................................................................................... 6

3.1 Continuing care streams ............................................................................................. 6 3.2 Supportive living surveys ............................................................................................ 7

4.0 SURVEY PROCESS AND METHODOLOGY ......................................................................... 9 4.1 The survey instrument (Appendix A) ........................................................................... 9 4.2 Survey protocol ........................................................................................................... 9 4.3 Sampling ..................................................................................................................... 9 4.4 Quantitative analytical approach ............................................................................... 10 4.5 Qualitative analytical approach ................................................................................. 14

5.0 USING THE RESULTS ......................................................................................................... 15 6.0 OVERVIEW OF SURVEY RESULTS .................................................................................... 16 7.0 FACILITY RESULTS BY GLOBAL OVERALL CARE RATING, DIMENSIONS OF CARE,

AND FOOD RATING SCALE ................................................................................................ 23 7.1 Global Overall Care rating ......................................................................................... 24 7.2 Staffing, Care of Belongings, and Environment Dimension of Care .......................... 29 7.3 Kindness and Respect Dimension of Care ................................................................ 34 7.4 Food Rating Scale..................................................................................................... 39 7.5 Providing Information and Encouraging Family Involvement Dimension of Care ...... 44 7.6 Meeting Basic Needs Dimension of Care .................................................................. 49

8.0 ADDITIONAL CARE QUESTIONS ........................................................................................ 54 9.0 RELATIONSHIP BETWEEN DIMENSIONS OF CARE, FOOD RATING SCALE AND

GLOBAL OVERALL CARE RATING ..................................................................................... 70 9.1 Staffing, Care of Belongings, and Environment ........................................................ 70 9.2 Kindness and Respect .............................................................................................. 71 9.3 Food Rating Scale..................................................................................................... 71 9.4 Providing Information and Encouraging Family Involvement .................................... 72 9.5 Meeting Basic Needs ................................................................................................ 72

10.0 FACILITY-LEVEL EFFECTS: FACILITY SIZE AND OWNERSHIP TYPE ............................ 73 10.1 Facility size ............................................................................................................... 74 10.2 Facility ownership ...................................................................................................... 77

11.0 PROPENSITY TO RECOMMEND FACILITY........................................................................ 81 11.1 Propensity to recommend – provincial and zone results (Q49) ................................. 82 11.2 Propensity to recommend by Global Overall Care rating quartile ............................. 87 11.3 Propensity to recommend by facility size and ownership type .................................. 88

12.0 QUALITATIVE ANALYTICAL RESULTS .............................................................................. 90 12.1 Staffing, Care of Belongings, and Environment ........................................................ 92 12.2 Kindness and Respect .............................................................................................. 95 12.3 Providing Information and Encouraging Family Involvement .................................... 96 12.4 Meeting Basic Needs ................................................................................................ 98 12.5 Safety and Security ................................................................................................. 104 12.6 Other ....................................................................................................................... 106

13.0 LIMITATIONS ...................................................................................................................... 108 13.1 Limitations of the quantitative analyses ................................................................... 108 13.2 Limitations of the qualitative analyses ..................................................................... 108

14.0 SUMMARY OF FINDINGS AND CONCLUSION ................................................................ 110 APPENDICES ................................................................................................................................. 115 APPENDIX A: Survey documents ....................................................................................... 117 APPENDIX B: Survey process and methodology ................................................................ 125 APPENDIX C: Respondent and resident characteristics ..................................................... 133 APPENDIX D: Criteria for inclusion in facility-level analyses .............................................. 150

APPENDIX E: Provincial and zone-level dimensions of care and food rating scale summary means and propensity to recommend ................................................................................. 155

APPENDIX F: Summary of provincial and zone level responses to individual survey questions ............................................................................................................................. 162

APPENDIX G: Global overall care rating regression models .............................................. 203 APPENDIX H: Qualitative analysis ...................................................................................... 205 APPENDIX I: Dimensions of care by overall care rating quartiles ....................................... 214 APPENDIX J: Facility size relative to global overall care ratings, dimension of care and food

rating scale .......................................................................................................................... 220 APPENDIX K: Question-level results by ownership type .................................................... 227 LIST OF TABLES ............................................................................................................................ 231 LIST OF FIGURES .......................................................................................................................... 234

EXECUTIVE SUMMARY

1.0 EXECUTIVE SUMMARY

TheSupportiveLivingFamilyExperienceSurveywasconductedbytheHealthQualityCouncilofAlbertaincollaborationwithAlbertaHealthandAlbertaHealthServices(AHS).Theintentofthesurveyistoestablishabaselinemeasurementforsupportivelivingfamilyexperiences(familymembersofsupportivelivinglevel3and4residents)1thatcanbeusedforbenchmarkingandongoingmonitoringasmeasuredbytheGlobalOverallCarerating,fourDimensionsofCare,andtheFoodRatingScale.Thisreportpresentsanoverviewoffacilityperformanceacrosstheprovincefromthefamilymembers’perspectives.Thisinformationcanbeusedtoassessperformancerelativetopeers,toidentifyopportunitiesforimprovement,andtoidentifyhigherperformingfacilities.

Survey process and methodology

FamilymembersweresurveyedusingtheConsumerAssessmentofHealthcareProvidersandServices(CAHPS®)NursingHomeSurvey:FamilyMemberInstrument.Thisisa64‐questionself‐reportmeasurethatassessesafamilymember’soverallevaluationofthefacility,alongwithfourdimensionsofhealthcareservices:(1)Staffing,CareofBelongings,andEnvironment,(2)KindnessandRespect,(3)ProvidingInformationandEncouragingFamilyInvolvement,and(4)MeetingBasicNeeds.Inaddition,aFoodRatingScalewasincludedinthesurvey.

EligiblerespondentswereidentifiedusinginformationobtainedfromfacilitiesandAHS.Familymembershadtheoptionofeithersendingbackapaperquestionnaireorcompletingthesurveyon‐line.Theresponserateforthesurveywas66.7percent.

Results

Global Overall Care rating

TheGlobalOverallCareratingreflectsfamilymembers’overallevaluationofthesupportivelivingfacility.TheGlobalOverallCareratingfortheprovincewas8.4outof10.Therewasvariationamongthefacilitiesthroughouttheprovincewithindividualfacilityscoresrangingfrom6.5to9.9outof10.

Attheprovinciallevel,thefourDimensionsofCareandtheFoodRatingScalevaryintheirinfluenceonfamilyexperienceandfamily’soverallevaluationofthesupportivelivingfacility.ThegreatestgainsattheprovinciallevelmayberealizedbyfocusingonthestrongestinfluencersofGlobalOverallCare.Thesearelistedinorderofdecreasinginfluenceandinclude:

1. Staffing,CareofBelongings,andEnvironment

2. KindnessandRespect

3. Food

4. ProvidingInformationandEncouragingFamilyInvolvement

5. MeetingBasicNeeds

1Supportivelivinglevel3isforindividualswhosemedicalconditionisstableandappropriatelymanagedwithout24‐houron‐sitenursingstaff,butwhohavelimitedindependence.Supportivelivinglevel4isforindividualswithmorecomplexmedicalconditions.

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EXECUTIVE SUMMARY

Inaddition,eachfacilityhastheirownuniqueareasoffocus,whichmaydifferfromthoseidentifiedfortheprovince.Thesearehighlightedinfacility‐levelreports,whichhavebeenprovidedtoeachfacilitythatparticipatedinthesurvey.

Staffing, Care of Belongings, and Environment

TheStaffing,CareofBelongings,andEnvironmentDimensionofCarehasthestrongestinfluenceontheGlobalOverallCarerating.Thisdimensionreflectsfamilymembers’experienceswiththeavailabilityofstaff,thecleanlinessoftheresident’sroom,andwhethertheresident’sclothesorbelongingswerelost.Thescorefortheprovinceonthisdimensionwas78.3outof100.Therewasvariabilityamongthefacilitiesthroughouttheprovincewithscoresrangingfrom58.1to95.7outof100.TheStaffing,CareofBelongings,andEnvironmentDimensionofCareaccountedforapproximately33percentofallfamilymembercomments.Familymembersmostfrequentlyprovidedcommentsrelatedtostaffinglevelsandspecifically,issuesregardinghighstaffturnoverandunderstaffing.

Kindness and Respect

TheKindnessandRespectDimensionofCarehasthesecondmostinfluenceontheGlobalOverallCarerating.Thisdimensionreflectsfamilymembers’experienceswiththecourteousness,kindness,politeness,andappropriatenessofemployeestowardsresidents.Thescorefortheprovinceonthisdimensionwas85.8outof100.Individualfacilityscoresrangedfrom60.3to100outof100.TheKindnessandRespectDimensionofCareaccountedforapproximatelyfivepercentofallfamilymembercomments.Familymembersexpressedthattheywereappreciativeoffriendly,kind,andrespectfulstaffwhotookaninterestinresidents.Familymembersalsoexpressedconcernsthatwhenstaffdidnotpossessthesequalities,thisdisruptedtheresidents’abilitytoreceivecare,togettheircomplaintsandconcernsaddressedandtobetreatedfairlyandconsiderately.

Food Rating Scale

TheFoodRatingScalereflectsfamilymembers’opinionsaboutthefoodatthefacility.Thescorefortheprovinceonthisitemwas7.2outof10;facilityscoresrangedfrom5.3to9.7outof10.Withrespecttofoodandfoodrelatedissues,somefamilymemberscomplimentedthequalityofthefoodservedatfacilities.Otherfamilymembersexpressedconcernsaboutgeneralfoodquality:thatthefoodwasnotalwaysnutritiousanddidnotalwaysmeetresident’sdietaryneedsandhealthandwellnessgoals.

Providing Information and Encouraging Family Involvement

TheProvidingInformationandEncouragingFamilyInvolvementDimensionofCarereflectsfamilymembers’experienceswithbeinginformedaboutthecareandservicesthattheresidentisreceiving,aswellasinformationonpaymentsandexpenses.Inaddition,familymemberswereaskediftheyarecomfortableaskingquestionsandwhethertheyareeverdiscouragedfromaskingquestionsoftheemployeesatthefacility.Thescoreforthisdimensionfortheprovincewas84.6outof100.Thefacilityscoresrangedfrom69.6to98.4outof100.TheProvidingInformationandEncouragingFamilyInvolvementDimensionofCarecomprisedapproximately11percentofallfamilymembercomments.Mostofthecommentsfocusedontheflowofinformationbetweenstaffandfamilymembers,aswellasthedegreetowhichthefacilityincludedandinvolvedfamilymembersinresidentcare.

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EXECUTIVE SUMMARY

Meeting Basic Needs

TheMeetingBasicNeedsDimensionofCarereflectsfamilymembers’experienceswithfacilitystaffhelpingtheresidentwitheating,drinking,ortoileting.Thescoreforthisdimensionfortheprovincewas95.8outof100.Individualfacilityscoresrangedfrom74.7to100outof100.TheMeetingBasicNeedsDimensionofCareaccountedforapproximately31percentofallfamilymembercomments.Themostfrequentlyprovidedcommentsrelatedtotheavailabilityofcareandservicesinthefacility;however,familiesrecognizedthatthenumberandtypeofcareandservicesprovidedtoresidentswerelimitedbyfacilityresources,staffinglevels,andstaffingrequirements.Overall,familymemberssaidresidentswouldbenefitfromreceivingmoretimelycareandservicesandfromhavingaccesstoin‐househealthcare,hygiene,andgroomingservices.

Quartile analyses

Facilitiesthatwerecategorizedintheupperquartile(i.e.,upper25percentofscores)ontheirGlobalOverallCareratingwerealsoratedmorepositivelyineachofthefourDimensionsofCareandFoodRatingScalerelativetofacilitiesthatwerecategorizedinthelowerquartile(i.e.,lower25percentofscores).Thisanalysiswillassistlowerquartilefacilitiesindeterminingtheimportanceandfocusofqualityimprovementinitiatives.Facilitieswishingtoimprovecanlooktothoseupperquartileperformersforexamplesofhowtoachieveimprovedperformanceinvariousareas.Differencesinmeansbetweentheupperandlowerperformingfacilities,ineachofthefourDimensionsofCareandFoodRatingScaleare:

Staffing,CareofBelongings,andEnvironment:17.6outof100

KindnessandRespect:9.9outof100

Food:1.3outof10

ProvidingInformationandEncouragingFamilyInvolvement:10.4outof100

MeetingBasicNeeds:7.0outof100

Facility size

Overall,resultsshowedthatfacilitysizeisanimportantfactorthatinfluencesallDimensionsofCareandtheGlobalOverallCarerating.Asfacilitysizeincreases(i.e.,numberofbeds),theGlobalOverallCareratingandscoresforDimensionsofCaredecrease.Typically,smallerfacilities(i.e.,fewerbeds)havemorefavorableratingsthanlargerfacilities.ThisissimilartoafindingthatwaspreviouslyreportedbytheHealthQualityCouncilofAlbertaforthelongtermcaresector.2However,itwasnotedthattherewereafewlargefacilitiesthatreceivedrelativelyhighscoresandafewsmallfacilitiesthatreceivedrelativelylowscoresontheGlobalOverallCarerating.

2Forfurtherdetailspleasereferto:http://hqca.ca/surveys/continuing‐care‐experience/

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EXECUTIVE SUMMARY

Ownership type

Althoughthereweredifferencesamongownershiptypesforsomeoftheindividualquestionsinthesurvey,noevidencewasfoundtosuggestthattheGlobalOverallCare,DimensionsofCare,andtheFoodRatingScalescoresdifferedbyownershiptype(i.e.,AHS,privatelyowned,orvoluntaryowned).

Propensity to recommend

Provincially,92.0percentofrespondentsstatedthattheywouldrecommendthefacilitytheirfamilymemberlivedintoanotherfamilymemberorfriend.AgreaterpercentageofrespondentsfromfacilitiescategorizedintheupperquartileofGlobalOverallCareratingswouldrecommendtheirfacilityrelativetorespondentsfromlowerquartilefacilities(99.0%versus84.6%).

Conclusion

Resultspresentedinthisreportareintendedtoguidereflectiononperformancebyidentifyingthefactorsthatcontributetotheoverallevaluationofafacilityfromthefamilymembers’perspectives.Goingforward,resultsfromfacility‐levelreports,thisreport,andthe2014SupportiveLivingResidentExperienceSurveyReportprovideabenchmarkbywhichtocomparefuturesurveyresultsandtomeasureimprovementoutcomes.Inaddition,theongoingevaluationofafacilityagainstitself,anditspeers,willprovideopportunitiestoidentifyareasofsuccess,andtodeterminetheimportanceandfocusofqualityimprovementinitiatives.Thiscansupportacultureofcontinualqualityimprovementbasedonfamilyandresidentfeedback.

Ataprovinciallevel,thegreatestgainsmayberealizedbyfocusingonimprovementtothefollowing,inorderofdecreasingpriorityandinfluenceonGlobalOverallCarerating:



3. Food



Eachindividualfacilityhastheirownuniqueareasforimprovement,whichmaydifferfromthoseidentifiedfortheprovince.Facilitiesshouldrefertotheirfacility‐levelreportstobetterdeterminewheretofocusqualityimprovementeffortstobestmeettheneedsoftheirresidentsandfamilymembers.

Familyexperiencedataaloneshouldnotbeusedtojudgefacilityperformanceintheabsenceofotherinformationsuchaslevel‐of‐needoftheresidentpopulation,servicesprovided,otherqualitymeasuressuchasthosederivedfromtheinterRAITMResidentAssessmentInstrument,complaintsandconcerns,andcompliancewithprovincialcontinuingcarestandards.

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REPORT ORGANIZATION

2.0 REPORT ORGANIZATION

Theprovincialreportconsistsofthefollowingsections:

1. Executivesummary

2. Reportorganization:descriptionofthesectionsofthereport.

3. Background:descriptionofcontinuingcareinAlbertaandpurposeandobjectivesofthesupportivelivingfamilyexperiencesurvey.

4. Surveyprocessandmethodology:overviewofthesurveytoolsused,recruitmentprotocols,andanalyticalmethods.DetailscanbefoundinAppendixB.

5. Usingtheresults:purposeofthereportandalternativewaysofusingtheresults.

6. Overviewofsurveyresults:overviewoffacility‐levelresults.

7. FacilityresultsbyGlobalOverallCarerating,DimensionsofCare,andFoodRatingScale:detailedresultsoftheGlobalOverallCareratingquestion,thefourDimensionsofCare,andtheFoodRatingScaleareoutlinedinthissectionincludingfacilityresultsbyzoneandquartile(provincial).

8. Additionalcarequestions:descriptionofeightadditionalquestionsthatareindependentfromquestionsrelatedtothefourDimensionsofCare.

9. RelationshipbetweenDimensionsofCareandGlobalOverallCarerating:presentsresultsoflowerandupperquartilefacilitiesontheGlobalOverallCareratingforeachoftheDimensionsofCareandtheindividualcomponents(surveyquestions)thatcompriseeachDimensionofCare.

10. Facility‐leveleffects–Facilitysizeandownershiptype:informationaboutwhetherandhowfacilitycharacteristicssuchassize(i.e.,numberofbeds)andownershiptype(i.e.,private,public,andvoluntary)influenceGlobalOverallCareratingandratingsoftheDimensionsofCare.

11. Propensitytorecommendfacility:summaryresultsofquestion49:Ifsomeoneneededsupportivelivingfacilitycare,wouldyourecommendthissupportivelivingfacilitytothem?YesorNo?Thissectionprovidesfacilityresultswithineachzoneandprovinciallyforthepercentageofresidentswhowouldrecommendthefacility.

12. Qualitativeanalyticalresults:describesqualitativeanalyticalresultsforcommentsprovidedbyfamilies.

13. Limitations:describeslimitationstoconsiderwheninterpretingsurveyresults.

14. Summaryoffindingsandconclusion

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BACKGROUND

ThefourdefinedlevelsintheSupportiveLivingstream5are:

SupportiveLivingLevel1(SL1):thislevelofcareisalsoreferredtoasResidentialLivingandisdesignedforindividualswhoareindependent,canmanagemostdailytasks,andareresponsibleformakingdecisionsaroundtheirday‐to‐dayactivities.Publicallyfundedhomecaremaybeprovided,butthereisnoonsite24‐hourstaffing.

SupportiveLivingLevel2(SL2):thislevelofcareisalsoreferredtoasLodgeLivingandisdesignedforindividualswhoaregenerallyindependent(e.g.,canmanagesomedailytasks),andcanarrange,manage,and/ordirecttheirowncare.Publicallyfundedhomecaremaybecontinuallyprovided,butthereisnoonsite24‐hourstaffing.

SupportiveLivingLevel3(SL3):thislevelofcareisforindividualswhosemedicalconditionisstableandappropriatelymanagedwithout24‐houron‐sitenursingstaff,butwhohavelimitedindependence.Theseindividualsneedhelpwithmanytasksand/ordecision‐makinginday‐to‐dayactivities.Personalcareatthislevelisgenerallyprovidedwithinasetschedule;however,unscheduledpersonalassistancemayalsobeprovided.Publicallyfundedscheduledhomecareisprovidedandtrainedandcertifiedhealthcareaidestaffison‐siteona24‐hourbasis(registerednurseon‐call).

SupportiveLivingLevel4(SL4):thislevelofcareisalsoreferredtoasEnhancedAssistedLivingandisforindividualswithmorecomplexmedicalconditions.Theseindividualstendtohaveverylimitedindependence,havesignificantlimitations,andneedhelpwithmostoralltasks,aswellasdecisionsaboutday‐to‐dayactivities.Publicallyfundedscheduledhomecaremaybeprovidedandatrainedlicensedpracticalnurseand/orhealthcareaideison‐siteona24‐hourbasis.

SupportiveLivingLevel4Dementia(SL4‐D):thislevelofcareisasubsetofSL4andisdesignedforpersonswhohavesignificantlimitationsduetodementia.

3.2 Supportive living surveys

TheSupportiveLivingFamilyandResidentExperienceSurveyswereconductedbytheHealthQualityCouncilofAlberta(HQCA),incollaborationwithAHSandAlbertaHealth(AH).ThesurveysassistprovidersinmeetingtheContinuingCareHealthServiceStandardsthatrequireproviderstohaveprocessestogatherclientandfamilyexperiencefeedbackregardingthequalityofcareandserviceprovided.

3.2.1 Purpose

Theoverallpurposeofthissurveywastoobtainfeedbackfromfamilymembersofresidents,andlovedone’swholookaftertheresidents,aboutthequalityofcareandservicesreceivedatsupportivelivingfacilitiesacrossAlbertaandtoprovidesupportivelivingfacilitiesandotherstakeholderswithinformationthatcanbeusedforongoingqualitymonitoringandimprovement.Thisreportfocuseson

5Formoreinformation,seehttp://www.albertahealthservices.ca/Seniors/if‐sen‐living‐option‐guidelines.pdf

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BACKGROUND

responsesfromfamiliesofresidentswhorequiremorethanminimalcareandliveinsupportivelivinglevels3and4.6

3.2.2 Objectives

Theobjectivesofthesurveywereto:

Establishabaselinemeasurementforsupportivelivingfamilymembers’evaluationandexperiencesthatcanbeusedforongoingbenchmarkingandmonitoring.

IdentifyandreportonimprovementopportunitiesandbestpracticesatsupportivelivingfacilitiesacrossAlbertatoinformqualityimprovementeffortsinvarioustopicsincluding:staffingandcareofresidentbelongings;facilityenvironment;employeerelationsandresponsivenesstoresidents;communicationbetweenresidentsandmanagement;mealsanddining;andqualityofcareandservicesingeneral.

6SL1and2residentsareexcludedbecausethosewhorequirepubliclyfundedcareservicesreceivethemfromHomeCare,notSupportiveLiving.

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SURVEY PROCESS AND METHODOLOGY

4.0 SURVEY PROCESS AND METHODOLOGY

4.1 The survey instrument (Appendix A)

FamilymembersofsupportivelivingresidentsweresurveyedusingtheConsumerAssessmentofHealthcareProvidersandServices(CAHPS®)NursingHomeSurvey:FamilyMemberInstrument7(AppendixA).Thisisa64‐questionself‐reportmeasurethatassessesafamilymember’soverallevaluation(i.e.,GlobalOverallCarerating)ofthefacility,alongwithfourdimensionsofhealthcareservices:1)Staffing,CareofBelongings,andEnvironment,2)KindnessandRespect,3)ProvidingInformationandEncouragingFamilyInvolvement,and4)MeetingBasicNeeds.

4.1.1 Additional questions

Inadditiontotheaboveinformation,theCAHPS®NursingHomeSurvey:FamilyMemberInstrumentalsocomprisesquestionsthataddressthefollowingtopics:

Suggestionsonhowcareandservicesprovidedatthesupportivelivingfacilitycouldbeimproved.

Familymemberratingsoffacilityfood.

Willingnesstorecommendthesupportivelivingfacility.

Residentandrespondent(familymember)characteristics(AppendixC).

4.2 Survey protocol

EligiblerespondentswereidentifiedusingacompiledsupportivelivingdatabasethatwasconstructedusingdataobtainedfromfacilitiesandAHS.Eligibilitywasbasedonboththeresidentandfamilymemberinformation.Thefollowingindividualswereexcluded:

Contactsofnewresidents(thosewhohadresidedatthefacilityforaperiodoflessthanonemonth).

Residentswhohadnocontactperson(familymember),orwhosecontactpersonresidedoutsideofCanada.

Contactsofdeceasedresidentsupondatabaseconstruction.

Contactsofresidentswhowerelistedasapublicguardian.

Contactsofresidentswhowerenolongerlivingatthefacilitylistedinthedatabase.

4.3 Sampling

Thestudyemployedacontinuousrecruitmentstrategyandmailingsweresentoutinthreewaves:October2013,November2013,andJanuary2014.Withineachwave,thefollowingthree‐stagemailingprotocolwasusedtoensuremaximumparticipationrates:

Initialmailingofquestionnairepackages.

7ForfurtherdetailsonCAHPSpleasereferto:https://cahps.ahrq.gov/

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Postcardreminderstoallnon‐respondents.

Mailingofquestionnairepackagewithmodifiedcoverlettertoallnon‐respondents.

Familymembershadtheoptionofeithersendingbackapaperquestionnaire,orcompletingthesurveyon‐lineusingauniquesingle‐usesurveyaccesscodeprintedoneachquestionnairecoverpage.

Familymembersofresidentslivinginoneofthethreeownershipmodels(i.e.,thosewhichprovidepublicallyfundedsupportivelivingcareinAlberta)weresurveyed.ThethreeownershipcategorieswereidentifiedusingAHS2012data,andare:

Public–operatedbyorwhollyownedsubsidiaryofAHS(10facilities).

Private–ownedbyaprivateorganization(69facilities).

Voluntary–ownedbyanot‐for‐profitorfaith‐basedorganization(75facilities).

Theresponserateforthissurveywas66.7percent(2,869outofapossible4,303eligiblefamilymemberscompletedandreturnedthesurvey).Forabreakdownofsamplingbyzoneandbywave,seeAppendixB.

4.4 Quantitative analytical approach

Forthisreport,atestwasdeemedstatisticallysignificant(i.e.,differencesreferredtoassignificantthroughoutthereport)iftheprobabilityoftheeventoccurringbychancealonewaslessthanorequalto5percent(p<0.05).

Tomaximizethereliabilityoffacility‐levelresultsandtomaintainrespondentanonymity,afacility’sdatawasincludedinfacility‐levelanalysesonlyif:

Thefacilityyieldedfiveormorerespondents,AND

Thefacilityresponsemarginoferrorwasequaltoorlessthan10percentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.FormoredetailsonthedeterminationoffacilitysamplereliabilityandforalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixD.

Toconservedatafromfacilitieswhichdidnotmeettheaboveinclusioncriteria,responsesfromallfacilities(withatleastonerespondent;N=128)wereincludedindescriptiveanalysesofzoneandprovincialresultswhereappropriate(analyseswhichincludedatafromallfacilitiesarelabelledthroughout).Unlessotherwisestated,allanalysesinthisreportarebasedonlyonthosefacilitieswhichmettheinclusioncriteria(N=107facilities).8

Othernotes:

Percentagesmaynotalwaysaddto100percentduetorounding.

Referencestozonesrefertotheresident’sfacilityzone.

Facility,zone,andprovincialresultsarepresentedingraphswhichinclude95percentconfidenceintervals(95%CI).Theseintervalsaremeanttoaidthereaderingauging

8Includedfacilitiesaccountfor96.3percentofallrespondents(2,764of2,869respondents)and94.4percentofalleligiblerespondents(4,063of4,303respondents).

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statisticallysignificantdifferencesinresults.Asageneralrule,intervalsthatdonotoverlapreflectsignificantdifferencesbetweenmeasures.Incontrast,intervalsthatdooverlapreflectnon‐significantdifferencesbetweenmeasures.

Lowerlimitsofthe95percentCIthatrangebelowzerowillbereportedaszero.Upperlimitsofthe95percentCIthatrangeabove100willbereportedas100.Thesechangeswillbemarkedwith†.

4.4.1 Global Overall Care rating

TheGlobalOverallCareratingreflectstherespondent’soverallevaluationofthesupportivelivingfacility.Thisisasingleitemmeasureintendedtoreflectarespondent’ssummativeopinionaboutthefacility.TheGlobalOverallCareratingquestionasks:Usinganynumberfrom0to10,where0istheworstand10isthebestcarepossible,whatnumberwouldyouusetoratethecareatthesupportivelivingfacility?

4.4.2 Dimensions of Care

TheCAHPS®NursingHomeSurvey:FamilyMemberInstrumentcollectsrespondentratingsfromfourDimensionsofCare.The21questionsusedtocomputethefourDimensionsofCarearedescribedbelow:


a) (Q11)Canfindanurseoraide

b) (Q50)Howoftenthereareenoughnursesandaides

c) (Q31)Resident’sroomlooksandsmellsclean

d) (Q22)Residentlooksandsmellsclean

e) (Q34)Publicareaslookandsmellclean

f) (Q36)Resident’smedicalbelongingslost

g) (Q38)Resident’sclotheslost


a) (Q12)Nursesandaidestreatresidentwithrespect

b) (Q13)Nursesandaidestreatresidentwithkindness

c) (Q14)Nursesandaidesreallycaredaboutresident

d) (Q15)Nursesandaideswererudetoresident(reversescoring)

e) (Q24)Nursesandaideswereappropriatewithdifficultresident


a) (Q27)Nursesandaidesgiverespondentinformationaboutresident

b) (Q28)Nursesandaidesexplainthingsinanunderstandableway

c) (Q42)Residentstopsselffromcomplaining

d) (Q29)Nursesandaidesdiscouragerespondentquestions(reversescoring)

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e) (Q45)Respondentinvolvedindecisionsaboutcare

f) (Q59)Respondentgiveninfoaboutpaymentsandexpenses

4. MeetingBasicNeeds9

Eating

a) (Q16)Helpedfamilymemberwitheating?

b) (Q17)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwitheating(reversescoring)

Drinking

a) (Q18)Helpedfamilymemberwithdrinking?

b) (Q19)Ifyes,helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithdrinking(reversescoring)

Toileting

a) (Q20)Helpedfamilymemberwithtoileting?

b) (Q21)Ifyes,helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithtoileting(reversescoring)

Foreachrespondent,ascoreoneachofthefourDimensionsofCarewascomputedasfollows:

1. MeanscoresforeachDimensionofCarewerecalculatedbyscalingtherelevantsurveyitems(i.e.,questions)toa0to100scale,wherezerowastheleastpositiveormostundesiredoutcome/responseand100wasthemostpositiveormostdesiredoutcome/response(formoreinformationonscalingprocedures,seeAppendixB).

2. DimensionscoreswerethencalculatedbysummingindividualscaledsurveyitemsanddividingthetotalscorebythenumberofitemswithineachDimensionofCare(meanoraveragescores).

ADimensionofCarescorewasgeneratedforallrespondentswhoansweredatleastonequestionwithintheDimensionofCare.Respondentswhomettheminimumcriterionhadmissingvaluesreplacedbythefacilitymeanforthatquestion.ScaledresponseswerethensummedanddividedbythenumberofitemswithineachDimensionofCaretoarriveatasummaryscore(seeAppendixBformoredetails).Weightsforeachquestionweredeterminedaccordingtofactorloadinginafactoranalysisusingapromaxrotation.

NOTE:FortheMeetingBasicNeedsDimensionofCare,meangenerationrequiredthecombinationoftwoquestionsforeachsub‐dimension(i.e.,eating,drinking,toileting).Ascoreof100wasassignedtoeachsetofquestionsiftherespondentindicatedthatthey:1)HadnothelpedtheirfamilymemberwiththatbasicneedOR2)Hadhelpedtheirfamilymemberbecausetheychosetohelpandnotbecausenursesoraideseitherdidn’thelpormadethefamilymemberwaittoolong.Ascoreof0wasassignedtoeachsetofquestions(eating,drinking,ortoileting)iftherespondentindicatedthatthey:Hadhelped

9AccordingtoCAHPS®datacleaninginstructions:Ifagatequestiona)wasanswered"NO"andsubsequentsurveyquestionscontrolledbythatgateb)containedvalidresponses,thevalidresponsesweresettomissing.Ifagatequestionwasmissing(blank,notascertained:a),andsubsequentsurveyquestionscontrolledbythatgatequestioncontainedvalidresponsesb),theresponsesforthosequestionswereretained.

12


theirfamilymemberANDthattheydidthisbecausenursesoraideseitherdidn’thelpormadethefamilymemberwaittoolong.

Forcompletequestion‐levelresults,seethefollowingappendices:

AppendixC:Additionalrespondentandresidentcharacteristics:detailsofrespondentandresidentcharacteristicsincludingvisitationfrequency,gender,age,education,languageprimarilyspokenathome,timeatsupportivelivingfacility,sharedroom,memoryproblems,andcapabilityofmakingdecisions.

AppendixF:Summaryofprovincialandzonelevelresults:Includescompletequestion‐leveldetailsofthesurveytool.

4.4.3 Food Rating Scale

Thequestionrelatingtofoodasks:Usinganynumberfrom0to10where0,istheworstfoodpossibleand10isthebestfoodpossible,whatnumberwouldyouusetoratethefoodatthissupportivelivingfacility?Thismeasurereflectsanindividual’soverallevaluationofthefoodatasupportivelivingfacilityonascalefrom0(worst)to10(best).

4.4.4 Facility comparison to zone and provincial averages

Foreachfacility,scoresfortheGlobalOverallCareratingandeachofthefourDimensionsofCarewerecomparedtotheaverageforfacilitiesthatparticipatedinthesurveywithintheirrespectiveAHSzoneandtheprovincialaverageasfollows:

Below/abovezonemean:Azonemeanwascreatedbyaddingthescoresforallfacilitieswithinazoneandthendividingbythenumberoffacilitieswithinthezone.Foreachfacility,thereportindicateswhetherthefacilityscorefellbeloworabovethezonemean.

Below/aboveprovincialmean:Aprovincialmeanwascreatedbyaddingthescoresforallfacilitieswithintheprovinceandthendividingbythenumberoffacilitieswithintheprovince(N=107).Foreachfacility,thereportindicateswhetherthefacilityscorefellbeloworabovetheprovincialmean.

4.4.5 Facility categorization by quartile

Facilities(N=107)werecategorizedintofourquartiles10basedontheirmeanGlobalOverallCarerating:

Upper(top25%offacilities)

Uppermiddle

Lowermiddle

Lower(bottom25%offacilities)

10Aquartilerepresentsfourequalgroups(subjecttoties)intowhichapopulationcanbedividedaccordingtothedistributionofvaluesofaparticularmeasure;eachgroupcomprises25percentofthedata.

13


4.4.6 Modeling

AregressionmodelwasconstructedtoexaminetherelativeinfluenceoftheDimensionsofCareontheGlobalOverallCarerating.ThisanalysisshowedanassociationbetweenthefourCAHPS®DimensionsofCare,andFoodRatingScalewiththeGlobalOverallCarerating(fordetailedresultsofthisanalysis,seeAppendixG).DimensionsofcareoftheCAHPS®surveytoolarelistedinorderofdecreasingstrengthofassociationwiththeGlobalOverallCarerating:



3. FoodRatingScale



Withinthisreport,resultsarepresentedinorderoftheirstrengthofassociationwiththeGlobalOverallCarerating.

4.5 Qualitative analytical approach

Attheendofthequestionnaire,familymemberswereaskedoneopen‐endedquestion:Doyouhaveanysuggestionsofhowcareandservicesatthissupportivelivingfacilitycouldbeimproved?Ifsoexplain.Responseswererecordedwithinthespaceprovided.Whilesomefamilymembersmadeapositivecomment,themajorityofcommentsincludedconstructivefeedbackandrecommendationsforchange.Intotal,1,736familymembersprovidedqualitativefeedback.

4.5.1 Method and analysis of comments

Open‐endedresponseswereexaminedformultiplethemesandideas.Analysesofthesecommentsweredesignedtoprovideinsightintothecurrentissuesinsupportivelivingfacilitiesandtoprovidedirectiontoresolvetheseissues.ThemeswerecategorizedintooneofthefourDimensionsofCare:(1)Staffing,CareofBelongings,andEnvironment,(2)KindnessandRespect,(3)ProvidingInformationandEncouragingFamilyInvolvement,(4)MeetingBasicNeeds.WhenathemecouldnotbecategorizedwithinanyofthefourDimensionsofCare,itwasretainedandcategorizedas‘Other’.Twothemesexistedwithinthe‘Other’category.ThesewereActivitiesandFunding.Inaddition,aSafetyandSecuritythemewasidentifiedandwashighlightedindependentlyofthefourDimensionsofCareandthe‘Other’category.EachDimensionofCareandadditionalthemewasdefinedbyalistofattributesthatguidedhowcommentswerecoded(seeTable88forcodingbyDimensionofCareandadditionalthemes).DetailedqualitativeresultscanbefoundinSection12andAppendixH.

14

USING THE RESULTS

5.0 USING THE RESULTS

Thefocusofthisreportistoestablishabaselinemeasurementforfamilymembersofsupportivelivingresidents’experiencesthatcanbeusedforongoingbenchmarkingandmonitoring.ThereportpresentsfactorsthatdrivetheGlobalOverallCarerating,representedbythefourDimensionsofCare,whichcansubsequentlybeusedtoidentifyimprovementopportunitiesandbestpracticesatsupportivelivingfacilitiesacrossAlberta.

Readersshouldbeawarethatmanyadditionalfactorsmaycontributetoboththeresidents’andfamilymembers’experienceofafacility.Ultimately,facility‐levelresultsareintendedtoguidereflectiononperformanceandidentifyqualityimprovementopportunitiesatthefacilitylevel.Familyexperiencedataaloneshouldnotbeusedtojudgefacilityperformanceintheabsenceofotherinformation,suchaslevel‐of‐needoftheresidentpopulation,andotherqualitymeasures,suchasthosederivedfromtheinterRAITMResidentAssessmentInstrument(RAI),complaintsandconcerns,andcompliancewithprovincialcontinuingcarestandards.

Thisreportexaminesfacility‐levelresultsandprovidesasingleperspectiveofseveralpossibleinterpretationsofthesefindings.Facilitiesandotherstakeholdersmaychoosetoexamineandinterpretthefindingsdifferently.Examplesmayinclude:

Provincial‐levelcomparisonsonly

OneDimensionofCare(orquestionswithin)overothers,irrespectiveofprovincialorpeergroupcomparisons

OneormoreDimensionsofCareirrespectiveofhowthefacilityscored

Iffacilitiesandotherstakeholdersaremindfulofthelimitationsofthedata,thereareanumberofwaystheresultscanbeinterpretedandused.

15

OVERVIEW OF SURVEY RESULTS

6.0 OVERVIEW OF SURVEY RESULTS

Table2providesacomprehensivesummaryoffacility‐levelresultsbasedonthefourDimensionsofCare(Staffing,CareofBelongings,andEnvironment;KindnessandRespect;ProvidingInformationandEncouragingFamilyInvolvement;andMeetingBasicNeeds),FoodRatingScale,andthemeanGlobalOverallCareratingforeachfacility.Itincorporatesinformationfromallareasofcareandservicesmeasuredinthesurveyandprovidesthemostcompleterepresentationofoverallfacilityperformance.

Criteriaemphasizewithin‐zonefacilitycomparisons.11DetailedresultsoftheGlobalOverallCareratingandindividualDimensionsofCareareprovidedinSection7.Facilitiesareorderedaccordingtothefollowingcriteria.Criteriaarelistedinorderofpriority.Intheeventofatieononelevel,thenextsortinglevelwasused:

1. ThenumberofinstancesinwhichafacilityhadaDimensionofCarescorelowerthanitsassociatedzoneaverage,orderedfromlowesttohighest.

2. ThenumberofinstancesinwhichafacilityhadaDimensionofCarescorelowerthantheprovincialmean,orderedfromlowesttohighest.

3. ThenumberofinstancesinwhichafacilitywasinthelowerquartileoffacilitiesonaDimensionofCare,orderedfromlowesttohighest.

4. ThefacilitymeanGlobalOverallCareratingfromhighesttolowest.

Othervariablesincludedinthistablearethenumberofsurveyscollectedandfacilitysize.Facilitysizewasmeasuredbythetotalnumberofbedsatthefacility(e.g.,includinglongtermcare).12Facilitiesaregroupedbyquintilewherethefirstquintilerepresentsthe20percentoffacilitieswiththesmallestnumberofbeds,andthefifthquintilerepresentsthe20percentoffacilitieswiththelargestnumberofbeds(Table1).

Table 1: Facility size quintile groupings

Quintile (# facilities out of 107) Number of beds reported as of March 2012

1 (11) 0 to 19 beds

2 (24) 20 to 31 beds

3 (21) 32 to 50 beds

4 (26) 51 to 84 beds

5 (25) 85+ beds

11Itwasdeterminedthatthemostrelevantcomparisonsarebetweenpeers(facilitieswithinthesamezones)andthereforethecriteriaemphasizewithin‐zonefacilitycomparisons.Itisimportanttonotesomereadersmaywanttoemphasizeacomparisontoprovincialresult.Inthiscase,theabsolutevaluesofthecriteriacolumnscanbeexaminedontheirown.12InformationonthenumberofbedswasretrievedfromAHSusingcurrentdataasofMarch2012,datafromwhichtheoriginalsamplesizewasestimatedfrom.Itisrecognizedthatthereisacertaindegreeofuncertaintyinthebedcount,forexample,downsizingandupsizingofsomefacilitiesthroughoutthestudyperiod.However,itisbelievedthat,ingeneral,bednumbersreflectareasonableestimateofthesizeofthefacility.

16

Tabl

e 2:

Com

preh

ensi

ve s

umm

ary

of fa

cilit

y re

sults

Ord

erin

g cr

iterio

n

Crit

erio

n 1

Crit

erio

n 2

Crit

erio

n 3

Crit

erio

n 4

Dim

ensi

ons

of C

are

mea

ns a

nd F

ood

Rat

ing

Scal

e #

out o

f 5 D

imen

sion

s of

Car

e an

d Fo

od

Rat

ing

Sca

le

whe

re fa

cilit

y is

:

Ord

er

Cal

gary

(N

= 1

3 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

1 M

illris

e P

lace

3

18

82.6

92

.3

8.5

92.9

10

0.0

0 0

0 9.

2

2 A

spen

Rid

ge L

odge

2

19

84.6

90

.9

7.7

86.9

99

.0

0 0

0 9.

0

3 P

rince

of P

eace

Man

or

3 19

84

.3

91.0

7.

8 82

.2

98.9

1

1 0

9.1

4 W

hite

horn

Vill

age

4 18

86

.6

93.1

6.

4 89

.1

100.

0 1

1 1

9.0

5 S

ilver

Will

ow L

odge

3

27

82.3

87

.3

7.8

83.2

96

.1

2 1

0 8.

8

6 M

cKen

zie

Tow

ne

Ret

irem

ent R

esid

ence

3

19

74.5

88

.7

7.3

90.0

96

.5

2 1

0 8.

5

7 S

agew

ood

Sup

porti

ve

Livi

ng

4 33

77

.8

89.4

7.

4 88

.4

95.7

2

2 0

8.4

8 E

au C

laire

Ret

irem

ent

Res

iden

ce

4 41

75

.0

84.5

7.

5 85

.3

95.9

3

2 0

8.4

9 C

arew

est C

olon

el B

elch

er

5 19

79

.1

84.7

7.

4 77

.5

96.9

4

2 1

8.4

10

Wal

den

Sup

porti

ve L

ivin

g C

omm

unity

5

52

84.1

85

.9

6.9

84.0

95

.5

4 3

0 8.

8

11

Wen

twor

th M

anor

/The

R

esid

ence

and

The

Cou

rt 5

24

74.3

81

.5

6.5

80.9

99

.1

4 4

2 8.

3

12

Sce

nic

Acr

es R

etire

men

t R

esid

ence

2

6 74

.1

80.3

6.

8 74

.4

96.7

5

4 2

8.2

13

Mon

tere

y P

lace

5

56

72.0

81

.4

6.2

80.0

97

.0

5 4

4 7.

5


17

Ord

er

Cen

tral

(N

= 2

6 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

1 S

eren

ity H

ouse

1

6 93

.7

88.3

9.

3 88

.8

100.

0 0

0 0

9.8

2 Is

lay

Ass

iste

d Li

ving

2

10

94.9

89

.0

8.7

95.2

10

0.0

0 0

0 9.

6

3 S

unris

e V

illag

e W

etas

kiw

in

2 7

84.1

94

.2

7.9

95.6

10

0.0

0 0

0 9.

4

4 W

est P

ark

Lodg

e 3

22

87.0

93

.3

8.1

91.8

98

.1

0 0

0 9.

4

5 V

erm

illio

n V

alle

y Lo

dge

3 15

88

.2

91.2

8.

1 89

.4

100.

0 0

0 0

9.3

6 Fa

ith H

ouse

2

14

89.9

96

.7

7.9

93.5

10

0.0

0 0

0 9.

3

7 P

ines

Lod

ge

2 8

84.4

91

.8

7.4

89.6

10

0.0

1 0

0 8.

6

8 P

rovi

denc

e P

lace

1

6 90

.8

84.7

9.

2 95

.2

100.

0 1

1 0

9.4

9 H

illvi

ew L

odge

3

19

88.2

84

.2

7.9

91.0

97

.9

1 1

0 9.

2

10

Poi

nts

Wes

t Liv

ing

Lloy

dmin

ster

4

34

81.2

89

.7

7.9

82.9

97

.6

1 1

0 8.

7

11

Sun

rise

Vill

age

Old

s 2

9 80

.3

88.9

8.

1 84

.4

97.8

2

1 0

8.9

12

Cor

onat

ion

Hos

pita

l and

C

are

Cen

tre

3 8

82.4

88

.8

5.9

83.9

10

0.0

2 2

1 8.

5

13

Goo

d S

amar

itan

Goo

d S

heph

erd

Luth

eran

Hom

e 4

36

70.7

89

.2

7.1

87.6

97

.6

2 2

1 8.

1

14

Cha

teau

Thr

ee H

ills

1 8

72.4

93

.6

7.9

91.5

95

.0

2 2

1 7.

3

15

Eck

ville

Man

or H

ouse

1

6 86

.2

79.8

7.

8 79

.4

100.

0 2

2 2

9.2

16

Man

or a

t Roy

al O

ak

2 27

76

.3

93.5

7.

2 85

.1

99.3

3

2 0

8.5

17

Sun

rise

Vill

age

(Pon

oka)

2

11

84.1

86

.0

7.2

94.8

90

.9

3 2

1 8.

6

18

Bet

hany

Syl

van

Lake

4

13

76.1

73

.7

6.4

87.7

98

.3

3 3

2 8.

2

19

Her

itage

Hou

se

2 18

79

.8

86.5

6.

4 83

.1

98.9

4

2 1

8.2

20

Sun

set M

anor

4

65

78.9

89

.9

6.8

81.2

93

.7

4 3

1 8.

2

21

Sun

rise

Vill

age

Cam

rose

4

54

69.3

83

.2

7.6

84.3

90

.3

4 4

2 7.

6

22

Bet

hany

Mea

dow

s 5

21

78.9

76

.0

6.2

86.6

96

.2

5 2

2 8.

6


18

Ord

er

Cen

tral

(N

= 2

6 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

23

Poi

nts

Wes

t Liv

ing

Cen

tury

Par

k 3

24

77.8

86

.5

7.0

82.1

95

.0

5 4

0 8.

5

24

Poi

nts

Wes

t Liv

ing

Wai

nwrig

ht

4 33

73

.5

86.2

6.

7 81

.7

95.7

5

4 1

7.8

25

Ext

endi

care

Mic

hene

r Hill

5

41

72.5

77

.5

5.7

81.4

90

.9

5 5

4 7.

3

26

Cle

arw

ater

Cen

tre

4 13

62

.3

80.9

6.

6 75

.9

77.0

5

5 5

6.5

Ord

er

Edm

onto

n (N

= 3

5 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

1 G

ood

Sam

arita

n G

eorg

e H

enni

g P

lace

2

16

86.9

92

.9

8.1

94.3

10

0.0

0 0

0 9.

1

2 P

lace

Bea

usej

our

3 16

87

.5

95.7

8.

1 89

.3

98.8

0

0 0

9.1

3 E

mm

anue

l Hom

e 1

8 87

.6

86.7

8.

6 90

.2

100.

0 0

0 0

9.1

4 Li

feS

tyle

Opt

ions

Ter

ra

Losa

4

20

84.3

92

.1

8.3

92.2

98

.9

0 0

0 8.

8

5 S

heph

erd’

s C

are

Gre

enfie

ld

2 13

82

.8

96.1

8.

3 95

.5

100.

0 0

0 0

8.8

6 C

itade

l Mew

s W

est

4 30

85

.9

91.6

7.

5 85

.8

98.6

0

0 0

8.8

7 G

last

onbu

ry V

illag

e 4

23

85.3

89

.5

7.8

87.7

96

.4

0 0

0 8.

5

8 G

ood

Sam

arita

n S

pruc

e G

rove

Cen

tre

2 15

93

.0

86.2

8.

2 92

.9

100.

0 1

0 0

8.6

9 Li

feS

tyle

Opt

ions

Led

uc

4 33

79

.3

89.4

7.

5 84

.9

96.0

1

0 0

8.2

10

Wes

t Cou

ntry

Hea

rth

1 10

85

.3

96.1

7.

6 85

.0

94.0

1

1 0

9.7

11

Cou

ntry

Cot

tage

Sen

iors

R

esid

ence

2

8 89

.8

85.0

8.

6 91

.1

100.

0 1

1 0

9.4

12

Ros

edal

e S

t. A

lber

t 4

40

85.7

89

.8

7.5

83.2

97

.0

1 1

0 8.

7

13

Goo

d S

amar

itan

Wed

man

4

32

80.8

88

.6

7.2

86.9

98

.6

1 1

0 8.

4

OVERVIEW OF SURVEY RESULTS 19

Hou

se/V

illag

e

14

She

pher

d’s

Gar

dens

3

23

79.4

94

.4

6.6

87.8

10

0.0

1 1

1 8.

7

Ord

er

Edm

onto

n (N

= 3

5 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

15

She

pher

d’s

Car

e K

ensi

ngto

n 5

22

79.1

91

.1

6.6

88.3

98

.2

1 1

1 8.

4

16

Ros

edal

e E

stat

es

3 19

80

.8

84.8

7.

4 84

.5

100.

0 1

2 0

8.6

17

She

pher

d’s

Car

e V

angu

ard

5 37

76

.5

87.4

7.

2 86

.8

98.4

1

2 0

8.2

18

Ros

edal

e at

Grie

sbac

h 5

44

78.7

87

.5

7.0

83.7

98

.1

2 2

0 8.

1

19

Dev

onsh

ire M

anor

4

24

83.1

88

.9

6.1

81.9

98

.3

2 2

1 8.

4

20

Gra

nd M

anor

4

11

74.5

86

.9

7.1

81.3

10

0.0

3 3

0 8.

2

21

Life

Sty

le O

ptio

ns

Riv

erbe

nd

2 8

80.8

77

.8

7.8

69.6

91

.8

3 3

3 8.

4

22

Cap

italC

are

Stra

thco

na

5 51

69

.4

86.4

6.

7 84

.5

91.4

3

4 3

8.1

23

Gar

neau

Hal

l 3

11

76.6

89

.6

6.9

76.9

96

.0

4 3

1 7.

9

24

Inno

vativ

e H

ousi

ng -

Vill

a M

argu

erite

5

109

72.7

83

.5

6.9

81.2

97

.3

4 4

1 7.

8

25

Sum

mer

woo

d V

illag

e R

etire

men

t Res

iden

ce

4 46

63

.7

84.5

7.

5 82

.8

94.7

4

4 1

7.5

26

Wild

Ros

e C

otta

ge

2 14

74

.6

81.7

7.

2 77

.0

98.5

4

4 2

8.3

27

Sai

nt T

hom

as A

ssis

ted

Livi

ng C

entre

5

32

77.5

82

.6

6.4

79.9

98

.1

4 4

2 7.

9

28

Cap

italC

are

Laur

ier

Hou

se L

ynnw

ood

4 56

73

.4

78.7

6.

0 84

.1

79.5

4

5 3

8.1

29

Asp

en H

ouse

3

42

76.0

85

.8

7.0

82.6

95

.2

5 5

0 8.

3

30

Sal

vatio

n A

rmy

Gra

ce

Man

or

4 36

74

.3

83.5

6.

5 82

.1

91.0

5

5 2

8.0

31

Tuoi

Hac

- G

olde

n A

ge

Man

or

5 33

75

.5

75.2

6.

2 72

.5

95.0

5

5 3

7.5

32

Riv

erbe

nd R

etire

men

t R

esid

ence

3

16

68.6

85

.3

5.9

80.3

94

.7

5 5

3 6.

8

33

Chu

rchi

ll R

etire

men

t C

omm

unity

3

19

61.2

72

.4

7.1

73.7

88

.4

5 5

4 6.

7

34

Rut

herfo

rd H

eigh

ts

5 40

61

.2

75.7

6.

4 75

.1

88.4

5

5 5

7.0


20

Ret

irem

ent R

esid

ence

35

Bal

win

Vill

a 5

32

67.2

75

.3

6.4

79.5

90

.5

5 5

5 6.

9

Ord

er

Nor

th

(N =

6 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10

)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

1 V

ilna

Vill

a 1

7 86

.3

96.9

8.

7 83

.4

100.

0 0

1 0

9.1

2 H

eim

stae

d Lo

dge

4 40

71

.4

81.3

7.

6 79

.5

90.7

2

4 4

8.3

3 P

oint

s W

est L

ivin

g G

rand

e P

rairi

e 5

41

65.7

77

.6

6.9

79.0

93

.2

2 5

4 7.

4

4 M

anoi

r du

Lac

3 19

65

.1

78.1

5.

8 80

.7

98.7

3

4 4

7.9

5 M

ount

ain

Vie

w C

entre

4

21

58.1

80

.3

5.3

74.0

93

.9

4 5

4 6.

8

6 G

rand

e P

rairi

e C

are

Cen

tre

4 27

62

.7

75.2

6.

7 73

.8

74.7

5

5 4

6.8

Ord

er

Sout

h (N

= 2

7 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

1 C

lear

view

Lod

ge

2 9

95.7

10

0.0

9.7

98.4

97

.8

0 0

0 9.

9

2 M

acLe

od P

ione

er L

odge

1

5 80

.2

94.9

7.

6 85

.7

100.

0 0

0 0

9.0

3 C

hino

ok L

odge

2

5 85

.0

86.4

7.

0 97

.9

100.

0 1

1 0

9.4

4 O

rcha

rd M

anor

2

13

91.0

97

.5

6.7

96.6

10

0.0

1 1

0 9.

2

5 G

ood

Sam

arita

n V

ista

V

illag

e 4

36

79.6

87

.6

7.1

89.3

97

.0

1 1

0 8.

5

6 G

olde

n A

cres

Lod

ge

3 14

80

.3

89.2

7.

3 81

.7

98.6

1

1 0

8.4

7 Le

isur

e W

ay

1 7

79.6

91

.5

7.8

94.4

91

.5

1 1

1 9.

0

8 P

iyam

i Lod

ge

2 11

82

.9

71.6

7.

3 90

.0

100.

0 1

1 1

8.6

9 S

unny

Sou

th L

odge

2

18

82.3

90

.6

7.6

85.6

93

.3

1 1

1 8.

6

10

Hav

en o

f Res

t - S

outh

C

ount

ry V

illag

e 5

11

86.0

83

.2

7.0

94.0

98

.2

2 2

0 9.

5

11

Ple

asan

t Vie

w L

odge

S

outh

2

7 90

.3

83.6

8.

5 82

.9

100.

0 2

2 0

9.0

12

Yor

k C

reek

Lod

ge

2 7

77.7

81

.2

6.7

86.5

97

.2

2 3

1 8.

4


21

13

Cyp

ress

Vie

w F

ound

atio

n 2

18

80.1

82

.2

7.9

82.7

93

.0

3 3

1 8.

5

14

Mea

dow

Lan

ds

1 6

77.2

60

.3

7.8

83.5

10

0.0

3 3

1 8.

0

Ord

er

Sout

h (N

= 2

7 fa

cilit

ies)

Faci

lity

size

qu

intil

e

Res

pond

ents

(N

)

Staf

fing,

C

are

of

Bel

ongi

ngs,

an

d En

viro

nmen

t (0

to 1

00)

Kin

dnes

ss

and

Rep

ect

(0 to

100

)

Food

R

atin

g Sc

ale

(0 to

10)

Prov

idin

g In

form

atio

n an

d Fa

mily

In

volv

emen

t (0

to 1

00)

Mee

ting

Bas

ic

Nee

ds

(0 to

10

0)

Bel

ow Z

one

mea

n on

a

dim

ensi

on

and

food

Bel

ow

prov

inci

al

mea

n on

a

dim

ensi

on

and

food

At l

ower

qu

artil

e of

pr

ovin

cial

m

ean

on a

di

men

sion

an

d fo

od

Faci

lity

mea

n G

loba

l O

vera

ll C

are

ratin

g (0

to 1

0)

15

Piy

ami P

lace

1

6 72

.0

79.6

7.

5 77

.3

96.7

3

3 3

8.2

16

The

Wel

lingt

on

Ret

irem

ent R

esid

ence

3

33

73.5

84

.0

7.9

79.9

94

.8

3 4

1 8.

0

17

Goo

d S

amar

itan

Lind

en

Vie

w

5 49

70

.4

85.4

6.

7 86

.5

92.2

3

4 2

8.0

18

Lega

cy L

odge

5

62

69.5

85

.4

7.4

77.4

85

.2

3 4

3 7.

9

19

Goo

d S

amar

itan

Wes

t H

ighl

ands

5

62

71.6

85

.2

6.4

78.8

95

.3

3 5

3 8.

0

20

Goo

d S

amar

itan

Pra

irie

Rid

ge

5 15

73

.6

92.6

6.

9 81

.8

93.4

4

4 1

8.3

21

Goo

d S

amar

itan

Gar

den

Vis

ta

3 15

79

.6

82.7

7.

1 79

.2

88.1

4

4 2

8.6

22

St.

Ther

ese

Vill

a - S

t. M

icha

els

Hea

lth C

entre

5

92

70.5

85

.1

7.1

80.2

90

.7

4 5

3 8.

1

23

Goo

d S

amar

itan

Lee

Cre

st

5 37

67

.5

76.6

5.

9 72

.3

95.0

4

5 4

7.7

24

Goo

d S

amar

itan

Par

k M

eado

ws

Vill

age

5 66

73

.7

84.1

7.

0 81

.9

91.5

5

5 1

8.0

25

Ext

endi

care

Fai

rmon

t P

ark

5 81

71

.0

83.2

6.

8 83

.6

92.5

5

5 2

8.0

26

Col

umbi

a A

ssis

ted

Livi

ng

3 19

67

.2

78.6

6.

7 82

.1

89.2

5

5 3

7.4

27

Sun

rise

Gar

dens

4

37

67.0

80

.1

6.1

79.8

86

.1

5 5

5 7.

5

Not

e: C

ateg

oric

al d

ecis

ion

rule

s bas

ed o

n th

e m

ean

exte

nd b

eyon

d th

e fir

st d

ecim

al p

lace

.


22

FACILITY RESULTS BY GLOBAL OVERALL CARE RATING, DIMENSIONS OF CARE, AND FOOD RATING SCALE

7.0 FACILITY RESULTS BY GLOBAL OVERALL CARE RATING, DIMENSIONS OF CARE, AND FOOD RATING SCALE

ThefollowingsectionprovidesdetailedresultsoftheGlobalOverallCareratingandindividualDimensionsofCareforeachfacility.

GlobalOverallCareratingsarepresentedfirstandreflecttherespondents’overallevaluationofthesupportivelivingfacility.Thisisasingleitemmeasureintendedtoreflectarespondent’ssummativeopinionaboutthefacility.GlobalOverallCareratingasks:Usinganynumberfrom0to10where,0istheworstand10isthebestcarepossible,whatnumberwouldyouusetoratethecareatthesupportivelivingfacility?

DimensionsofCareandFoodRatingsarepresentedinorderoftheirinfluenceontheGlobalOverallCarerating,asdeterminedthrougharegressionmodel(seeAppendixG).

DimensionsofCareandFoodRatingsarepresentedasfollows:

1. Staffing,CareofBelongings,andEnvironmentDimensionofCare

2. KindnessandRespectDimensionofCare

3. FoodRatingScale

4. ProvidingInformationandEncouragingFamilyInvolvementDimensionofCare

5. MeetingBasicNeedsDimensionofCare

DetailedzoneanalysesofindividualquestionresponsescanbefoundinAppendixF.

23


7.1 Global Overall Care rating

ThefamilymemberGlobalOverallCareratingfortheprovincewas8.4outof10.Table4summarizestheGlobalOverallCareratingsforfacilitiesthatparticipatedinthesurvey.FacilitiesarepresentedbymeanfacilityGlobalOverallCareratingandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonemean:Whetherthefacility’saverageGlobalOverallCareratingisaboveorbelowtheaveragefacilityratingfortheassociatedzone.

Beloworaboveprovincialmean:Whetherthefacility’saverageGlobalOverallCareratingisaboveorbelowtheaveragefacilityratingfortheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovincebasedontheGlobalOverallCarerating(seeTable3foradescriptionofthecategories).

Table 3: Guide for interpretation

Quartile details (107 facilities)

Quartiles Range

Upper (Highest 25% of scores)

8.9-10.0

Upper middle

(50-75th percentile) 8.4-8.9

Lower middle


Lower (Lowest 25% of scores)

0.0-8.0

Note:Categoricaldecisionrulesextendbeyondthefirstdecimalplace.



Thefacilityresponsemarginoferrorwasequaltoorlessthan10percentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.FormoredetailsonthedeterminationoffacilitysamplereliabilityandforalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixF.

24


Thetablebelowincludesonlyfacilitieswhichmettheinclusioncriteria(N=107facilities).

Table 4: Summary of facility mean Global Overall Care ratings by zone

Calgary

Respondents

(N) Mean

95% CI Below/above zone mean

(N = 13 facilities)

Below/above provincial mean

(N = 107 facilities)

Quartile Lower Upper

8.6 8.4

Millrise Place 18 9.2 8.9 9.6 Above Above Upper

Prince of Peace Manor 18 9.1 8.6 9.5 Above Above Upper

Aspen Ridge Lodge 19 9.0 8.7 9.3 Above Above Upper

Whitehorn Village 17 9.0 8.5 9.5 Above Above Upper

Walden Supportive Living Community

50 8.8 8.5 9.1 Above Above Up. Mid

Silver Willow Lodge 25 8.8 8.4 9.2 Above Above Up. Mid

McKenzie Towne Retirement Residence

17 8.5 7.9 9.0 Below Above Up. Mid

Carewest Colonel Belcher 19 8.4 7.8 9.0 Below Above Up. Mid

Eau Claire Retirement Residence

40 8.4 8.0 8.8 Below Below Low. Mid.

Sagewood Supportive Living 33 8.4 7.9 8.9 Below Below Low. Mid.

Wentworth Manor/The Residence and The Court


Scenic Acres Retirement Residence


Monterey Place 55 7.5 7.1 7.8 Below Below Lower

Central

Respondents

(N) Mean


(N = 26 facilities)




8.6 8.4

Serenity House 6 9.8 9.5 10.0† Above Above Upper

Islay Assisted Living 10 9.6 9.2 10.0 Above Above Upper

Sunrise Village Wetaskiwin 7 9.4 9.0 9.8 Above Above Upper

Providence Place 5 9.4 8.6 10.0† Above Above Upper

West Park Lodge 21 9.4 9.1 9.7 Above Above Upper

Vermillion Valley Lodge 15 9.3 8.8 9.8 Above Above Upper

Faith House 13 9.3 8.9 9.7 Above Above Upper

Eckville Manor House 5 9.2 8.5 9.9 Above Above Upper

Hillview Lodge 19 9.2 8.8 9.5 Above Above Upper

Sunrise Village Olds 9 8.9 7.8 9.9 Above Above Upper

Points West Living Lloydminster


Sunrise Village (Ponoka) 11 8.6 7.8 9.5 Above Above Up. Mid

Pines Lodge 8 8.6 7.9 9.4 Above Above Up. Mid

25


Central

Respondents

(N) Mean


(N = 26 facilities)




8.6 8.4

Bethany Meadows 21 8.6 7.9 9.2 Above Above Up. Mid

Points West Living Century Park


Manor at Royal Oak 27 8.5 8.1 9.0 Below Above Up. Mid

Coronation Hospital and Care Centre


Heritage House 18 8.2 7.6 8.8 Below Below Low. Mid.

Bethany Sylvan Lake 12 8.2 7.5 8.8 Below Below Low. Mid.

Sunset Manor 64 8.2 7.8 8.5 Below Below Low. Mid.

Good Samaritan Good Shepherd Lutheran Home


Points West Living Wainwright

30 7.8 6.9 8.7 Below Below Lower

Sunrise Village Camrose 50 7.6 7.1 8.1 Below Below Lower

Extendicare Michener Hill 40 7.3 6.7 7.8 Below Below Lower

Chateau Three Hills 8 7.3 5.8 8.7 Below Below Lower

Clearwater Centre 13 6.5 5.1 7.8 Below Below Lower

Edmonton

Respondents

(N) Mean


(N = 35 facilities)




8.2 8.4

West Country Hearth 10 9.7 9.4 10.0 Above Above Upper

Country Cottage Seniors Residence

8 9.4 8.9 9.9 Above Above Upper

Good Samaritan George Hennig Place


Place Beausejour 16 9.1 8.8 9.5 Above Above Upper

Emmanuel Home 8 9.1 8.1 10.0† Above Above Upper

LifeStyle Options Terra Losa 17 8.8 8.3 9.4 Above Above Up. Mid

Shepherd’s Care Greenfield 11 8.8 7.9 9.8 Above Above Up. Mid

Citadel Mews West 28 8.8 8.4 9.2 Above Above Up. Mid

Shepherd’s Gardens 22 8.7 8.3 9.2 Above Above Up. Mid

Rosedale St. Albert 40 8.7 8.4 9.1 Above Above Up. Mid

Good Samaritan Spruce Grove Centre


Rosedale Estates 17 8.6 8.2 9.0 Above Above Up. Mid

Glastonbury Village 22 8.5 7.8 9.1 Above Above Up. Mid

Good Samaritan Wedman House/Village


Shepherd’s Care Kensington 21 8.4 7.8 8.9 Above Below Low. Mid.

Devonshire Manor 24 8.4 7.9 8.8 Above Below Low. Mid.

26


Edmonton

Respondents

(N) Mean


(N = 35 facilities)




8.2 8.4

LifeStyle Options Riverbend 8 8.4 7.6 9.2 Above Below Low. Mid.

Aspen House 40 8.3 7.8 8.8 Above Below Low. Mid.

Wild Rose Cottage 12 8.3 7.3 9.2 Below Below Low. Mid.

Shepherd’s Care Vanguard 36 8.2 7.8 8.6 Below Below Low. Mid.

LifeStyle Options Leduc 30 8.2 7.6 8.8 Below Below Low. Mid.

Grand Manor 11 8.2 7.4 9.0 Below Below Low. Mid.

CapitalCare Laurier House Lynnwood


Rosedale at Griesbach 41 8.1 7.7 8.5 Below Below Low. Mid.

CapitalCare Strathcona 49 8.1 7.7 8.5 Below Below Low. Mid.

Salvation Army Grace Manor 31 8.0 7.3 8.7 Below Below Low. Mid.

Garneau Hall 10 7.9 6.9 8.9 Below Below Lower

Saint Thomas Assisted Living Centre


Innovative Housing - Villa Marguerite


Tuoi Hac - Golden Age Manor 32 7.5 6.9 8.2 Below Below Lower

Summerwood Village Retirement Residence


Rutherford Heights Retirement Residence


Balwin Villa 30 6.9 6.1 7.6 Below Below Lower

Riverbend Retirement Residence


Churchill Retirement Community


North

Respondents

(N) Mean


(N = 6 facilities)




7.7 8.4

Vilna Villa 7 9.1 8.4 9.9 Above Above Upper

Heimstaed Lodge 38 8.3 7.7 8.8 Above Below Low. Mid.

Manoir du Lac 14 7.9 7.3 8.5 Above Below Lower

Points West Living Grande Prairie


Mountain View Centre 18 6.8 5.9 7.7 Below Below Lower

Grande Prairie Care Centre 26 6.8 5.9 7.7 Below Below Lower

27


South

Respondents

(N) Mean


(N = 27 facilities)




8.4 8.4

Clearview Lodge 9 9.9 9.7 10.0† Above Above Upper

Haven of Rest - South Country Village

11 9.5 8.8 10.0† Above Above Upper

Chinook Lodge 5 9.4 8.6 10.0† Above Above Upper

Orchard Manor 13 9.2 8.8 9.7 Above Above Upper

Pleasant View Lodge South 7 9.0 8.6 9.4 Above Above Upper

Leisure Way 6 9.0 8.3 9.7 Above Above Upper

MacLeod Pioneer Lodge 5 9.0 8.1 9.9 Above Above Upper

Good Samaritan Garden Vista 14 8.6 8.0 9.3 Above Above Up. Mid

Piyami Lodge 11 8.6 8.2 9.1 Above Above Up. Mid

Sunny South Lodge 18 8.6 8.0 9.1 Above Above Up. Mid

Good Samaritan Vista Village 35 8.5 8.0 9.1 Above Above Up. Mid

Cypress View Foundation 17 8.5 7.7 9.3 Above Above Up. Mid

Golden Acres Lodge 14 8.4 7.8 9.1 Below Above Up. Mid

York Creek Lodge 7 8.4 7.7 9.2 Below Above Up. Mid

Good Samaritan Prairie Ridge 15 8.3 7.7 8.8 Below Below Low. Mid.

Piyami Place 6 8.2 6.6 9.7 Below Below Low. Mid.

St. Therese Villa – St. Michaels Health Centre


The Wellington Retirement Residence


Good Samaritan West Highlands


Meadow Lands 4 8.0 7.2 8.8 Below Below Low. Mid.

Extendicare Fairmont Park 76 8.0 7.6 8.3 Below Below Lower

Good Samaritan Park Meadows Village


Good Samaritan Linden View 45 8.0 7.4 8.5 Below Below Lower

Legacy Lodge 60 7.9 7.5 8.2 Below Below Lower

Good Samaritan Lee Crest 33 7.7 7.1 8.4 Below Below Lower

Sunrise Gardens 36 7.5 7.0 8.0 Below Below Lower

Columbia Assisted Living 19 7.4 6.8 8.0 Below Below Lower

Note:Categoricaldecisionrulesbasedonthemeanextendbeyondthefirstdecimalplace.Intheeventofatie,thelowerlimitoftheconfidenceintervalwasusedasasortingcriterion.

28


7.2 Staffing, Care of Belongings, and Environment Dimension of Care

TheStaffing,CareofBelongings,andEnvironmentDimensionofCareiscomprisedofthefollowingquestions(detailedzoneresultsofindividualquestionresponsescanbefoundinAppendixF):

(Q10andQ11)Canfindanurseoraide?

(Q50)Howoftenthereareenoughnursesoraides?

(Q31)Resident’sroomlooksandsmellsclean?

(Q22)Residentlooksandsmellsclean?

(Q34)Publicarealooksandsmellsclean?

(Q36)Resident’smedicalbelongingslost?

(Q37andQ38)Resident’sclotheslost?

Table6summarizestheStaffing,CareofBelongings,andEnvironmentDimensionofCareforfacilitiesthatparticipatedinthesurvey.FacilitiesarepresentedbymeanscoresonStaffing,CareofBelongings,andEnvironmentandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonedimensionsummarymean:Whetherthefacility’saverageStaffing,CareofBelongings,andEnvironmentscoreisaboveorbelowtheaveragefacilityscorefortheassociatedzone.

Beloworaboveprovincialdimensionsummarymean:Whetherthefacility’saverageStaffing,CareofBelongings,andEnvironmentscoreisaboveorbelowtheaveragefacilityratingfortheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovincebasedontheStaffing,CareofBelongings,andEnvironmentDimensionofCare(seeTable5foradescriptionofthecategories).



Quartiles Range


84.3-100.0

Upper middle


Lower middle



0.0-72.7


29






Table 6: Summary of facility means for Staffing, Care of Belongings, and Environment

Calgary

Respondents

(N) Mean


(N = 13 facilities)

Below/above provincial

mean



79.3 78.3



Prince of Peace Manor 18 84.3 79.8 88.8 Above Above Up. Mid

Walden Supportive Living Community


Millrise Place 18 82.6 78.1 87.2 Above Above Up. Mid


Carewest Colonel Belcher 19 79.1 73.9 84.2 Below Above Low. Mid.

Sagewood Supportive Living 33 77.8 72.9 82.6 Below Below Low. Mid.

Eau Claire Retirement Residence 40 75.0 70.7 79.2 Below Below Low. Mid.

McKenzie Towne Retirement Residence




Scenic Acres Retirement Residence



Central

Respondents

(N) Mean


(N = 26 facilities)


mean



80.9 78.3


Serenity House 6 93.7 88.6 98.9 Above Above Upper

Providence Place 5 90.8 82.1 99.5 Above Above Upper



30


Central

Respondents

(N) Mean


(N = 26 facilities)


mean



80.9 78.3




Pines Lodge 8 84.4 78.2 90.6 Above Above Upper

Sunrise Village Wetaskiwin 7 84.1 75.5 92.6 Above Above Up. Mid

Sunrise Village (Ponoka) 11 84.1 77.0 91.1 Above Above Up. Mid

Coronation Hospital and Care Centre


Points West Living Lloydminster 33 81.2 77.4 85.0 Above Above Up. Mid

Sunrise Village Olds 9 80.3 71.4 89.3 Below Above Up. Mid

Heritage House 18 79.8 74.7 85.0 Below Above Up. Mid

Sunset Manor 65 78.9 75.5 82.4 Below Above Low. Mid.

Bethany Meadows 21 78.9 73.1 84.7 Below Above Low. Mid.

Points West Living Century Park 24 77.8 72.2 83.3 Below Below Low. Mid.

Manor at Royal Oak 27 76.3 70.8 81.7 Below Below Low. Mid.

Bethany Sylvan Lake 12 76.1 71.7 80.6 Below Below Low. Mid.

Points West Living Wainwright 33 73.5 67.0 79.9 Below Below Low. Mid.


Chateau Three Hills 8 72.4 62.5 82.2 Below Below Lower





Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean (N = 107 facilities)


78.3 78.3

Good Samaritan Spruce Grove Centre


Country Cottage Seniors Residence

8 89.8 79.4 100.0† Above Above Upper

Emmanuel Home 8 87.6 79.6 95.7 Above Above Upper


Good Samaritan George Hennig Place


Citadel Mews West 29 85.9 81.6 90.1 Above Above Upper

Rosedale St. Albert 40 85.7 82.4 88.9 Above Above Upper

West Country Hearth 10 85.3 78.5 92.2 Above Above Upper

Glastonbury Village 23 85.3 79.8 90.9 Above Above Upper

31


Edmonton

Respondents

(N) Mean


(N = 35 facilities)




78.3 78.3

LifeStyle Options Terra Losa 18 84.3 78.7 89.9 Above Above Up. Mid

Devonshire Manor 24 83.1 78.9 87.4 Above Above Up. Mid

Shepherd’s Care Greenfield 11 82.8 74.0 91.7 Above Above Up. Mid


Good Samaritan Wedman House/Village


LifeStyle Options Riverbend 8 80.8 73.6 88.0 Above Above Up. Mid


LifeStyle Options Leduc 31 79.3 74.6 84.0 Above Above Up. Mid

Shepherd’s Care Kensington 22 79.1 74.6 83.6 Above Above Up. Mid

Rosedale at Griesbach 42 78.7 74.5 82.9 Above Above Low. Mid.

Saint Thomas Assisted Living Centre


Garneau Hall 11 76.6 67.7 85.5 Below Below Low. Mid.

Shepherd’s Care Vanguard 37 76.5 72.0 81.0 Below Below Low. Mid.

Aspen House 41 76.0 71.4 80.5 Below Below Low. Mid.

Tuoi Hac - Golden Age Manor 32 75.5 69.2 81.7 Below Below Low. Mid.




CapitalCare Laurier House Lynnwood


Innovative Housing - Villa Marguerite


CapitalCare Strathcona 50 69.4 65.7 73.0 Below Below Lower

Riverbend Retirement Residence 16 68.6 60.8 76.3 Below Below Lower






Churchill Retirement Community 19 61.2 54.3 68.0 Below Below Lower

North

Respondents

(N) Mean


(N = 6 facilities)


mean



68.2 78.3


Heimstaed Lodge 39 71.4 66.1 76.7 Above Below Lower

Points West Living Grande Prairie 40 65.7 60.1 71.3 Below Below Lower

32


North

Respondents

(N) Mean


(N = 6 facilities)


mean



68.2 78.3

Manoir du Lac 15 65.1 58.4 71.9 Below Below Lower



South

Respondents

(N) Mean


(N = 27 facilities)




77.6 78.3

Clearview Lodge 9 95.7 93.3 98.1 Above Above Upper



Haven of Rest - South Country Village


Chinook Lodge 5 85.0 77.7 92.3 Above Above Upper



Golden Acres Lodge 14 80.3 71.7 88.8 Above Above Up. Mid

MacLeod Pioneer Lodge 5 80.2 75.9 84.5 Above Above Up. Mid

Cypress View Foundation 17 80.1 74.3 86.0 Above Above Up. Mid

Good Samaritan Garden Vista 14 79.6 73.3 85.9 Above Above Up. Mid


Leisure Way 7 79.6 67.9 91.3 Above Above Up. Mid

York Creek Lodge 7 77.7 68.4 87.0 Above Below Low. Mid.


Good Samaritan Park Meadows Village



The Wellington Retirement Residence


Piyami Place 6 72.0 62.1 81.8 Below Below Lower

Good Samaritan West Highlands 58 71.6 67.8 75.3 Below Below Lower


St. Therese Villa - St. Michaels Health Centre







Note:Categoricaldecisionrulesbasedonthemeanextendbeyondthefirstdecimalplace.

33


7.3 Kindness and Respect Dimension of Care

TheKindnessandRespectDimensionofCareiscomprisedofthefollowingquestions(detailedzoneresultsofindividualquestionresponsescanbefoundinAppendixF):

(Q12)Nursesandaidestreatresidentwithcourtesyandrespect?

(Q13)Nursesandaidestreatresidentwithkindness?

(Q14)Nursesandaidesreallycareaboutresident?

(Q15;reversescoring)Nursesandaideswererudetoresidents?

(Q23andQ24)Nursesandaideswereappropriatewithdifficultresidents?

Table8summarizestheKindnessandRespectDimensionofCareforfacilitiesthatparticipatedinthesurvey.FacilitiesarepresentedbymeanscoresonKindnessandRespectandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonedimensionsummarymean:Whetherthefacility’saverageKindnessandRespectscoreisaboveorbelowtheaveragefacilityscorefortheassociatedzone.

Beloworaboveprovincialdimensionsummarymean:Whetherthefacility’saverageKindnessandRespectscoreisaboveorbelowtheaveragefacilityratingfortheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovincebasedontheKindnessandRespectDimensionofCare(seeTable7foradescriptionofthecategories).



Quartiles Range


89.9-100.0

Upper middle


Lower middle



0.0-81.7




Thefacilityresponsemarginoferrorwasequaltoorlessthan10percentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.Formoredetailsonthe

34


determinationoffacilitysamplereliabilityandforalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixF.


Table 8: Summary of facility means for Kindness and Respect

Calgary

Respondents

(N) Mean


(N = 13 facilities)


mean



87.0 85.8



Prince of Peace Manor 18 91.0 85.8 96.3 Above Above Upper


Sagewood Supportive Living 33 89.4 84.3 94.6 Above Above Up. Mid

McKenzie Towne Retirement Residence 17 88.7 83.7 93.7 Above Above Up. Mid


Walden Supportive Living Community 50 85.9 82.4 89.5 Below Above Low. Mid.

Carewest Colonel Belcher 19 84.7 76.6 92.8 Below Below Low. Mid.

Eau Claire Retirement Residence 40 84.5 79.8 89.2 Below Below Low. Mid.

Wentworth Manor/The Residence and The Court 23 81.5 76.1 87.0 Below Below Lower


Scenic Acres Retirement Residence 6 80.3 64.6 95.9 Below Below Lower

Central

Respondents

(N) Mean


(N = 26 facilities)


mean



87.1 85.8



Chateau Three Hills 8 93.6 86.8 100.0† Above Above Upper

Manor at Royal Oak 27 93.5 89.7 97.3 Above Above Upper




Sunset Manor 65 89.9 87.0 92.8 Above Above Up. Mid

Points West Living Lloydminster 33 89.7 84.6 94.8 Above Above Up. Mid

Good Samaritan Good Shepherd Lutheran Home 33 89.2 84.4 94.1 Above Above Up. Mid

35


Central

Respondents

(N) Mean


(N = 26 facilities)


mean



87.1 85.8

Islay Assisted Living 10 89.0 87.4 90.6 Above Above Up. Mid

Sunrise Village Olds 9 88.9 87.1 90.7 Above Above Up. Mid

Coronation Hospital and Care Centre 8 88.8 86.7 90.8 Above Above Up. Mid

Serenity House 6 88.3 85.4 91.3 Above Above Up. Mid

Heritage House 18 86.5 80.8 92.3 Below Above Up. Mid

Points West Living Century Park 24 86.5 80.3 92.7 Below Above Up. Mid

Points West Living Wainwright 33 86.2 79.9 92.6 Below Above Low. Mid.

Sunrise Village (Ponoka) 11 86.0 82.5 89.5 Below Above Low. Mid.

Providence Place 5 84.7 74.7 94.7 Below Below Low. Mid.

Hillview Lodge 19 84.2 80.7 87.7 Below Below Low. Mid.

Sunrise Village Camrose 52 83.2 79.1 87.3 Below Below Low. Mid.


Eckville Manor House 5 79.8 63.9 95.7 Below Below Lower


Bethany Meadows 21 76.0 67.5 84.5 Below Below Lower

Bethany Sylvan Lake 12 73.7 62.1 85.4 Below Below Lower

Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



86.3 85.8

West Country Hearth 10 96.1 88.5 100.0† Above Above Upper

Shepherd’s Care Greenfield 11 96.1 90.9 100.0† Above Above Upper


Shepherd’s Gardens 23 94.4 89.8 99.1 Above Above Upper

Good Samaritan George Hennig Place 15 92.9 87.4 98.4 Above Above Upper

LifeStyle Options Terra Losa 18 92.1 85.8 98.4 Above Above Upper

Citadel Mews West 29 91.6 88.2 95.0 Above Above Upper

Shepherd’s Care Kensington 22 91.1 86.6 95.7 Above Above Upper


Garneau Hall 11 89.6 82.5 96.7 Above Above Up. Mid



Devonshire Manor 24 88.9 83.9 94.0 Above Above Up. Mid

Good Samaritan Wedman House/Village 30 88.6 83.2 94.0 Above Above Up. Mid

36


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



86.3 85.8

Rosedale at Griesbach 42 87.5 83.3 91.7 Above Above Up. Mid

Shepherd’s Care Vanguard 36 87.4 82.1 92.6 Above Above Up. Mid

Grand Manor 11 86.9 78.4 95.4 Above Above Up. Mid

Emmanuel Home 8 86.7 83.8 89.7 Above Above Up. Mid

CapitalCare Strathcona 50 86.4 82.0 90.9 Above Above Up. Mid

Good Samaritan Spruce Grove Centre 14 86.2 82.5 90.0 Below Above Up. Mid


Riverbend Retirement Residence 15 85.3 76.0 94.6 Below Below Low. Mid.

Country Cottage Seniors Residence 8 85.0 75.4 94.5 Below Below Low. Mid.

Rosedale Estates 17 84.8 77.8 91.7 Below Below Low. Mid.

Summerwood Village Retirement Residence 46 84.5 79.3 89.7 Below Below Low. Mid.


Innovative Housing - Villa Marguerite 96 83.5 80.1 86.9 Below Below Low. Mid.

Saint Thomas Assisted Living Centre 31 82.6 75.5 89.8 Below Below Low. Mid.

Wild Rose Cottage 13 81.7 73.4 90.0 Below Below Lower

CapitalCare Laurier House Lynnwood 56 78.7 75.0 82.5 Below Below Lower

LifeStyle Options Riverbend 8 77.8 68.1 87.4 Below Below Lower

Rutherford Heights Retirement Residence 40 75.7 69.2 82.2 Below Below Lower




North

Respondents

(N) Mean


(N = 6 facilities)


mean



81.6 85.8

Vilna Villa 7 96.9 92.8 100.0† Above Above Upper

Heimstaed Lodge 38 81.3 74.7 87.8 Below Below Lower



Points West Living Grande Prairie 40 77.6 71.9 83.4 Below Below Lower


37


South

Respondents

(N) Mean


(N = 27 facilities)


mean



84.5 85.8


Orchard Manor 13 97.5 94.6 100.0† Above Above Upper

MacLeod Pioneer Lodge 5 94.9 88.1 100.0† Above Above Upper

Good Samaritan Prairie Ridge 15 92.6 88.4 96.9 Above Above Upper


Sunny South Lodge 18 90.6 85.0 96.2 Above Above Upper



Chinook Lodge 5 86.4 79.6 93.1 Above Above Up. Mid

Legacy Lodge 61 85.4 81.8 89.1 Above Below Low. Mid.

Good Samaritan Linden View 46 85.4 80.5 90.3 Above Below Low. Mid.

Good Samaritan West Highlands 58 85.2 80.9 89.5 Above Below Low. Mid.

St. Therese Villa - St. Michaels Health Centre 90 85.1 81.6 88.5 Above Below Low. Mid.

Good Samaritan Park Meadows Village 62 84.1 79.7 88.6 Below Below Low. Mid.

The Wellington Retirement Residence 31 84.0 77.4 90.7 Below Below Low. Mid.

Pleasant View Lodge South 7 83.6 76.6 90.6 Below Below Low. Mid.

Haven of Rest - South Country Village 11 83.2 77.4 89.0 Below Below Low. Mid.

Extendicare Fairmont Park 77 83.2 79.6 86.8 Below Below Low. Mid.

Good Samaritan Garden Vista 14 82.7 73.8 91.6 Below Below Low. Mid.

Cypress View Foundation 17 82.2 71.2 93.2 Below Below Low. Mid.

York Creek Lodge 7 81.2 73.9 88.6 Below Below Lower





Piyami Lodge 11 71.6 62.6 80.6 Below Below Lower

Meadow Lands 4 60.3 38.4 82.2 Below Below Lower


38


7.4 Food Rating Scale13

TheFoodratingiscomprisedofthefollowingquestion:Usinganynumberfrom0to10,where0istheworstfoodpossibleand10isthebestfoodpossible,whatnumberwouldyouusetoratethefoodatthissupportivelivingfacility?

Table10summarizestheFoodRatingScaleforeachfacilitythatparticipatedinthesurvey.FacilitiesarepresentedbymeanscoresontheFoodRatingScaleandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonedimensionsummarymean:Whetherthefacility’saverageFoodRatingScalescoreisaboveorbelowtheaveragefacilityscorefortheassociatedzone.

Beloworaboveprovincialdimensionsummarymean:Whetherthefacility’saverageFoodRatingScalescoreisaboveorbelowtheaveragefacilityratingoftheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovince,ontheFoodRatingScale(seeTable9forabriefdescriptionofthecategories).



Quartiles Range


7.8-10.0

Upper middle


Lower middle



0.0-6.7




Thefacilityresponsemarginoferrorwasequaltoorlessthan10percentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.FormoredetailsonthedeterminationoffacilitysamplereliabilityandalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixF.

13Itisimportanttonotethatresidentsatsupportivelivingfacilitiesarenotlimitedtothemealsservedonsite.Someroomsareequippedwithstovesand/ormicrowavestohelpresidentspreparetheirownmeals.Therefore,therelevanceofsomequestionsmaydifferbyfacility.ThequestionsinthisDimensionwereaskedwithoutcapturingwhethertheseaspectswereapplicable.

39



Table 10: Summary of facility means for Food Rating Scale

Calgary

Respondents

(N) Mean


(N = 13 facilities)


mean



7.2 7.2



Prince of Peace Manor 16 7.8 7.1 8.4 Above Above Up. Mid

Aspen Ridge Lodge 18 7.7 7.2 8.1 Above Above Up. Mid

Eau Claire Retirement Residence 38 7.5 7.0 8.0 Above Above Up. Mid

Carewest Colonel Belcher 19 7.4 6.6 8.2 Above Above Up. Mid


McKenzie Towne Retirement Residence 16 7.3 6.4 8.2 Above Above Up. Mid

Walden Supportive Living Community 49 6.9 6.2 7.6 Below Below Low. Mid.

Scenic Acres Retirement Residence 6 6.8 5.6 8.1 Below Below Low. Mid.

Wentworth Manor/The Residence and The Court 21 6.5 5.5 7.5 Below Below Lower

Whitehorn Village 17 6.4 5.2 7.6 Below Below Lower


Central

Respondents

(N) Mean


(N = 26 facilities)


mean



7.4 7.2

Serenity House 6 9.3 8.5 10.0† Above Above Upper


Islay Assisted Living 10 8.7 7.3 10.0† Above Above Upper


Sunrise Village Olds 9 8.1 6.3 10.0 Above Above Upper



Points West Living Lloydminster 30 7.9 7.3 8.5 Above Above Upper



Chateau Three Hills 7 7.9 7.1 8.6 Above Above Upper

Eckville Manor House 5 7.8 6.1 9.5 Above Above Up. Mid

Sunrise Village Camrose 48 7.6 7.2 8.1 Above Above Up. Mid

40


Central

Respondents

(N) Mean


(N = 26 facilities)


mean



7.4 7.2

Pines Lodge 8 7.4 6.9 7.9 Below Above Up. Mid

Sunrise Village (Ponoka) 11 7.2 6.4 8.0 Below Below Up. Mid

Manor at Royal Oak 26 7.2 6.2 8.1 Below Below Low. Mid.

Good Samaritan Good Shepherd Lutheran Home 33 7.1 6.6 7.5 Below Below Low. Mid.



Points West Living Wainwright 29 6.7 5.6 7.7 Below Below Lower


Bethany Sylvan Lake 12 6.4 5.4 7.4 Below Below Lower

Heritage House 17 6.4 5.2 7.5 Below Below Lower

Bethany Meadows 21 6.2 5.3 7.1 Below Below Lower

Coronation Hospital and Care Centre 8 5.9 4.5 7.2 Below Below Lower


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



7.2 7.2

Country Cottage Seniors Residence 8 8.6 7.6 9.7 Above Above Upper


Shepherd’s Care Greenfield 11 8.3 7.2 9.4 Above Above Upper


Good Samaritan Spruce Grove Centre 14 8.2 7.4 9.0 Above Above Upper



Glastonbury Village 21 7.8 7.2 8.5 Above Above Upper

LifeStyle Options Riverbend 8 7.8 6.8 8.7 Above Above Up. Mid

West Country Hearth 10 7.6 6.7 8.5 Above Above Up. Mid


Summerwood Village Retirement Residence 45 7.5 7.0 8.0 Above Above Up. Mid




41


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



7.2 7.2

Shepherd’s Care Vanguard 33 7.2 6.6 7.9 Above Below Up. Mid

Good Samaritan Wedman House/Village 29 7.2 6.4 7.9 Below Below Low. Mid.



Churchill Retirement Community 18 7.1 6.3 7.8 Below Below Low. Mid.



Garneau Hall 10 6.9 5.9 7.9 Below Below Low. Mid.



Shepherd’s Gardens 22 6.6 5.9 7.3 Below Below Lower

Shepherd’s Care Kensington 21 6.6 5.8 7.3 Below Below Lower

Salvation Army Grace Manor 29 6.5 5.6 7.4 Below Below Lower


Saint Thomas Assisted Living Centre 30 6.4 5.7 7.1 Below Below Lower



Devonshire Manor 24 6.1 5.2 7.0 Below Below Lower



North

Respondents

(N) Mean


(N = 6 facilities)


mean



6.8 7.2


Heimstaed Lodge 37 7.6 7.1 8.2 Above Above Up. Mid

Points West Living Grande Prairie 38 6.9 6.3 7.5 Above Below Low. Mid.

Grande Prairie Care Centre 26 6.7 6.1 7.4 Below Below Low. Mid.



42


South

Respondents

(N) Mean


(N = 27 facilities)


mean



7.2 7.2

Clearview Lodge 9 9.7 9.2 10.0† Above Above Upper


Cypress View Foundation 17 7.9 7.3 8.6 Above Above Upper

The Wellington Retirement Residence 31 7.9 7.3 8.5 Above Above Upper


Meadow Lands 4 7.8 7.3 8.2 Above Above Up. Mid



Piyami Place 6 7.5 5.9 9.1 Above Above Up. Mid

Legacy Lodge 60 7.4 7.0 7.9 Above Above Up. Mid



Good Samaritan Vista Village 34 7.1 6.5 7.6 Below Below Low. Mid.

St. Therese Villa - St. Michaels Health Centre 87 7.1 6.6 7.5 Below Below Low. Mid.

Good Samaritan Garden Vista 13 7.1 6.0 8.2 Below Below Low. Mid.


Haven of Rest - South Country Village 11 7.0 5.9 8.1 Below Below Low. Mid.

Chinook Lodge 5 7.0 5.5 8.5 Below Below Low. Mid.



Columbia Assisted Living 19 6.7 5.9 7.6 Below Below Low. Mid.

York Creek Lodge 7 6.7 5.1 8.4 Below Below Low. Mid.

Good Samaritan Linden View 44 6.7 5.9 7.5 Below Below Low. Mid.

Orchard Manor 13 6.7 5.6 7.8 Below Below Low. Mid.




Note:Categoricaldecisionrulesbasedonthemeanextendbeyondthefirstdecimalplace.Intheeventofatie,facilitiesarepresentedbytheirGlobalOverallCareratingsfromhighesttolowest.

43


7.5 Providing Information and Encouraging Family Involvement Dimension of Care

TheProvidingInformationandEncouragingFamilyInvolvementDimensionofCareiscomprisedofthefollowingquestions(detailedzoneresultsofindividualquestionresponsescanbefoundinAppendixF):

(Q26andQ27)Nursesandaidesgivesfamilymemberinformationaboutresident?

(Q28)Nursesandaidesexplainthingsinanunderstandableway?

(Q29)Nursesandaidesdiscouragerespondentquestions?

(Q42)Respondentstopsselffromcomplaining?

(Q44andQ45)Respondentinvolvedindecisionsaboutcare?

(Q58andQ59)Respondentgiveninfoaboutpaymentsandexpensesassoonastheywanted?

Table12summarizestheProvidingInformationandEncouragingFamilyInvolvementDimensionofCareforfacilitiesthatparticipatedinthesurvey.FacilitiesarepresentedbymeanscoresonProvidingInformationandEncouragingFamilyInvolvementandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonedimensionsummarymean:Whetherthefacility’saverageProvidingInformationandEncouragingFamilyInvolvementscoreisaboveorbelowtheaveragefacilityscorefortheassociatedzone.

Beloworaboveprovincialdimensionsummarymean:Whetherthefacility’saverageProvidingInformationandEncouragingFamilyInvolvementscoreisaboveorbelowtheaveragefacilityratingfortheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovincebasedontheProvidingInformationandEncouragingFamilyInvolvementDimensionofCare(seeTable11foradescriptionofthecategories).



Quartiles Range


89.1-100.0

Upper middle


Lower middle



0.0-80.7


44






Table 12: Summary of facility means for Providing Information and Encouraging Family Involvement

Calgary

Respondents

(N) Mean


(N = 13 facilities)


mean



84.2 84.6


McKenzie Towne Retirement Residence 17 90.0 85.2 94.8 Above Above Upper



Aspen Ridge Lodge 19 86.9 82.7 91.0 Above Above Up. Mid

Eau Claire Retirement Residence 40 85.3 81.1 89.5 Above Above Up. Mid

Walden Supportive Living Community 50 84.0 80.7 87.2 Below Below Up. Mid

Silver Willow Lodge 26 83.2 78.5 87.9 Below Below Low. Mid.

Prince of Peace Manor 18 82.2 76.2 88.2 Below Below Low. Mid.

Wentworth Manor/The Residence and The Court 23 80.9 76.8 85.0 Below Below Low. Mid.


Carewest Colonel Belcher 19 77.5 72.9 82.0 Below Below Lower

Scenic Acres Retirement Residence 6 74.4 63.3 85.5 Below Below Lower

Central

Respondents

(N) Mean


(26 facilities)


mean

(107 facilities)


87.1 84.6




Sunrise Village (Ponoka) 11 94.8 92.2 97.4 Above Above Upper



45


Central

Respondents

(N) Mean


(26 facilities)


mean

(107 facilities)


87.1 84.6

Chateau Three Hills 8 91.5 85.5 97.5 Above Above Upper




Serenity House 6 88.8 86.1 91.4 Above Above Up. Mid

Bethany Sylvan Lake 12 87.7 81.4 94.1 Above Above Up. Mid

Good Samaritan Good Shepherd Lutheran Home 34 87.6 83.9 91.3 Above Above Up. Mid

Bethany Meadows 21 86.6 82.0 91.3 Below Above Up. Mid

Manor at Royal Oak 27 85.1 80.8 89.4 Below Above Up. Mid

Sunrise Village Olds 9 84.4 80.1 88.8 Below Below Up. Mid

Sunrise Village Camrose 52 84.3 80.8 87.8 Below Below Up. Mid

Coronation Hospital and Care Centre 8 83.9 77.3 90.5 Below Below Low. Mid.

Heritage House 18 83.1 76.9 89.4 Below Below Low. Mid.

Points West Living Lloydminster 33 82.9 79.0 86.9 Below Below Low. Mid.



Extendicare Michener Hill 40 81.4 76.4 86.4 Below Below Low. Mid.


Eckville Manor House 5 79.4 72.8 86.0 Below Below Lower


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



83.9 84.6

Shepherd’s Care Greenfield 11 95.5 90.0 100.0† Above Above Upper







Shepherd’s Care Kensington 21 88.3 84.5 92.1 Above Above Up. Mid



46


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



83.9 84.6

Good Samaritan Wedman House/Village 30 86.9 83.1 90.7 Above Above Up. Mid

Shepherd’s Care Vanguard 37 86.8 83.0 90.6 Above Above Up. Mid


West Country Hearth 10 85.0 79.3 90.6 Above Above Up. Mid


CapitalCare Strathcona 50 84.5 81.8 87.2 Above Below Up. Mid

Rosedale Estates 17 84.5 77.1 91.9 Above Below Up. Mid

CapitalCare Laurier House Lynnwood 56 84.1 80.7 87.5 Above Below Up. Mid


Rosedale St. Albert 40 83.2 79.4 87.0 Below Below Low. Mid.




Devonshire Manor 24 81.9 78.1 85.7 Below Below Low. Mid.




Saint Thomas Assisted Living Centre 31 79.9 75.1 84.8 Below Below Lower


Wild Rose Cottage 13 77.0 69.2 84.8 Below Below Lower

Garneau Hall 10 76.9 69.6 84.2 Below Below Lower




LifeStyle Options Riverbend 8 69.6 64.4 74.7 Below Below Lower

North

Respondents

(N) Mean


(N = 6 facilities)


mean



78.4 84.6

Vilna Villa 7 83.4 79.9 86.9 Above Below Low. Mid.

Manoir du Lac 15 80.7 73.6 87.9 Above Below Lower

Heimstaed Lodge 39 79.5 74.4 84.6 Above Below Lower

47


North

Respondents

(N) Mean


(N = 6 facilities)


mean



78.4 84.6

Points West Living Grande Prairie 40 79.0 74.4 83.6 Above Below Lower



South

Respondents

(N) Mean


(N = 27 facilities)


mean



84.8 84.6


Chinook Lodge 5 97.9 94.8 100.0† Above Above Upper


Leisure Way 7 94.4 88.3 100.0† Above Above Upper

Haven of Rest - South Country Village 11 94.0 90.6 97.5 Above Above Upper

Piyami Lodge 11 90.0 84.3 95.7 Above Above Upper

Good Samaritan Vista Village 35 89.3 84.7 93.9 Above Above Upper

Good Samaritan Linden View 46 86.5 83.0 90.0 Above Above Up. Mid

York Creek Lodge 7 86.5 82.6 90.3 Above Above Up. Mid





Pleasant View Lodge South 7 82.9 74.5 91.4 Below Below Low. Mid.

Cypress View Foundation 17 82.7 77.8 87.5 Below Below Low. Mid.

Columbia Assisted Living 19 82.1 76.8 87.5 Below Below Low. Mid.



Golden Acres Lodge 14 81.7 77.1 86.4 Below Below Low. Mid.

St. Therese Villa - St. Michaels Health Centre 91 80.2 76.6 83.7 Below Below Lower

The Wellington Retirement Residence 31 79.9 75.5 84.4 Below Below Lower


Good Samaritan Garden Vista 14 79.2 71.1 87.4 Below Below Lower






48


7.6 Meeting Basic Needs Dimension of Care

TheMeetingBasicNeedsDimensionofCareiscomprisedofthefollowingquestions(detailedzoneresultsofindividualquestionresponsescanbefoundinAppendixF):

(Q16andQ17)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwitheating?

(Q18andQ19)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithdrinking?

(Q20andQ21)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithtoileting?

Table14summarizestheMeetingBasicNeedsDimensionofCareforfacilitiesthatparticipatedinthesurvey.FacilitiesarepresentedbymeanscoresonMeetingBasicNeedsandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.Tobetteraidintheinterpretationofthefindings,thefollowingfeatureshavebeenincludedinthetable:

Beloworabovezonedimensionsummarymean:Whetherthefacility’saverageMeetingBasicNeedsscoreisaboveorbelowtheaveragefacilityscorefortheassociatedzone.

Beloworaboveprovincialdimensionsummarymean:Whetherthefacility’saverageMeetingBasicNeedsscoreisaboveorbelowtheaveragefacilityratingfortheprovince.

Quartile:Specifiesthefacility’squartilegroupingrelativetoallfacilitiesintheprovincebasedontheMeetingBasicNeedsDimensionofCare(seeTable13foradescriptionofthecategories).



Quartiles Range


99.3-100.0

Upper middle


Lower middle



0.0-93.7




Thefacilityresponsemarginoferrorwasequaltoorlessthan10percentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.Formoredetailsonthe

49


determinationoffacilitysamplereliabilityandforalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixF.


Table 14: Summary of facility means for Meeting Basic Needs

Calgary

Respondents

(N) Mean


(N = 13 facilities)


mean



97.5 95.8



Wentworth Manor/The Residence and The Court 23 99.1 97.4 100.0† Above Above Up. Mid

Aspen Ridge Lodge 19 99.0 96.9 100.0† Above Above Up. Mid

Prince of Peace Manor 18 98.9 96.7 100.0† Above Above Up. Mid

Monterey Place 55 97.0 93.7 100.0† Below Above Low. Mid.

Carewest Colonel Belcher 19 96.9 92.4 100.0† Below Above Low. Mid.

Scenic Acres Retirement Residence 6 96.7 90.2 100.0† Below Above Low. Mid.

McKenzie Towne Retirement Residence 17 96.5 91.5 100.0† Below Above Low. Mid.

Silver Willow Lodge 26 96.1 92.4 99.9 Below Above Low. Mid.

Eau Claire Retirement Residence 40 95.9 90.5 100.0† Below Above Low. Mid.

Sagewood Supportive Living 33 95.7 90.6 100.0† Below Below Low. Mid.

Walden Supportive Living Community 50 95.5 92.0 99.1 Below Below Low. Mid.

Central

Respondents

(N) Mean


(N = 26 facilities)


mean



96.5 95.8

Serenity House 6 100.0 100.0 100.0 Above Above Upper



Providence Place 5 100.0 100.0 100.0 Above Above Upper





Coronation Hospital and Care Centre 8 100.0 100.0 100.0 Above Above Upper

Manor at Royal Oak 27 99.3 97.8 100.0† Above Above Up. Mid

50


Central

Respondents

(N) Mean


(N = 26 facilities)


mean



96.5 95.8

Heritage House 18 98.9 96.7 100.0† Above Above Up. Mid

Bethany Sylvan Lake 12 98.3 95.1 100.0† Above Above Up. Mid

West Park Lodge 21 98.1 95.6 100.0† Above Above Up. Mid

Hillview Lodge 19 97.9 93.7 100.0† Above Above Up. Mid

Sunrise Village Olds 9 97.8 93.5 100.0† Above Above Up. Mid


34 97.6 94.4 100.0† Above Above Up. Mid

Points West Living Lloydminster 33 97.6 93.9 100.0† Above Above Up. Mid

Bethany Meadows 21 96.2 91.9 100.0† Below Above Low. Mid.


Chateau Three Hills 8 95.0 85.3 100.0† Below Below Low. Mid.

Points West Living Century Park 24 95.0 86.8 100.0† Below Below Low. Mid.

Sunset Manor 64 93.7 88.6 98.8 Below Below Lower

Sunrise Village (Ponoka) 11 90.9 73.1 100.0† Below Below Lower




Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



96.1 95.8




Shepherd’s Care Greenfield 11 100.0 100.0 100.0 Above Above Upper

Shepherd’s Gardens 23 100.0 100.0 100.0 Above Above Upper


Rosedale Estates 17 100.0 100.0 100.0 Above Above Upper

Grand Manor 11 100.0 100.0 100.0 Above Above Upper

LifeStyle Options Terra Losa 18 98.9 96.7 100.0† Above Above Up. Mid

Place Beausejour 16 98.8 96.3 100.0† Above Above Up. Mid

Citadel Mews West 29 98.6 96.8 100.0† Above Above Up. Mid

Good Samaritan Wedman House/Village 30 98.6 96.8 100.0† Above Above Up. Mid

Wild Rose Cottage 13 98.5 95.5 100.0† Above Above Up. Mid

51


Edmonton

Respondents

(N) Mean


(N = 35 facilities)


mean



96.1 95.8

Shepherd’s Care Vanguard 37 98.4 96.6 100.0† Above Above Up. Mid

Devonshire Manor 24 98.3 96.1 100.0† Above Above Up. Mid

Shepherd’s Care Kensington 22 98.2 94.6 100.0† Above Above Up. Mid

Rosedale at Griesbach 42 98.1 95.9 100.0† Above Above Up. Mid

Saint Thomas Assisted Living Centre 31 98.1 95.3 100.0† Above Above Up. Mid

Innovative Housing - Villa Marguerite 98 97.3 94.5 100.0† Above Above Up. Mid

Rosedale St. Albert 40 97.0 94.0 100.0 Above Above Low. Mid.

Glastonbury Village 23 96.4 91.7 100.0† Above Above Low. Mid.

LifeStyle Options Leduc 31 96.0 90.7 100.0† Below Above Low. Mid.

Garneau Hall 10 96.0 88.2 100.0† Below Above Low. Mid.


Tuoi Hac - Golden Age Manor 32 95.0 89.2 100.0† Below Below Low. Mid.


Riverbend Retirement Residence 15 94.7 84.2 100.0† Below Below Low. Mid.

West Country Hearth 10 94.0 85.7 100.0† Below Below Low. Mid.

LifeStyle Options Riverbend 8 91.8 81.8 100.0† Below Below Lower


Salvation Army Grace Manor 30 91.0 81.5 100.0† Below Below Lower


Churchill Retirement Community 19 88.4 74.3 100.0† Below Below Lower



North

Respondents

(N) Mean


(N = 6 facilities)


mean



91.8 95.8


Manoir du Lac 15 98.7 96.1 100.0† Above Above Up. Mid

Mountain View Centre 20 93.9 84.0 100.0† Above Below Low. Mid.

Points West Living Grande Prairie 40 93.2 87.3 99.0 Above Below Lower

Heimstaed Lodge 39 90.7 83.5 97.9 Below Below Lower


52


South

Respondents

(N) Mean


(N = 27 facilities)


mean



94.7 95.8

Chinook Lodge 5 100.0 100.0 100.0 Above Above Upper



MacLeod Pioneer Lodge 5 100.0 100.0 100.0 Above Above Upper

Piyami Lodge 11 100.0 100.0 100.0 Above Above Upper

Meadow Lands 4 100.0 100.0 100.0 Above Above Upper

Golden Acres Lodge 14 98.6 95.8 100.0† Above Above Up. Mid

Haven of Rest - South Country Village 11 98.2 94.7 100.0† Above Above Up. Mid

Clearview Lodge 9 97.8 93.5 100.0† Above Above Up. Mid

York Creek Lodge 7 97.2 91.6 100.0† Above Above Up. Mid

Good Samaritan Vista Village 35 97.0 92.4 100.0† Above Above Low. Mid.

Piyami Place 6 96.7 90.2 100.0† Above Above Low. Mid.

Good Samaritan West Highlands 58 95.3 91.7 98.9 Above Below Low. Mid.

Good Samaritan Lee Crest 37 95.0 90.9 99.1 Above Below Low. Mid.

The Wellington Retirement Residence 31 94.8 88.3 100.0† Above Below Low. Mid.

Good Samaritan Prairie Ridge 15 93.4 87.2 99.6 Below Below Lower

Sunny South Lodge 18 93.3 85.6 100.0† Below Below Lower

Cypress View Foundation 17 93.0 81.3 100.0† Below Below Lower



Leisure Way 7 91.5 79.9 100.0† Below Below Lower

Good Samaritan Park Meadows Village 62 91.5 85.9 97.0 Below Below Lower



Columbia Assisted Living 19 89.2 78.3 100.0† Below Below Lower

Good Samaritan Garden Vista 14 88.1 75.8 100.0† Below Below Lower




53

ADDITIONAL CARE QUESTIONS

8.0 ADDITIONAL CARE QUESTIONS

ThefollowingquestionswerenotincludedinthecalculationsoftheDimensionsofCare.Nonetheless,theyprovideimportantinformationonthecareandservicesprovidedbysupportivelivingfacilitiesintheprovince.Thesequestionsassesstheacceptabilityofthequalityandcostofclinicalcareprovidedatsupportivelivingfacilities.Theadditionalcarequestionsare:

(Q25)Inthelastsixmonths,howoftendidthenursesandaidestreatyou[therespondent]withcourtesyandrespect?

(Q30)Inthelastsixmonths,howoftenisyourfamilymembercaredforbythesameteamofstaff?

(Q32)Inthelastsixmonths,howoftenwasthenoiselevelaroundyourfamilymember'sroomacceptabletoyou?

(Q33)Inthelastsixmonths,howoftenwereyouabletofindplacestotalktoyourfamilymemberinprivate?

(Q35)Inthelastsixmonths,didyoueverseethenursesandaidesfailtoprotectanyresident'sprivacywhiletheresidentwasdressing,showering,bathing,orinapublicarea?

(Q39)Atanytimeduringthelastsixmonths,wereyoueverunhappywiththecareyourfamilymemberreceivedatthesupportivelivingfacility?

(Q41)Howoftenwereyousatisfiedwiththewaythesupportivelivingfacilitystaffhandledtheseproblems?

(Q43)Inyouropinion,istheoverallcostoflivingatthisfacilityreasonable?

(Q46)Inthelast12months,haveyoubeenpartofacareconference,eitherinpersonorbyphone?

(Q47)Amongthosewhodidnotparticipateinacareconference(Question46),wereyougiventheopportunitytobepartofacareconferenceinthelast12monthseitherinpersonorbyphone?

(Q51)Inthelastsixmonths,didyouhelpwiththecareofyourfamilymemberwhenyouvisited?

(Q52)Doyoufeelthatsupportivelivingfacilitystaffexpectsyoutohelpwiththecareofyourfamilymemberwhenyouvisit?

(Q54)Inthelastsixmonths,howoftendidyourfamilymemberreceiveallofthemedicalservicesandtreatmentstheyneeded?

(Q55)Inthelastsixmonths,howoftendidyouhaveconcernsaboutyourfamilymember'smedication?

(Q57)Inthelastsixmonths,howoftenwereyourconcernsaboutyourfamilymember’smedicationresolved?

54

ADDITIONAL CARE QUESTIONS

Table15summarizestheabovequestionsforeachfacilitythatparticipatedinthesurvey.Facilitiesaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.TheresultsaresortedbyGlobalOverallCareratingfromhighesttolowest.Foreaseofinterpretation,responseswerecollapsedintotwocategoriesandTable15presentstheresultsforoneoftheseresponsecategories.14



Thefacilityresponsemarginoferrorwasequaltoorlessthan10pecentand/orthefacilityhadaresponserateofover50percentamongeligiblerespondents.FormoredetailsonthedeterminationoffacilitysamplereliabilityandalistoffacilityresponseratesandsamplemarginoferrorsseeAppendixF.

Thefollowingtableincludesonlyfacilitieswhichmettheinclusioncriteria(N=107facilities).

14Thefourresponseoptionsforquestions25,30,32,33,41,54,55,and57wereAlways,Usually,Sometimes,Never,whichweresubsequentlycollapsedinto%Always/Usuallyand%Sometimes/Never.Responseoptionsforquestions35,39,46,47,51,and52wereYes/No.Theresponseoptionsforquestion43wereYes,No,Dont’know,andNotapplicable,whichweresubsequentlycollapsedinto%Yesand%No/Don’tknow/Notapplicable.Theunreportedresponsecategorycanbedeterminedbysubtractingthereportedresultfrom100.Fordetailsonallresponseoptions,seeAppendixF.

55

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Tab

le 1

5: A

dditi

onal

que

stio

ns

Cal

gar

y

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Mill

rise

Pla

ce

18

10

0.0

18

10

0.0

18

10

0.0

18

10

0.0

17

94

.1

18

88

.9

2

10

0.0

18

88

.9

Pri

nce

of

Pea

ce M

an

or

18

10

0.0

18

77

.8

18

94

.4

18

10

0.0

18

10

0.0

17

88

.2

2

0.0

1

8 7

7.8

Asp

en R

idg

e Lo

dge

19

10

0.0

18

77

.8

19

94

.7

18

10

0.0

18

10

0.0

19

78

.9

3

66

.7

19

89

.5

Whi

teh

orn

Vill

age

18

10

0.0

15

93

.3

18

10

0.0

18

10

0.0

16

10

0.0

18

10

0.0

0

--

18

72

.2

Wal

den

Su

ppo

rtiv

e

Livi

ng C

om

mun

ity

50

10

0.0

46

76

.1

49

95

.9

49

98

.0

47

10

0.0

50

74

.0

11

45

.5

46

69

.6

Silv

er

Will

ow

Lo

dge

2

6 1

00.

0 2

4 8

3.3

2

5 1

00.

0 2

5 9

2.0

2

4 1

00.

0 2

6 7

6.9

4

5

0.0

2

6 7

6.9

McK

en

zie

To

wn

e

Re

tire

me

nt R

esid

en

ce

17

10

0.0

17

82

.4

16

93

.8

17

94

.1

17

94

.1

17

82

.4

3

66

.7

17

76

.5

Ca

rew

est

Co

lon

el

Be

lche

r 1

9 1

00.

0 1

7 1

00.

0 1

9 9

4.7

1

9 1

00.

0 1

8 1

00.

0 1

9 8

4.2

2

0

.0

19

73

.7

Ea

u C

lair

e R

etir

eme

nt

Re

side

nce

40

10

0.0

36

86

.1

40

10

0.0

40

10

0.0

40

10

0.0

40

72

.5

11

63

.6

38

73

.7

Sa

ge

wo

od

Su

ppor

tive

L

ivin

g

33

97

.0

32

84

.4

32

10

0.0

33

10

0.0

32

96

.9

33

75

.8

7

71

.4

33

66

.7

Wen

two

rth

Man

or/T

he

R

esi

denc

e an

d T

he

Co

urt

2

3 1

00.

0 2

0 7

5.0

2

3 1

00.

0 2

2 9

5.5

2

3 9

5.7

2

2 5

4.5

1

0 8

0.0

2

3 7

8.3

Sce

nic

Acr

es

Re

tire

me

nt R

esid

en

ce

6

10

0.0

6

66

.7

6

83

.3

5

10

0.0

5

80

.0

6

50

.0

3

33

.3

6

50

.0

Mo

nte

rey

Pla

ce

54

10

0.0

51

66

.7

55

92

.7

54

98

.1

50

98

.0

52

51

.9

25

56

.0

51

66

.7

56

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Cen

tral

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Se

reni

ty H

ou

se

6

10

0.0

6

83

.3

6

10

0.0

6

10

0.0

6

10

0.0

6

83

.3

1

10

0.0

5

10

0.0

Isla

y A

ssis

ted

Liv

ing

1

0 1

00.

0 1

0 1

00.

0 1

0 1

00.

0 9

1

00.

0 1

0 1

00.

0 1

0 1

00.

0 0

--

1

0 7

0.0

Su

nris

e V

illag

e W

etas

kiw

in

7

10

0.0

7

10

0.0

7

10

0.0

7

10

0.0

7

10

0.0

7

85

.7

1

10

0.0

7

57

.1

Pro

vid

en

ce P

lace

5

1

00.

0 5

1

00.

0 5

8

0.0

5

1

00.

0 4

7

5.0

5

8

0.0

1

1

00.

0 5

8

0.0

Wes

t Pa

rk L

odg

e 2

1 1

00.

0 1

9 9

4.7

2

1 1

00.

0 2

1 1

00.

0 2

0 1

00.

0 2

1 9

5.2

1

1

00.

0 2

1 9

5.2

Ve

rmill

ion

Va

lley

Lo

dge

15

10

0.0

15

10

0.0

15

10

0.0

15

93

.3

15

10

0.0

15

73

.3

3

10

0.0

14

92

.9

Fa

ith H

ous

e 1

3 1

00.

0 1

1 1

00.

0 1

3 1

00.

0 1

3 1

00.

0 1

3 1

00.

0 1

2 1

00.

0 0

--

1

2 7

5.0

Eck

ville

Man

or

Hou

se

5

10

0.0

4

10

0.0

5

10

0.0

5

10

0.0

5

10

0.0

5

10

0.0

0

--

4

10

0.0

Hill

vie

w L

odg

e 1

9 1

00.

0 1

7 1

00.

0 1

9 9

4.7

1

9 1

00.

0 1

9 1

00.

0 1

9 8

9.5

2

1

00.

0 1

7 8

2.4

Su

nris

e V

illag

e O

lds

9

10

0.0

8

10

0.0

9

10

0.0

9

10

0.0

9

10

0.0

9

88

.9

1

0.0

9

5

5.6

Po

ints

Wes

t Liv

ing

L

loyd

min

ste

r 3

2 1

00.

0 3

2 9

6.9

3

2 1

00.

0 3

2 1

00.

0 3

2 9

6.9

3

2 8

1.3

5

4

0.0

3

0 7

6.7

Su

nris

e V

illag

e (P

on

oka)

1

1 1

00.

0 1

0 1

00.

0 1

1 1

00.

0 1

1 9

0.9

1

0 1

00.

0 1

1 1

00.

0 0

--

1

0 9

0.0

Pin

es

Lodg

e 8

1

00.

0 8

1

00.

0 8

1

00.

0 8

1

00.

0 8

1

00.

0 8

7

5.0

1

1

00.

0 8

8

7.5

Be

than

y M

ea

do

ws

21

10

0.0

18

83

.3

20

10

0.0

20

10

0.0

19

10

0.0

20

85

.0

3

33

.3

17

52

.9

Po

ints

Wes

t Liv

ing

C

en

tury

Pa

rk

24

10

0.0

22

90

.9

23

10

0.0

23

10

0.0

23

10

0.0

24

75

.0

5

60

.0

23

52

.2

Ma

nor

at

Ro

yal O

ak

27

10

0.0

25

80

.0

27

10

0.0

27

10

0.0

26

10

0.0

25

64

.0

9

66

.7

25

84

.0

Co

ron

atio

n H

osp

ital a

nd

Ca

re C

en

tre

8

10

0.0

8

10

0.0

8

87

.5

8

10

0.0

8

10

0.0

8

10

0.0

0

--

8

62

.5

He

rita

ge H

ouse

1

8 1

00.

0 1

6 8

1.3

1

8 1

00.

0 1

7 1

00.

0 1

7 1

00.

0 1

8 6

6.7

5

2

0.0

1

6 4

3.8

Be

than

y S

ylva

n L

ake

1

2 1

00.

0 1

0 8

0.0

1

2 1

00.

0 1

2 1

00.

0 1

2 1

00.

0 1

2 1

00.

0 0

--

1

2 7

5.0

57

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Cen

tral

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Su

nse

t M

anor

6

4 1

00.

0 5

6 7

8.6

6

5 9

8.5

6

5 9

8.5

6

3 9

5.2

6

2 8

0.6

1

0 7

0.0

6

3 6

0.3

Go

od

Sa

ma

ritan

Go

od

S

he

phe

rd L

uth

eran

H

om

e 3

3 9

7.0

3

1 7

1.0

3

3 1

00.

0 3

2 1

00.

0 3

2 1

00.

0 3

3 7

2.7

8

6

2.5

3

0 6

3.3

Po

ints

Wes

t Liv

ing

W

ain

wri

ght

33

93

.9

31

83

.9

33

10

0.0

32

96

.9

31

96

.8

32

68

.8

9

22

.2

32

53

.1

Su

nris

e V

illag

e C

am

rose

5

2 1

00.

0 4

6 6

0.9

5

2 9

8.1

5

2 9

8.1

5

2 9

8.1

5

2 5

3.8

2

1 5

7.1

4

9 6

7.3

Ext

en

dic

are

Mic

hen

er

Hill

4

0 9

2.5

3

9 6

9.2

4

0 9

2.5

3

9 9

4.9

3

9 9

4.9

3

9 5

3.8

1

6 4

3.8

4

0 6

5.0

Ch

ate

au

Th

ree

Hill

s 8

1

00.

0 7

7

1.4

8

1

00.

0 8

1

00.

0 7

1

00.

0 8

6

2.5

2

5

0.0

6

3

3.3

Cle

arw

ate

r C

entr

e 1

3 9

2.3

1

3 4

6.2

1

3 1

00.

0 1

3 1

00.

0 1

3 9

2.3

1

3 3

8.5

8

1

2.5

1

2 5

0.0

Ed

mo

nto

n

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Wes

t Co

untr

y H

ear

th

10

10

0.0

10

80

.0

10

10

0.0

10

10

0.0

10

10

0.0

10

80

.0

2

10

0.0

10

80

.0

Co

un

try

Co

tta

ge

Se

nio

rs R

esi

den

ce

8

10

0.0

8

10

0.0

8

10

0.0

8

10

0.0

7

10

0.0

8

87

.5

0

--

7

42

.9

Go

od

Sa

ma

ritan

G

eo

rge

He

nnig

Pla

ce

15

10

0.0

15

10

0.0

15

10

0.0

15

10

0.0

15

10

0.0

15

93

.3

1

0.0

1

3 6

9.2

Pla

ce B

eau

sejo

ur

16

10

0.0

16

81

.3

16

10

0.0

16

10

0.0

16

10

0.0

16

87

.5

2

10

0.0

16

10

0.0

Em

ma

nu

el H

om

e 8

1

00.

0 7

1

00.

0 8

1

00.

0 8

1

00.

0 7

8

5.7

8

8

7.5

1

1

00.

0 8

7

5.0

58

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Ed

mo

nto

n

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Life

Sty

le O

ptio

ns

Te

rra

Lo

sa

18

10

0.0

16

10

0.0

18

10

0.0

18

10

0.0

18

10

0.0

17

94

.1

1

10

0.0

17

82

.4

Sh

eph

erd

’s C

are

G

reen

field

1

1 1

00.

0 1

1 1

00.

0 1

1 1

00.

0 1

1 9

0.9

1

1 1

00.

0 1

1 9

0.9

1

1

00.

0 1

0 8

0.0

Cita

del M

ew

s W

est

29

96

.6

29

82

.8

29

96

.6

29

10

0.0

28

10

0.0

29

79

.3

4

10

0.0

29

48

.3

Sh

eph

erd

’s G

arde

ns

23

10

0.0

22

95

.5

23

10

0.0

23

95

.7

23

10

0.0

23

87

.0

3

66

.7

23

56

.5

Ro

sed

ale

St.

Alb

ert

40

10

0.0

40

97

.5

40

10

0.0

40

10

0.0

39

97

.4

39

84

.6

6

66

.7

39

76

.9

Go

od

Sa

ma

ritan

Sp

ruce

G

rove

Ce

ntr

e 1

4 1

00.

0 1

4 1

00.

0 1

4 1

00.

0 1

4 1

00.

0 1

4 1

00.

0 1

4 7

8.6

2

5

0.0

1

3 7

6.9

Ro

sed

ale

Est

ate

s 1

7 1

00.

0 1

6 9

3.8

1

7 1

00.

0 1

7 1

00.

0 1

7 1

00.

0 1

7 8

8.2

2

5

0.0

1

6 5

0.0

Gla

sto

nbur

y V

illag

e

23

95

.7

19

94

.7

23

10

0.0

23

10

0.0

23

10

0.0

22

59

.1

6

83

.3

23

65

.2

Go

od

Sa

ma

ritan

W

edm

an H

ouse

/Vill

age

30

10

0.0

27

85

.2

30

96

.7

30

10

0.0

29

96

.6

30

76

.7

7

42

.9

30

70

.0

Sh

eph

erd

’s C

are

K

en

sin

gton

2

1 1

00.

0 2

1 8

1.0

2

1 1

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3

1

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1.4

De

von

shire

Man

or

24

10

0.0

23

78

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24

10

0.0

24

10

0.0

24

95

.8

24

70

.8

4

75

.0

23

56

.5

Life

Sty

le O

ptio

ns

Riv

erb

end

7

10

0.0

8

75

.0

8

10

0.0

8

10

0.0

8

75

.0

8

75

.0

2

0.0

8

3

7.5

Asp

en H

ouse

4

0 9

5.0

3

9 8

4.6

4

1 1

00.

0 4

1 1

00.

0 4

1 9

7.6

3

9 7

4.4

8

5

0.0

4

0 9

7.5

Wild

Ros

e C

otta

ge

13

10

0.0

13

92

.3

13

92

.3

12

10

0.0

13

10

0.0

13

61

.5

4

50

.0

12

50

.0

Sh

eph

erd

’s C

are

V

an

gua

rd

37

97

.3

35

88

.6

36

94

.4

36

10

0.0

33

10

0.0

36

80

.6

6

33

.3

36

72

.2

Life

Sty

le O

ptio

ns

Le

duc

30

96

.7

30

90

.0

31

93

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30

96

.7

30

96

.7

30

73

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8

62

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30

83

.3

Gra

nd M

anor

1

1 1

00.

0 1

1 9

0.9

1

1 1

00.

0 1

1 1

00.

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1 1

00.

0 1

1 5

4.5

5

1

00.

0 1

1 5

4.5

Ca

pita

lCar

e L

aurie

r H

ou

se L

ynn

wo

od

56

10

0.0

54

61

.1

56

10

0.0

56

10

0.0

54

96

.3

55

40

.0

27

70

.4

53

81

.1

Ro

sed

ale

at

Grie

sba

ch

42

10

0.0

38

89

.5

42

97

.6

42

10

0.0

41

10

0.0

42

69

.0

11

72

.7

42

57

.1

Ca

pita

lCar

e S

tra

thco

na

50

98

.0

49

65

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50

98

.0

49

98

.0

47

97

.9

49

57

.1

18

55

.6

49

81

.6

59

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Ed

mo

nto

n

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Sa

lva

tion

Arm

y G

race

M

an

or

31

93

.5

26

84

.6

31

90

.3

31

93

.5

29

96

.6

31

77

.4

7

57

.1

31

74

.2

Ga

rne

au H

all

10

10

0.0

10

60

.0

10

10

0.0

10

90

.0

10

10

0.0

10

90

.0

1

0.0

1

0 7

0.0

Sa

int

Th

om

as A

ssis

ted

L

ivin

g C

ent

re

31

96

.8

28

89

.3

31

96

.8

30

93

.3

31

10

0.0

30

66

.7

8

62

.5

30

66

.7

Inno

vativ

e H

ou

sing

-

Vill

a M

argu

erite

9

3 9

7.8

8

4 7

2.6

9

5 9

6.8

9

6 9

7.9

9

3 9

8.9

9

6 7

0.8

2

5 5

6.0

9

4 6

0.6

Tu

oi H

ac -

Go

lden

Ag

e

Ma

nor

3

0 9

0.0

3

0 6

6.7

3

2 8

7.5

3

2 1

00.

0 3

1 9

6.8

3

1 6

7.7

1

0 5

0.0

3

0 5

0.0

Su

mm

erw

oo

d V

illa

ge

Re

tire

me

nt R

esid

en

ce

46

97

.8

45

71

.1

46

10

0.0

45

97

.8

45

97

.8

45

53

.3

21

42

.9

43

62

.8

Ru

ther

ford

He

igh

ts

Re

tire

me

nt R

esid

en

ce

38

94

.7

38

84

.2

39

92

.3

40

97

.5

40

95

.0

40

45

.0

18

50

.0

40

62

.5

Bal

win

Vill

a 3

0 9

6.7

2

9 5

5.2

3

0 1

00.

0 3

0 9

6.7

3

0 9

6.7

3

0 6

0.0

1

2 4

1.7

3

0 3

6.7

Riv

erb

end

Re

tirem

en

t R

esi

denc

e 1

5 9

3.3

1

3 8

4.6

1

6 8

7.5

1

6 1

00.

0 1

6 8

7.5

1

6 6

2.5

6

3

3.3

1

4 6

4.3

Ch

urc

hill

Ret

irem

en

t C

om

mun

ity

19

94

.7

18

77

.8

19

94

.7

19

94

.7

19

10

0.0

19

42

.1

11

18

.2

19

84

.2

No

rth

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Viln

a V

illa

7

10

0.0

7

85

.7

7

10

0.0

7

10

0.0

7

10

0.0

7

10

0.0

0

--

6

10

0.0

He

imst

aed

Lo

dge

37

97

.3

36

77

.8

38

94

.7

35

97

.1

38

97

.4

36

72

.2

8

37

.5

34

47

.1

60

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

No

rth

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Ma

noi

r d

u L

ac

15

93

.3

13

69

.2

15

86

.7

15

10

0.0

15

93

.3

13

76

.9

2

50

.0

13

53

.8

Po

ints

Wes

t Liv

ing

G

rand

e P

rairi

e 4

0 9

7.5

3

9 9

2.3

4

0 9

5.0

3

9 1

00.

0 4

0 9

7.5

3

8 5

0.0

1

7 4

1.2

3

8 5

5.3

Mo

unt

ain

Vie

w C

entr

e 2

0 9

5.0

1

9 6

8.4

1

9 9

4.7

1

9 1

00.

0 1

9 9

4.7

1

9 4

2.1

1

0 3

0.0

1

9 4

7.4

Gra

nde

Pra

irie

Car

e

Ce

ntr

e 2

6 1

00.

0 2

5 3

6.0

2

5 9

2.0

2

5 9

6.0

2

4 7

9.2

2

5 4

8.0

1

2 2

5.0

2

3 5

2.2

So

uth

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Cle

arv

iew

Lo

dge

9

1

00.

0 9

8

8.9

9

8

8.9

9

1

00.

0 9

1

00.

0 9

1

00.

0 0

--

9

1

00.

0

Ha

ven

of

Res

t - S

ou

th

Co

un

try

Vill

ag

e 1

1 1

00.

0 1

0 9

0.0

1

1 9

0.9

1

1 1

00.

0 1

1 9

0.9

1

1 9

0.9

1

1

00.

0 1

1 8

1.8

Ch

inoo

k Lo

dge

5

10

0.0

5

10

0.0

5

10

0.0

5

10

0.0

5

10

0.0

5

80

.0

1

10

0.0

5

60

.0

Orc

hard

Man

or

13

10

0.0

13

10

0.0

13

10

0.0

13

10

0.0

13

10

0.0

13

10

0.0

0

--

13

92

.3

Ple

asa

nt V

iew

Lod

ge

So

uth

7

1

00.

0 7

8

5.7

7

1

00.

0 7

8

5.7

7

1

00.

0 7

5

7.1

3

6

6.7

7

8

5.7

Le

isur

e W

ay

7

10

0.0

7

10

0.0

7

10

0.0

7

85

.7

7

10

0.0

7

85

.7

1

10

0.0

7

42

.9

Ma

cLe

od P

ion

eer

Lo

dge

5

10

0.0

5

80

.0

5

10

0.0

5

10

0.0

5

10

0.0

5

10

0.0

0

--

5

80

.0

Go

od

Sa

ma

ritan

G

ard

en

Vis

ta

14

10

0.0

14

92

.9

14

92

.9

14

10

0.0

13

10

0.0

14

78

.6

3

66

.7

13

61

.5

61

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

So

uth

Q2

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id th

e n

urs

es a

nd

aid

es

tre

at y

ou

[th

e

resp

onde

nt]

with

co

urte

sy a

nd

resp

ect?

Q3

0: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

is

your

fam

ily m

embe

r ca

red

for

by

the

sa

me

tea

m o

f sta

ff?

Q3

2: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

as

the

noi

se le

vel

aro

und

yo

ur

fam

ily

mem

ber's

roo

m

acc

ept

able

to

you

?

Q3

3: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

u a

ble

to

find

pla

ces

to t

alk

to

your

fam

ily m

embe

r in

pri

vate

?

Q

35

: In

the

last

6

mo

nth

s, d

id y

ou

e

ver

see

the

nur

ses

an

d a

ides

fail

to

pro

tect

an

y re

side

nt's

pri

vacy

w

hile

the

re

side

nt

wa

s d

ress

ing

, sh

ow

erin

g, b

ath

ing

, o

r in

a p

ubl

ic a

rea?

Q3

9:

At a

ny

time

d

urin

g th

e la

st 6

m

on

ths,

we

re y

ou

e

ver

unh

app

y w

ith

the

care

yo

ur

fam

ily

mem

ber

rece

ived

at

the

sup

port

ive

livi

ng

fa

cilit

y?

Q4

1:

Ho

w o

ften

w

ere

yo

u s

atis

fied

with

th

e w

ay

the

su

ppor

tive

livi

ng

fa

cilit

y st

aff h

and

led

th

ese

pro

ble

ms?

Q4

3: I

n y

ou

r o

pin

ion

, is

the

o

vera

ll co

st o

f liv

ing

a

t th

is fa

cilit

y re

ason

able

?

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% A

lwa

ys/

Usu

ally

N

%

Alw

ays

/ U

sual

ly

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Yes

Piy

am

i Lod

ge

11

81

.8

11

90

.9

11

10

0.0

11

10

0.0

11

10

0.0

11

72

.7

3

66

.7

11

81

.8

Su

nn

y S

ou

th L

odg

e 1

8 1

00.

0 1

8 8

8.9

1

8 1

00.

0 1

8 1

00.

0 1

8 9

4.4

1

8 7

7.8

3

6

6.7

1

8 6

1.1

Go

od

Sa

ma

ritan

Vis

ta

Vill

age

35

97

.1

35

94

.3

35

94

.3

35

97

.1

34

94

.1

35

85

.7

4

75

.0

34

73

.5

Cyp

ress

Vie

w

Fo

und

atio

n 1

7 9

4.1

1

7 8

8.2

1

7 1

00.

0 1

7 9

4.1

1

7 9

4.1

1

7 7

6.5

4

2

5.0

1

7 6

4.7

Go

lden

Acr

es L

odg

e 1

3 1

00.

0 1

1 1

00.

0 1

3 1

00.

0 1

3 1

00.

0 1

3 1

00.

0 1

4 7

1.4

2

1

00.

0 1

4 6

4.3

Yo

rk C

reek

Lod

ge

7

10

0.0

7

85

.7

7

85

.7

7

10

0.0

7

10

0.0

7

85

.7

1

10

0.0

7

57

.1

Go

od

Sa

ma

ritan

Pra

irie

R

idg

e 1

5 1

00.

0 1

2 1

00.

0 1

5 1

00.

0 1

5 1

00.

0 1

5 9

3.3

1

5 4

6.7

8

7

5.0

1

5 6

6.7

Piy

am

i Pla

ce

5

10

0.0

6

50

.0

6

10

0.0

6

10

0.0

6

83

.3

6

50

.0

3

33

.3

6

50

.0

St.

Th

ere

se V

illa

– S

t.

Mic

hae

ls H

ealth

Ce

ntr

e 9

0 9

8.9

9

0 7

5.6

8

9 9

5.5

9

0 9

8.9

9

0 9

6.7

9

0 6

6.7

2

8 5

3.6

9

1 7

6.9

Th

e W

ellin

gto

n R

etir

em

ent

Res

ide

nce

3

1 1

00.

0 3

1 8

0.6

3

0 1

00.

0 3

1 1

00.

0 3

1 9

3.5

3

0 6

6.7

1

0 7

0.0

3

0 7

0.0

Go

od

Sa

ma

ritan

Wes

t H

igh

land

s 5

7 9

6.5

5

5 7

4.5

5

8 9

6.6

5

7 9

8.2

5

8 9

4.8

5

7 6

6.7

1

7 6

4.7

5

7 6

6.7

Me

ado

w L

and

s 4

1

00.

0 3

6

6.7

4

1

00.

0 4

1

00.

0 4

1

00.

0 4

1

00.

0 0

--

4

7

5.0

Ext

en

dic

are

Fai

rmo

nt

Pa

rk

77

97

.4

73

76

.7

76

92

.1

75

98

.7

75

97

.3

77

64

.9

25

56

.0

73

71

.2

Go

od

Sa

ma

ritan

Pa

rk

Me

ado

ws

Vill

age

62

95

.2

57

73

.7

62

10

0.0

62

93

.5

61

93

.4

60

60

.0

22

54

.5

60

66

.7

Go

od

Sa

ma

ritan

Lin

den

V

iew

4

6 1

00.

0 4

3 7

6.7

4

6 8

9.1

4

5 9

7.8

4

5 9

3.3

4

2 6

6.7

1

2 5

8.3

4

3 6

7.4

Le

gacy

Lod

ge

60

98

.3

57

75

.4

60

10

0.0

59

10

0.0

60

10

0.0

60

60

.0

22

54

.5

58

77

.6

Go

od

Sa

ma

ritan

Le

e

Cre

st

35

94

.3

32

62

.5

36

94

.4

36

97

.2

34

97

.1

35

51

.4

14

42

.9

35

68

.6

Su

nris

e G

ard

ens

36

10

0.0

33

78

.8

36

10

0.0

36

97

.2

36

88

.9

36

58

.3

15

60

.0

36

77

.8

Col

umbi

a A

ssis

ted

L

ivin

g

19

10

0.0

17

82

.4

19

10

0.0

18

10

0.0

17

10

0.0

19

47

.4

9

33

.3

18

61

.1

62

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Tab

le 1

5: A

dditi

onal

que

stio

ns c

ontin

ued

Cal

gar

y

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

Usu

ally

Mill

rise

Pla

ce

18

94

.4

1

0.0

1

8 4

4.4

1

8 8

8.9

1

8 1

00.

0 1

8 1

00.

0 6

1

00.

0

Prin

ce o

f P

eace

Ma

nor

1

7 7

0.6

5

0

.0

18

61

.1

18

88

.9

18

10

0.0

18

10

0.0

4

75

.0

Asp

en R

idg

e Lo

dge

18

83

.3

4

25

.0

18

66

.7

18

83

.3

18

10

0.0

19

10

0.0

9

10

0.0

Whi

teh

orn

Vill

age

18

72

.2

4

0.0

1

7 5

2.9

1

7 9

4.1

1

7 1

00.

0 1

8 1

00.

0 6

1

00.

0

Wal

den

Su

ppo

rtiv

e L

ivin

g C

om

mu

nity

4

9 7

1.4

1

2 8

.3

50

40

.0

49

93

.9

49

95

.9

49

93

.9

22

86

.4

Silv

er

Will

ow

Lo

dge

2

6 6

9.2

7

1

4.3

2

6 4

2.3

2

6 9

6.2

2

5 9

6.0

2

5 8

8.0

8

8

7.5

McK

en

zie

To

wn

e R

etir

em

ent

Res

ide

nce

1

7 8

8.2

2

5

0.0

1

7 3

5.3

1

7 7

6.5

1

7 1

00.

0 1

7 9

4.1

4

1

00.

0

Ca

rew

est

Co

lon

el B

elc

her

19

73

.7

5

40

.0

18

44

.4

18

77

.8

19

10

0.0

19

10

0.0

8

87

.5

Ea

u C

lair

e R

etir

eme

nt

Re

sid

ence

4

0 8

7.5

3

3

3.3

3

9 5

3.8

4

0 9

2.5

4

0 9

5.0

4

0 9

5.0

1

9 8

9.5

Sa

ge

wo

od

Su

ppor

tive

Liv

ing

33

81

.8

6

50

.0

33

42

.4

32

93

.8

32

93

.8

31

93

.5

12

10

0.0

Wen

two

rth

Man

or/T

he

Res

ide

nce

and

Th

e C

our

t 2

3 9

1.3

2

5

0.0

2

2 5

9.1

2

3 6

5.2

2

3 9

5.7

2

3 9

1.3

1

1 8

1.8

Sce

nic

Acr

es R

etir

em

ent

Res

iden

ce

6

10

0.0

0

--

6

33

.3

5

60

.0

6

10

0.0

6

83

.3

2

10

0.0

Mo

nte

rey

Pla

ce

55

85

.5

8

87

.5

54

38

.9

51

90

.2

55

94

.5

56

96

.4

27

96

.3

63

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Cen

tral

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

Usu

ally

Se

reni

ty H

ou

se

6

83

.3

1

0.0

6

6

6.7

6

1

00.

0 6

1

00.

0 6

1

00.

0 3

1

00.

0

Isla

y A

ssis

ted

Liv

ing

1

0 4

0.0

5

4

0.0

1

0 9

0.0

1

0 1

00.

0 1

0 1

00.

0 9

1

00.

0 2

1

00.

0

Su

nris

e V

illag

e W

eta

skiw

in

7

57

.1

2

0.0

7

1

4.3

6

6

6.7

6

1

00.

0 7

1

00.

0 3

1

00.

0

Pro

vid

en

ce P

lace

5

8

0.0

1

0

.0

5

0.0

5

6

0.0

5

1

00.

0 5

1

00.

0 2

1

00.

0

Wes

t Pa

rk L

odg

e 2

1 3

3.3

1

3 7

.7

21

42

.9

21

85

.7

21

10

0.0

21

95

.2

5

10

0.0

Ve

rmill

ion

Va

lley

Lo

dge

15

33

.3

9

22

.2

15

53

.3

15

10

0.0

15

10

0.0

15

93

.3

5

10

0.0

Fa

ith H

ous

e 1

2 4

1.7

6

3

3.3

1

1 4

5.5

1

3 9

2.3

1

3 1

00.

0 1

2 9

1.7

3

6

6.7

Eck

ville

Man

or

Hou

se

5

60

.0

1

0.0

5

8

0.0

5

1

00.

0 5

1

00.

0 5

1

00.

0 1

1

00.

0

Hill

vie

w L

odg

e 1

9 4

2.1

1

0 1

0.0

1

9 4

2.1

1

9 9

4.7

1

9 1

00.

0 1

9 1

00.

0 6

1

00.

0

Su

nris

e V

illag

e O

lds

9

77

.8

0

--

9

44

.4

9

10

0.0

9

10

0.0

9

10

0.0

1

10

0.0

Po

ints

Wes

t Liv

ing

Llo

ydm

inst

er

32

28

.1

18

5.6

3

3 5

1.5

3

2 9

0.6

3

3 9

7.0

3

3 9

3.9

1

2 9

1.7

Su

nris

e V

illag

e (P

on

oka)

1

1 9

0.9

1

0

.0

11

36

.4

11

72

.7

11

10

0.0

11

10

0.0

1

10

0.0

Pin

es

Lodg

e 8

8

7.5

1

0

.0

8

37

.5

8

75

.0

8

10

0.0

8

10

0.0

2

10

0.0

Be

than

y M

ea

do

ws

20

80

.0

4

25

.0

21

66

.7

21

90

.5

21

90

.5

21

10

0.0

8

87

.5

Po

ints

Wes

t Liv

ing

Ce

ntur

y P

ark

2

4 4

1.7

1

3 7

.7

24

70

.8

23

91

.3

22

10

0.0

24

87

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11

90

.9

Ma

nor

at

Ro

yal O

ak

26

42

.3

15

6.7

2

7 2

5.9

2

7 8

8.9

2

5 9

6.0

2

7 8

8.9

1

4 8

5.7

Co

ron

atio

n H

osp

ital a

nd

Ca

re C

entr

e

8

62

.5

2

0.0

8

7

5.0

8

1

00.

0 8

1

00.

0 8

8

7.5

1

1

00.

0

He

rita

ge H

ouse

1

8 6

6.7

5

0

.0

18

38

.9

18

88

.9

18

94

.4

17

82

.4

8

87

.5

Be

than

y S

ylva

n L

ake

1

2 3

3.3

6

3

3.3

1

2 3

3.3

1

2 1

00.

0 1

2 7

5.0

1

2 1

00.

0 6

1

00.

0

Su

nse

t M

anor

6

4 5

1.6

2

7 7

.4

64

34

.4

64

90

.6

63

92

.1

61

95

.1

32

87

.5

Go

od

Sa

ma

ritan

Go

od

Sh

ephe

rd L

uth

era

n

Ho

me

33

97

.0

1

0.0

3

4 3

2.4

3

3 8

1.8

3

3 9

3.9

3

4 9

4.1

1

8 8

8.9

Po

ints

Wes

t Liv

ing

Wa

inw

rig

ht

33

75

.8

7

42

.9

32

34

.4

31

80

.6

31

96

.8

30

90

.0

16

81

.3

64

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Cen

tral

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

Usu

ally

Su

nris

e V

illag

e C

am

rose

5

2 9

0.4

5

4

0.0

5

1 3

5.3

5

0 8

8.0

5

1 1

00.

0 5

1 9

0.2

2

5 9

2.0

Ext

en

dic

are

Mic

hen

er H

ill

39

59

.0

15

13

.3

40

42

.5

37

78

.4

40

85

.0

39

94

.9

17

70

.6

Ch

ate

au

Th

ree

Hill

s 8

3

7.5

5

0

.0

8

0.0

5

8

0.0

8

8

7.5

8

8

7.5

5

8

0.0

Cle

arw

ate

r C

entr

e 1

3 9

2.3

1

0

.0

13

15

.4

13

53

.8

13

76

.9

12

83

.3

10

80

.0

Ed

mo

nto

n

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

Usu

ally

Wes

t Co

untr

y H

ear

th

10

70

.0

3

66

.7

10

20

.0

10

10

0.0

10

80

.0

10

90

.0

3

10

0.0

Co

un

try

Co

tta

ge S

en

iors

Re

sid

ence

8

7

5.0

2

0

.0

8

62

.5

7

10

0.0

8

10

0.0

8

10

0.0

5

10

0.0

Go

od

Sa

ma

ritan

Ge

org

e H

enn

ig P

lace

1

3 7

6.9

3

3

3.3

1

5 3

3.3

1

5 8

6.7

1

4 9

2.9

1

5 9

3.3

4

5

0.0

Pla

ce B

eau

sejo

ur

16

75

.0

4

0.0

1

6 4

3.8

1

5 9

3.3

1

6 1

00.

0 1

6 9

3.8

5

8

0.0

Em

ma

nu

el H

om

e 8

5

0.0

4

5

0.0

8

2

5.0

8

1

00.

0 8

1

00.

0 8

8

7.5

3

1

00.

0

Life

Sty

le O

ptio

ns

Te

rra

Losa

1

6 8

1.3

4

5

0.0

1

6 4

3.8

1

8 8

8.9

1

7 1

00.

0 1

8 9

4.4

8

8

7.5

Sh

eph

erd

’s C

are

Gre

enfie

ld

11

72

.7

2

0.0

1

1 2

7.3

1

1 1

00.

0 1

1 1

00.

0 1

1 1

00.

0 4

1

00.

0

Cita

del M

ew

s W

est

29

65

.5

10

50

.0

29

44

.8

29

96

.6

29

96

.6

29

96

.6

13

10

0.0

Sh

eph

erd

’s G

arde

ns

23

47

.8

12

33

.3

23

47

.8

22

90

.9

22

90

.9

23

10

0.0

9

77

.8

Ro

sed

ale

St.

Alb

ert

38

55

.3

17

5.9

4

0 4

2.5

4

0 8

5.0

4

0 9

7.5

4

0 9

7.5

1

3 8

4.6

Go

od

Sa

ma

ritan

Sp

ruce

Gro

ve C

en

tre

14

71

.4

4

25

.0

13

30

.8

13

84

.6

14

10

0.0

13

10

0.0

2

10

0.0

65

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Ed

mo

nto

n

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

Usu

ally

Ro

sed

ale

Est

ate

s 1

7 5

8.8

7

2

8.6

1

6 4

3.8

1

6 8

7.5

1

6 9

3.8

1

7 8

8.2

6

6

6.7

Gla

sto

nbur

y V

illag

e

23

69

.6

6

0.0

2

3 2

6.1

2

2 8

1.8

2

1 1

00.

0 2

3 9

1.3

7

1

00.

0

Go

od

Sa

ma

ritan

Wed

man

Hou

se/V

illag

e 3

0 6

6.7

1

0 1

0.0

3

0 3

6.7

3

0 9

0.0

3

0 9

6.7

2

8 1

00.

0 8

8

7.5

Sh

eph

erd

’s C

are

Ke

nsi

ngt

on

21

85

.7

3

0.0

2

1 5

7.1

2

0 1

00.

0 2

1 9

5.2

2

1 1

00.

0 9

7

7.8

De

von

shire

Man

or

24

50

.0

11

9.1

2

4 2

0.8

2

3 8

7.0

2

4 9

5.8

2

4 9

1.7

9

8

8.9

Life

Sty

le O

ptio

ns

Riv

erb

end

8

10

0.0

0

--

8

12

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8

87

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8

10

0.0

8

87

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4

10

0.0

Asp

en H

ouse

4

1 4

3.9

2

0 5

.0

40

25

.0

41

82

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40

90

.0

38

97

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14

78

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Wild

Ros

e C

otta

ge

12

41

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7

28

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13

30

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13

84

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13

84

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13

10

0.0

5

80

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Sh

eph

erd

’s C

are

Va

ngu

ard

3

7 5

9.5

1

5 6

.7

36

41

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36

77

.8

34

91

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35

97

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18

94

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Life

Sty

le O

ptio

ns

Le

duc

30

36

.7

19

10

.5

31

48

.4

31

93

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30

96

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31

93

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9

77

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Gra

nd M

anor

1

1 1

00.

0 0

--

1

1 6

3.6

1

0 9

0.0

1

1 9

0.9

1

1 1

00.

0 5

8

0.0

Ca

pita

lCar

e L

aurie

r H

ouse

Lyn

nw

oo

d 5

6 8

9.3

6

5

0.0

5

4 1

6.7

5

3 7

9.2

5

5 9

4.5

5

6 9

4.6

3

4 9

1.2

Ro

sed

ale

at

Grie

sba

ch

42

50

.0

21

14

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41

43

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39

87

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41

87

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41

95

.1

19

89

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Ca

pita

lCar

e S

tra

thco

na

49

81

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9

66

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49

16

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49

85

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48

95

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49

93

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27

92

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Sa

lva

tion

Arm

y G

race

Man

or

30

80

.0

5

80

.0

30

43

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31

83

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31

83

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31

90

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11

54

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Ga

rne

au H

all

10

60

.0

3

0.0

1

0 5

0.0

1

0 1

00.

0 9

1

00.

0 1

0 1

00.

0 2

1

00.

0

Sa

int

Th

om

as A

ssis

ted

Liv

ing

Cen

tre

3

0 8

0.0

6

0

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30

36

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29

86

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29

89

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30

96

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11

72

.7

Inno

vativ

e H

ou

sing

- V

illa

Ma

rgue

rite

9

6 6

4.6

3

2 9

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94

41

.5

93

83

.9

97

90

.7

94

90

.4

35

82

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Tu

oi H

ac -

Go

lden

Ag

e M

an

or

32

65

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10

30

.0

32

43

.8

30

73

.3

32

87

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32

78

.1

19

73

.7

Su

mm

erw

oo

d V

illa

ge

Re

tire

me

nt R

esi

den

ce

46

84

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3

33

.3

46

17

.4

43

83

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46

87

.0

46

91

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26

80

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Ru

ther

ford

He

igh

ts R

etir

em

en

t Re

sid

enc

e 4

0 7

5.0

1

0 7

0.0

4

0 2

7.5

3

9 7

9.5

4

0 7

7.5

4

0 8

5.0

2

1 6

1.9

66

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

Ed

mo

nto

n

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

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ver/

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lwin

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ty

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7

1.4

No

rth

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

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ver/

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om

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% A

lwa

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67

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

So

uth

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

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ver/

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68

AD

DIT

ION

AL

CA

RE

QU

ES

TIO

NS

So

uth

Q4

6: I

n th

e la

st 1

2 m

on

ths,

ha

ve y

ou

b

een

par

t of a

ca

re

conf

eren

ce, e

ithe

r in

pe

rson

or

by

ph

one?

Q4

7: W

ere

yo

u

giv

en

the

o

ppo

rtun

ity t

o b

e

pa

rt o

f a

care

co

nfer

ence

in th

e

last

12

mon

ths

eith

er

in p

ers

on

or

by

ph

one

?

Q5

1: I

n th

e la

st 6

m

on

ths,

did

yo

u

he

lp w

ith th

e c

are

of

you

r fa

mily

m

em

ber

wh

en

yo

u

visi

ted

?

Q5

2:

Do

yo

u f

eel

that

su

ppor

tive

liv

ing

fac

ility

sta

ff e

xpe

cts

you

to

he

lp

with

th

e ca

re o

f yo

ur f

amily

mem

ber

wh

en

yo

u v

isit?

Q5

4: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

r fa

mily

m

em

ber

re

ceiv

e a

ll o

f th

e m

edi

cal

serv

ices

an

d tr

eatm

ents

the

y n

eed

ed?

Q5

5: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

d

id y

ou

ha

ve

conc

erns

abo

ut

you

r fa

mily

m

embe

r's

me

dic

atio

n?

Q5

7: I

n th

e la

st 6

m

on

ths,

ho

w o

ften

w

ere

yo

ur

con

cern

s a

bou

t yo

ur

fam

ily

mem

ber’s

m

edic

atio

n re

solv

ed

?

N

% Y

es

N

% Y

es

N

% N

o

N

% N

o

N

% A

lwa

ys/

Usu

ally

N

%

Ne

ver/

S

om

etim

es

N

% A

lwa

ys/

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ally

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gacy

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ge

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69

RELATIONS

9.0 RS

ThissectiGlobalOvrespondetheupper

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Figure 2:rating qua

1

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ffin

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SHIP BETWEEN

RELATIONSCALE AN

onpresentscverallCareratntmeanscorrquartileofth

lsonquestion

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intheupperof100points)mentDimensio

: Staffing, Caartile

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0.0

10.0

20.0

30.0

40.0

50.0

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70.0

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N DIMENSIONS

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ALE AND GLOBA

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81.8

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RELATIONS

9.2 K

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Figure 3:

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Figure 4:

1

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and

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intheupperf 100points)ture3).

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intheupperf 10points)th

: Food Rating

Mean

0.0

10.0

20.0

30.0

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60.0

70.0

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N DIMENSIONS

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RELATIONS

9.4 P

Facilities10.4outoEncourag

Figure 5:Overall C

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intheupperf 100points)t6).

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0.0

10.0

20.0

30.0

40.0

50.0

60.0

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80.0

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FACILITY-LEVEL EFFECTS: FACILITY SIZE AND OWNERSHIP TYPE

10.0 FACILITY-LEVEL EFFECTS: FACILITY SIZE AND OWNERSHIP TYPE

ThissectionpresentsdataontheimpactoffacilitysizeandfacilityownershiptypeonGlobalOverallCareratings,thefourDimensionsofCare,andtheFoodRatingScale.

Facilitysizewasmeasuredbythenumberofbedsateachfacility.InformationonthenumberofbedswascollectedfromAHSusingcurrentdata,asofMarch2012.Thenumberincludesallbedswithinthefacility(i.e.,supportivelivingandlongtermcare).Itisrecognizedthatthetotalnumberofbedsmaynotbecompletelyaccurate(therewasacertaindegreeofvariabilityinthedownsizingandupsizingofsomefacilitiesduringthestudyperiod).Cautionshouldbetakenwheninterpretingresultsthatrefertothenumberofbeds.Ingeneral,facilitysizereportedreflectsareasonableestimateofthesizeofthefacilityatthetimeofthesurvey.

Inadditiontofacilitysize,threefacilityownershipmodelswereexaminedtodeterminetheirimpactonthefamilies’experiencesofthecareandservicesprovidedatasupportivelivingfacility.TheownershipcategoryofeachfacilitywasidentifiedusingAHS2012data.ThethreeownershipmodelsthatprovidepublicallyfundedsupportivelivingcareinAlberta(asof2012)are:

1. Public–operatedbyorwhollyownedsubsidiaryofAHS

2. Private–ownedbyaprivateforprofitorganization

3. Voluntary–ownedbyanot‐for‐profitorfaith‐basedorganization

73


10.1 Facility size

Facilitiesincludedinthefollowinganalyses(N=107)rangedinbednumbersfrom10to280,withaprovincialaverageof63bedsperfacility.ThetablesinthissectionshowthatfacilitiescategorizedinthelowerquartileonGlobalOverallCareratingshadonaverageapproximatelythreetimesasmanybedsascomparedtofacilitiesthatwerecategorizedintheupperquartile(94versus29beds;Table16).AnalysesofeachoftheDimensionsofCareshowedsimilarresults:facilitiescategorizedinthelowerquartileofaDimensionofCareortheFoodRatingScalehadonaverageapproximatelytwotothreetimesasmanybedscomparedtofacilitiescategorizedintheupperquartile(seefollowingtables).ResultsshowthatfacilitieswithfewerbedsaremorelikelytoobtainahigherGlobalOverallCareratingandhigherscoresoneachoftheDimensionsofCare.

Follow‐upanalysesshowedthatasfacilitysizeincreasesuptoapproximately100beds,scoresontheGlobalOverallCarerating,KindnessandRespectDimensionofCare,andtheFoodRatingScaledecrease.However,theeffectofincreasingbednumbersplateausinfacilitieswithgreaterthan100beds.Formoreinformationontheseanalyses,seeAppendixJ.

10.1.1 Global Overall Care ratings

Table 16: Mean number of beds by Global Overall Care rating quartiles

Global Overall Care rating quartiles Mean number of beds 95% CI

Lower Upper

Upper (27 facilities) 29 21 37

Upper middle (27 facilities) 54 38 71

Lower middle (27 facilities) 75 57 94

Lower (26 facilities) 94 72 117

10.1.2 Staffing, Care of Belongings, and Environment

Table 17: Mean number of beds by Staffing, Care of Belongings, and Environment Dimension of Care quartiles

Staffing, Care of Belongings, and Environment quartiles

Mean number of beds 95% CI

Lower Upper





74


10.1.3 Kindness and Respect

Table 18: Mean number of beds by Kindness and Respect Dimension of Care quartiles

Kindness and Respect quartiles Mean number of beds 95% CI

Lower Upper





10.1.4 Food Rating Scale

Table 19: Mean number of beds by Food Rating Scale quartiles

Food Rating quartiles Mean number of beds 95% CI

Lower Upper





10.1.5 Providing Information and Encouraging Family Involvement

Table 20: Mean number of beds by Providing Information and Encouraging Family Involvement Dimension of Care quartiles

Providing Information and Encouraging Family Involvment quartiles

Mean number of beds 95% CI:

Lower Upper





75


10.1.6 Meeting Basic Needs

Table 21: Mean number of beds by Meeting Basic Needs Dimension of Care quartiles

Meeting Basic Needs quartiles Mean number of beds 95% CI

Lower Upper





76

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80

PROPENSITY TO RECOMMEND FACILITY

11.0 PROPENSITY TO RECOMMEND FACILITY

(SurveyQuestion49):Ifsomeoneneededsupportivelivingfacilitycare,wouldyourecommendthissupportivelivingfacility?

Animportantindicatortotheperceivedqualityofafacilityiswhetherafamilymemberwouldrecommendthefacilitytosomeoneneedingsupportivelivingfacility.Forthisreason,aseparatesectionwasdevotedtoGeneralSatisfactionQuestion49(Q49)regardingthepropensitytorecommend.

Thissectionisstructuredasfollows:

Facilitylistbypercentageofthosewhowouldrecommend(Q49)

RelationshipbetweenpropensitytorecommendandGlobalOverallCareratingquartile

Resultsbyfacilitysizeandownershiptype

Question49ispresentedintwoways:

1. Four‐levelresponsestoQuestion49:

a) DefinitelyNo

b) ProbablyNo

c) ProbablyYes

d) DefinitelyYes

2. Binaryresponse,recommendation:YES/NO

a) Yes(ProbablyYesandDefinitelyYes)

b) No(ProbablyNoandDefinitelyNo)

81

PROPENSIT

11.1 P

Provinciafacility(D

Figure 13

Table 22

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Probably n

Probably y

Definitely y

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82


Thefollowingtable(Table23)summarizesrespondents’propensitytorecommend(YES/NO)foreachfacility.Facilitiesarepresentedbypercentageofrespondentswillingtorecommendthefacilityandaregroupedbyzonetofacilitatecomparisonsatthezoneandprovinciallevel.





Table 23: Summary of the percentage of respondents who would recommend the facility by Global Overall Care rating

Calgary Respondent

(N) Percentage willing to

recommend (%) Global Overall Care

rating

Millrise Place 18 100.0 9.2

Aspen Ridge Lodge 19 100.0 9.0

Whitehorn Village 17 100.0 9.0

Silver Willow Lodge 24 100.0 8.8

McKenzie Towne Retirement Residence 17 100.0 8.5

Scenic Acres Retirement Residence 6 100.0 8.2

Walden Supportive Living Community 50 98.0 8.8

Eau Claire Retirement Residence 40 97.5 8.4

Sagewood Supportive Living 33 97.0 8.4

Carewest Colonel Belcher 19 94.7 8.4

Prince of Peace Manor 18 94.4 9.1


23 91.3 8.3

Monterey Place 55 80.0 7.5

Central Respondent



rating

Serenity House 6 100.0 9.8

Islay Assisted Living 10 100.0 9.6

Sunrise Village Wetaskiwin 7 100.0 9.4

Providence Place 5 100.0 9.4

83


Central Respondent



rating

West Park Lodge 21 100.0 9.4

Vermillion Valley Lodge 15 100.0 9.3

Faith House 13 100.0 9.3

Eckville Manor House 5 100.0 9.2

Hillview Lodge 19 100.0 9.2

Sunrise Village (Ponoka) 11 100.0 8.6

Pines Lodge 8 100.0 8.6

Coronation Hospital and Care Centre 8 100.0 8.5

Bethany Sylvan Lake 12 100.0 8.2


34 100.0 8.1

Points West Living Lloydminster 33 97.0 8.7

Manor at Royal Oak 27 96.3 8.5

Bethany Meadows 21 95.2 8.6

Sunset Manor 62 95.2 8.2

Heritage House 18 94.4 8.2

Points West Living Century Park 24 91.7 8.5

Sunrise Village Olds 9 88.9 8.9

Chateau Three Hills 8 87.5 7.3

Sunrise Village Camrose 51 86.3 7.6

Points West Living Wainwright 32 81.3 7.8

Extendicare Michener Hill 36 80.6 7.3

Clearwater Centre 13 53.8 6.5

Edmonton Respondent



rating

West Country Hearth 10 100.0 9.7

Good Samaritan George Hennig Place 15 100.0 9.1

Place Beausejour 16 100.0 9.1

Emmanuel Home 8 100.0 9.1

LifeStyle Options Terra Losa 17 100.0 8.8

Shepherd’s Care Greenfield 11 100.0 8.8

Shepherd’s Gardens 23 100.0 8.7

Rosedale St. Albert 40 100.0 8.7

Shepherd’s Care Kensington 21 100.0 8.4

84


Edmonton Respondent



rating

Devonshire Manor 24 100.0 8.4

LifeStyle Options Riverbend 8 100.0 8.4

Wild Rose Cottage 12 100.0 8.3

CapitalCare Laurier House Lynnwood 53 98.1 8.1

Citadel Mews West 28 96.4 8.8

CapitalCare Strathcona 50 96.0 8.1

Glastonbury Village 23 95.7 8.5

Shepherd’s Care Vanguard 35 94.3 8.2

Rosedale Estates 17 94.1 8.6

Salvation Army Grace Manor 31 93.5 8.0

Tuoi Hac - Golden Age Manor 31 93.5 7.5

LifeStyle Options Leduc 30 93.3 8.2

Good Samaritan Spruce Grove Centre 14 92.9 8.6

Rosedale at Griesbach 42 92.9 8.1

Aspen House 40 92.5 8.3

Garneau Hall 10 90.0 7.9

Saint Thomas Assisted Living Centre 30 90.0 7.9

Innovative Housing - Villa Marguerite 98 87.8 7.8

Country Cottage Seniors Residence 8 87.5 9.4

Good Samaritan Wedman House/Village 30 86.7 8.4


40 85.0 7.0

Grand Manor 11 81.8 8.2

Riverbend Retirement Residence 16 81.3 6.8


46 78.3 7.5

Churchill Retirement Community 17 76.5 6.7

Balwin Villa 28 71.4 6.9

North Respondent



rating

Vilna Villa 7 100.0 9.1

Heimstaed Lodge 38 92.1 8.3

Points West Living Grande Prairie 39 89.7 7.4

Manoir du Lac 14 85.7 7.9

Grande Prairie Care Centre 25 68.0 6.8

Mountain View Centre 18 66.7 6.8

85


South Respondent



rating

Clearview Lodge 9 100.0 9.9

Haven of Rest - South Country Village 11 100.0 9.5

Chinook Lodge 5 100.0 9.4

Orchard Manor 13 100.0 9.2

Pleasant View Lodge South 7 100.0 9.0

Leisure Way 6 100.0 9.0

MacLeod Pioneer Lodge 5 100.0 9.0

Piyami Lodge 11 100.0 8.6

Sunny South Lodge 18 100.0 8.6

Cypress View Foundation 17 100.0 8.5

York Creek Lodge 7 100.0 8.4

Good Samaritan Prairie Ridge 15 100.0 8.3

Good Samaritan West Highlands 56 96.4 8.0


90 94.4 8.1

Good Samaritan Vista Village 35 94.3 8.5

Extendicare Fairmont Park 76 93.4 8.0

Legacy Lodge 60 93.3 7.9

Golden Acres Lodge 14 92.9 8.4

Good Samaritan Garden Vista 13 92.3 8.6

Good Samaritan Lee Crest 36 88.9 7.7

Good Samaritan Park Meadows Village 61 86.9 8.0

Sunrise Gardens 34 85.3 7.5

Good Samaritan Linden View 45 84.4 8.0

The Wellington Retirement Residence 31 83.9 8.0

Piyami Place 6 83.3 8.2

Columbia Assisted Living 19 78.9 7.4

Meadow Lands 4 75.0 8.0


86

PROPENSIT

11.2 P

ThefollowGlobalOv

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87


11.3 Propensity to recommend by facility size and ownership type

Thissectionpresentsdataontheinfluenceoffacilitysizeandfacilityownershiptypeonthepropensitytorecommendthefacility.Formoredetailsonthemethodologyofthissection,seeSection10.

11.3.1 The influence of facility size on propensity to recommend

Facilitiesscoringbelowthemedianpercentageofrespondentswhowouldrecommendthefacility(96%)hadonaveragetwiceasmanybedscomparedtofacilitiesabovethemedian.Thisfindingsuggeststhatfacilitiesoperatingfewerbedshaveagreaterpercentageoffamilymemberswhowouldrecommendthefacility(Table24).Foradditionaldetails,seeAppendixJ.

Table 24: Number of beds by percentage of respondents who would recommend the facility (median 96%)15

Percent recommended median

95% CI:

Mean number of beds

Lower Upper

Above median (53 facilities) 42 33 52

Below median (54 facilities) 83 67 98

15Duetothedistributionofresults,thedecisionwasmadetouseamedianratherthanaquartilesplit.

88

PROPENSIT

11.3.2 In

Therewetype(Figu

Figure 15

Perce

1

Per

cen

tag

e (%

)

TY TO RECOMM

nfluence of

renosignificure15).

5: Percentag

entage

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

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MEND FACILITY

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93.8

hip

)

89

QUALITATIVE ANALYTICAL RESULTS

12.0 QUALITATIVE ANALYTICAL RESULTS

Attheendofthequestionnaire,familymemberswereaskedoneopen‐endedquestion:Doyouhaveanysuggestionshowcareandservicesatthissupportivelivingfacilitycouldbeimproved?Ifsoexplain.Responseswererecordedwithinthespaceprovided.Whilesomefamilymembersmadeapositivecomment,themajorityofcommentswereconstructivefeedbackandrecommendationsforchange.Intotal,1,736familymembersprovidedqualitativefeedback.

ThisWordCloud16summarizesthewordsfamilymembersofsupportivelivingresidentsusedmostoftenwhenansweringtheaboveopen‐endedquestion.Thewordsusedmostfrequentlyarelargest,andincludethewords‘staff’,‘care’,and‘facility’.Wordsusedlessfrequentlyaresmaller.Asdemonstrated,staffinglevels,residentcare,andtheconditionandenvironmentofthefacilityaresomeofthekeytopicsofinterestforfamilymembers.

Familymemberstouchedonavarietyoftopicsintheirresponses,includingbutnotlimitedtofood,activities,cleanliness,bathing,andinformation.Thesediversetopicsreinforcethatfacilitiesprovidearangeofcareandservicesessentialtoresidents’dailylivesandhighlightthatthereisstillworktobedoneinmanydifferentareas.

Inthesectionsthatfollow,asummaryandanalysisoffamilymembers’commentsisprovided.TheresultingemergentthemeswereorganizedbythefourDimensionsofCare,andadditionalthemesretainedfortheirimportance:(1)Staffing,CareofBelongings,andEnvironment,(2)MeetingBasicNeeds,(3)ProvidingInformationandEncouragingFamilyInvolvement(4)KindnessandRespect,(5)Safetyand

16TheWordcloudprovidesasummaryofthewordsmostfrequentlyusedbyfamilymembers,withtheexceptionof:twoletterwords,conjunctions(e.g.,and,than,once),prepositions(e.g.,like,near,into),pronouns(e.g.,you,him,her),nounsdescribingtheresident’sidentityandwheretheylive(e.g.,mom,dad,city,dates),wordsdescribingthesurvey(e.g.,survey,questionnaire),numbers,andduplicatesandpluralsofwords(e.g.,staffing,meals).

Figure 16: Word cloud – Qualitative analysis

90


Security,and(6)Other.Belowisasummaryofthekeythemesandideasidentifiedinfamilymembers’comments.Thesesummariesareaccompaniedbydirectquotesfromfamilymemberstoprovideamorecompletepictureoftheirexperiences.Quoteshavebeeneditedforgrammaticalpurposes,butnochangestothecontentofthecommentsweremade,withtheexceptionoftheremovalofidentifyinginformation.

AllsupportivelivingfacilitiesmustbelicensedundertheSupportiveLivingAccommodationLicensingActandmustcomplywithboththeSupportiveLivingAccommodationStandardsandtheContinuingCareHealthServiceStandards.Thestandardsarenotedwherefamilymembercommentsrelate.Thepurposeofreferringtothesestandardswasnottosuggestwherefacilitiesmayormaynotbeincompliancewithstandards,buttoprovidecontexttofamilymembers’comments.Asaresult,familymembers’observationsandperceptionsarenotsufficienttoevaluateafacility’scompliancewithaspecificstandardintheabsenceoffurtherstudy.ThesestandardsandcompliancerequirementsaredescribedinmoredetailinBoxA.17,18,19

17Licensingandaccommodationstandardshttp://www.health.alberta.ca/services/supportive‐living.html18ContinuingCareHealthServiceStandardshttp://www.health.alberta.ca/documents/Continuing‐Care‐Standards‐2008.pdf19AdmissionGuidelinesforPubliclyFundedContinuingCareLivingOptionshttp://www.albertahealthservices.ca/Seniors/if‐sen‐living‐option‐guidelines.pdf

BoxA:StandardsSupportiveLivingAccommodationLicensingAct:Allsupportivelivingaccommodationsmustbelicensedwhentheoperatorprovidespermanentaccommodationtofourormoreadultsandtheoperatorprovidesorarrangesforservicesrelatedtosafetyandsecurityoftheresidentsaswellasatleastonemealadayorhousekeepingservices.SupportiveLivingAccommodationStandards:TheAlbertagovernmentsetsprovincialaccommodationstandards,andmonitorscompliancetothestandardsthroughannualsiteinspections.Thestandardsapplytoaccommodationandrelatedservicessuchasfacilitymaintenance,meals,housekeeping,andareasthatimpactaresident’ssafetyandsecurity.Eachaccommodationisinspectedatleastonceayear,andmoreoftenifrequired.Anoperatormustmeetallaccommodationstandardstoachievecompliance.ContinuingCareHealthServiceStandards:AlbertaHealthisresponsibleforpubliclyfundedcontinuingcarehealthservicesandhasdevelopedtheContinuingCareHealthServiceStandards.TheContinuingCareHealthServiceStandardsareintendedtobuildonexistinglegislation,andincludeanumberofstandardsnotcurrentlyinlegislation.TheintentoftheContinuingCareHealthServiceStandardsistoidentifystandardsfortheprovisionofqualitycontinuingcarehealthservicesthattakeintoconsiderationtheindividualneeds,preferencesandabilitiesofeachclient.TheregionalhealthauthorityisaccountabletoAlbertaHealthforensuringthatthesestandardsarebeingimplementedandadheredtoatboththeregionalandtheoperationallevel.AdmissionGuidelinesforPubliclyFundedContinuingCareLivingOptions:TheintentoftheAlbertaHealthServicesLivingOptionguidelinesistoprovideasetofsupporttoolstoassistwithconsistentlivingoptiondecisionsinrelationtosupportivelivinglevels3and4andlongtermcare.

91

QUALITATI

12.1 S

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93

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94

QUALITATI

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26Continuinghttp://www

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quirecaretobdressthecha

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leadershipanrcentoffamiessedthatmableandwillinqualityofcaretthatmanageamilymembe

emberssaidtdsupport.Firrepeatederrgativelyaffecillorfindrep

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95

QUALITATI

byfamilyabilitytoconsidera

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Thediscuinformatifacilitiesimemberschallenge

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27Supportivehttp://www

VE ANALYTICA

memberswereceivecare,ately.

emberssaidtprehensiondisaidsomestent’sdignity,ngandoffens.Familymem.Incontrast,ngagewithre

omments,famesidentsandtmewiththemedgetheresid,familymem

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96


Familymembersmighthavealsobeengrantedpermissionbyresidentsorhadalegalrighttoattendanannualcareconferenceonbehalfoftheresident.28Familymemberssaidtheyfeltthatcareconferencesprovidedanopportunitytoreceiveregularupdatesaboutresident’sprogress,healthstatus,dietary,andexerciseneeds,andtoaddressanyconcerns.Whilesomefamilymemberssaidtheyparticipatedinacareconference,otherssaidtheyexperiencedschedulingconflictsortheirrequestforacareconferencewasnotactedon.

Relatedly,familymembersreportedthattheywerenotalwaysinformedaboutepisodiceventsconcerningresidentsoraboutresident’simmediateneeds.Familymembersrecalledtimeswhentheywerenotinformedthatresidentshadbecomeill,weretakentohospital,hadfallenandbecomeinjuredinthefacility,orhadmedicationschanged.Whenfamilymemberswerenotinformedoftheseevents,theysaiditcausedthemtofeel“outoftheloop”.Becausefamilymemberswereunaware,theysaiditalsopreventedthemfromcheckinginontheresidenttoensuretheywereokayandtooffersupport.

Familymembersalsotalkedabouttimeswhentheywerenotinformedaboutchangeswithinthefacility.Forexample,familymemberssaidstaffandmanagementchangesoccurredwithouttheirknowledge.Similarly,familymembersdescribedtimeswhentheywerenotnotifiedaboutchangestoaccommodationandservicecharges.

Inadditiontonotalwaysbeingkeptinformedaboutresidents,familymemberssaidthatthereweretimeswhentheywerenotincludedindecision‐making.Assomefamilymembershadahistoryofbeinginvolvedinresidentscareandwereknowledgeableabouttheirresident’sspecificneeds,familymemberssaidtheyfeltlikestaffdidnotalwayslistentowhattheyhadtosay.Familymemberssaidthereweretimeswhentheirknowledgeabouttheresidentcouldhavepreventedmedicalerrorsfrombeingmade.

Partofbeinginvolvedandincludedwasdeterminedbythedegreetowhichfamilymemberssaidtheywereenabledorpreventedfromplayinganactiveroleinresident’scare.Whilesomefamilymemberssaidstaffwerealwaysavailableandreceptive,otherfamilymembersexpressedthattheyexperiencedlongwaittimestocontactstaffandtogetaresponsefromstaff.Forexample,familymemberssaidtheyexperiencedadministrativedifficultieswhenmessagesleftforstaffwerenotdelivered.Relatedly,familymemberssaidtheydidnotalwaysknowhowtocontactstaffbecausethisinformationwasnotalwaysavailabletothem.Whenstaffweredifficulttocontact,familymembersexpressedchallengestotheirinvolvementinresidentcare.

Intheircomments,familymembersmaderecommendationstoincreasetheirinvolvementinresidentcare.Familymemberssuggestedfrequent(quarterly,semi‐annually,orannual)updatesfromstaffaboutresidentsbywayofaformalmeetingorcareconference.Inadditiontoregularupdates,familymemberssuggestedthey:beinformedaboutincidentsconcerningtheresidentimmediatelyaftertheyoccur;bekeptup‐to‐dateonresidentneeds;andbeinvolvedindiscussionsbeforechangestoresidentcarearemade.

Familymemberssuggestedtheybeprovidedwithupdatedstaffcontactinformation,andthatstaffbeavailabletospeakwiththembothinpersonandbyphone.Wherethisisnotpossible,familymemberssuggestedthatmessagesberespondedtowithinatimelymanner(within24‐hours).Lastly,family

28ContinuingCareHealthService,standard1.9:Client/familyinvolvementincareplanninghttp://www.health.alberta.ca/documents/Continuing‐Care‐Standards‐2008.pdf

97

QUALITATI

memberstheirknowchangest

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hattheyhadconcernsheyfeltthemplaintsandymemberssaolutionsedtogetcomanges,orunwnresolved,fastaffdeclinedfamilymembe

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complaintsamplacent,andnsinatimelyminefacilitycandards29,30safairreview

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familymembersconveyeddissatisfactionwiththequality,variety,temperature,portionsize,andnutritionvalueofthefood.Overall,familymembersrecognizedthatalthoughfacilitiesmustoperatewithintheconstraintsofavailableresources,includingstaffinglevelsandbudget,facilitiessometimesstruggledtoprovidequalitymealstoallresidents‐whooftenhaddiversenutritionanddietaryneeds.

Accordingtofamilymembers,foodpreparationaffectedfoodquality.Specifically,familymemberssaidtheydidnotthinkfacilitiesalwaysemployedindividualswhohadculinaryknowledgeandskillandexpressedthatthisnegativelyaffectedfoodqualityasresidentsreceivedfoodthatwasunappealing,unappetizing,toocoldandovercookedorundercooked.Inadditiontofoodpreparation,familymemberssaidtheythoughtthequalityofthefoodbroughtinalsocontributedtooverallfoodquality.Inparticular,familymemberssaidtheythoughtsomefacilitiesreliedonpre‐madefoodshighinsodiumandpreservativesor‘fresh’ingredientsthatseemedclosertoexpiration.Familymembersalsoexpressedthattheydidnotthinktherewereenoughchoicesinthefoodoffered,andasaresultresidentswerenotalwaysprovidedwithavarietyoffoodsorfoodsthattheypreferred.Overall,familymembersexpressedthatwhenfoodwasnotpreparedon‐siteusingavarietyoffreshingredientsandpreparedbyanexperiencedandknowledgeablecook,foodqualitywaspoor.

Relatingtofoodquality,familymembersexpressedthatthefoodwasnotalwaysnutritiousanddidnotalwaysmeetresidents’dietaryneedsandhealthandwellnessgoals.Specifically,familymemberssaidresidentsweresometimesservedfoodsthatdidnotpromotegoodhealth,likedeepfriedfoodsandlargesugarydesserts.Aswell,familymemberssaidresidentswhohaddietaryrestrictionsduetomedicalconditions(e.g.,diabetes,highcholesterol),orwhohaddifficultychewingandswallowingwerenotalwaysprovidedwithsuitablefoods.Familymemberssaidtheyfeltthatresidentsgainedweight,lostweight,orwereatriskofchokingasaresult.

Familymembersalsosaidmealserviceswerenotalwayswellplanned.Inparticular,familymemberssaidthetimingofmealswasattimesproblematic,especiallyforresidentswhohadhealthcareneedsthatrequiredthattheytakemedicationsatparticulartimesofdayandwithfood.Familymemberssaidthatsometimesmealswereservedtooearlyorwerespacedtoofarapart.Relatedly,familymemberssaidresidentswerenotalwaysprovidedwithregularsnacksandbeveragesbetweenmeals,whichtheysuggestedwasalsoaresultofpoorplanning.Inadditiontotheirconcernsaboutmealtiming,familymemberssaidresidentswerenotalwaysabletoeattheirmealsontimeduetodelaysingettingalloftheresidentsintothediningarea.Whenmealsweredelayed,familymemberssaidtheyfeltresidentswererushedtofinishtheirmeals.

Asaresultfamilymemberssuggestedfacilitiesensureresidents’nutritionneedsarefulfilled.Familymembersalsosuggestedfoodbepreparedandservedonthesameday,byacookwithexperienceinthefoodindustry.Aswell,familymemberssuggestedfacilitiesseekregularfeedbackfromresidentsconcerningresidentpreferences.Lastly,familymemberssuggestedadequatestaffinglevelstoenableresidentstogettoandfrommealsontime,andtoassistresidentswitheatingifresidentsneedhelp.Whilefamilymembers’commentsprovidedvaluableinsightastowhereimprovementstofoodandmealservicescouldbemade,furtherstudywouldberequiredinordertodeterminewhetherornotsupportivelivingfacilitiescomplyordonotcomplywithstandards.Currently,supportivelivingfacilities

99

QUALITATI

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amilymembepracticalnurs’healthcarenceddelaysinngedforappoemberssaidts.

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vehealthservmbersconveyepharmacy.Faceivingmedicrryparticularedpharmacieresidentsdidoktheirpresc

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ableatthefaccentoffamilyimentedtheqisfiedthatresWhilefamilymalsorecognizndstaffingreqeandservice

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memberscomctionwiththeerssaidthishepharmaciess.Overall,famanresidents.eceivethecoration.

nutritionandhydandards‐2008.pdfNutritionalrequir‐Guide4‐2013‐SLerapeuticserviceandards‐2008.pdfalhealth,dental,pandards‐2008.pdf

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reducedresidents’senseofsecurityandcomfort.Relatedly,familymemberswereconcernedaboutstaffsafetywhentherewastoofewstaff.Specifically,familymemberssaidtheyfeltthatifaresidentwasbehaviorallychallengingoraggressive,staffmightnotbeabletocontrolthatresident’sbehaviourontheirown.

Familymembersalsosaidtheywereconcernedabouttheevacuationofresidentsinthecaseofanemergency.Familymemberssaidthattherewasnotalwaysasysteminplacetoquicklyinformresidentsofanemergency,andtherewasnoeasywaytogeteveryresidentoutofthefacility.Inparticular,familymemberspointedoutthatmanyresidentswereimmobile,therewasnotenoughstafftoassistresidents,andtherewasusuallyonlyoneelevator.

Severalfamilymemberssaidthatbothkeepingresidentswithinthefacilityandtakingresidentsoutsideofthefacilitywasasecurityconcern.Onefamilymemberexpressedthatkeepingtrackofresidentswithinthefacilitywasachallengebecausetrackingdevicesdidnotalwaysworkcorrectly.Anotherfamilymembersaidthatresidentswhotheyfeltshouldbeplacedinasecureunit,becausetheseresidentshadatendencytowander,werenot.Ineithercase,familymemberssaidthatresidentsmightbeabletoexitthefacilityunnoticed.Otherfamilymemberssaidtheywereconcernedaboutsecuritymeasuresinplacetoensureresidentswerenottakenoutofthefacilitybyanyoneotherthantrustedindividualsknowntothefamily.Familymemberssaidthatstaffwasnotalwaysawareofwhoshouldandshouldnottakeresidentsoutsideofthefacility.

Intheircomments,familymembersexpressedconcernaboutsituationsinwhicharesidentexperiencedphysicalharm,neglect,oremotionalharm.Itisimportanttoreiteratethatthesecommentswerefewinnumberanddonotreflecttheexperienceofthemajorityofresidents.Afewfamilymemberssaidthatstaffwithheldprescribedmedicationortheyfeltthatstaffinappropriatelyusedmedicationtoresolvebehaviouralissues.Lastly,afewfamilymemberssaidthatstaffdidnotadequatelymonitororsuperviseresidentstoprotectresidentsfromriskoffalling,resultinginbrokenorfracturedbones.

Overall,familymembershadfewcommentsrelatingtothetopicofsafetyandsecurity.However,familymembersalsoofferedrecommendationstocontinuetoimproveresidentsafetyandsecurity.Inparticular,familymemberssuggestedanincreaseinstaffinglevelssothatstaffcanbettermonitorresidentsandensureresidents’personalitemsaresecure.Also,familymembersrecommendedthatadequatesecurityproceduresbeputinplacetoensureresidentsarealwaysaccountedforandmonitoredregularly.Todoso,familymemberssuggestedamonitoredlogbookforvisitorstosigninandoutwith;staffbecomefamiliarwithresidentsandtheirfamilies;securingwanderingresidentsinlockedunitsifneeded;andensuringtrackingdevices(ifapplicable)function.Whetherornotfamilymembers’commentsarereflectiveoffacilitiescomplianceornon‐compliance,whichwouldrequirefurtherreview,facilitiesarerequiredtopromotethesafetyandsecurityofresidents,includingprocessesthataccountforallresidentsonadailybasis,andensurethatmonitoringmechanismsorpersonnelareinplaceonaround‐the‐clockbasis.39

39SupportiveLivingAccommodationStandardsandChecklist,standard18:Residentsafetyandsecurityhttp://www.health.alberta.ca/documents/CC‐Accommodation‐Guide4‐2013‐SL.pdf

105

QUALITATI

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106

QUALITATI

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107

LIMITATIONS

13.0 LIMITATIONS

13.1 Limitations of the quantitative analyses

Ininterpretingtheresultsofthereport,thereareseveralimportantlimitationstoconsider:

1. Theeffectofsamplesize:Resultsbecomeincreasinglyunreliableasthesamplesize(i.e.,thenumberofrespondents)decreasesinrelationtotheoverallpopulation.Readersmustbemindfulofthesamplesizewhengivingweighttofindings,inparticularfacility‐to‐facilitycomparisons.Tomitigatethis,facility‐levelanalyseswerelimitedtofacilitieswithreliablesamplesizes(107of134facilities;seeSection4.3andAppendixD),whichisdefinedasthosefacilitiesforwhichrespondentsreliablyrepresentthefacilitywithinapredefinedmarginoferror.Thecriteriaforreliabilitywastwo‐fold:1)amarginoferrorcalculationwhichidentifiedreliablefacilitiesasthosewithamarginoferrorofequaltoorlessthan10percent,and2)aresponserateofgreaterthan50percent(forfurtherdetails,seeAppendixD).Furthermore,samplesizesand95percentconfidenceintervalsarereportedinassociationwithresultsamongfacilitiesinorderforthereadertomakejudgmentsregardingthereliabilityoffindings.

2. Theeffectoftheresidentprofileatthefacility:Differencesinresidentprofilesmustbeconsideredwheninterpretingthesurveyresultsrelativetothezoneandtheprovince.Forexample,ageandthedegreeofphysicalandcognitiveimpairmentofresidentswithinaparticularfacilitymayprovidemeaningfulcontextintheinterpretationofthesurveyresults,includingexplainingwhydifferencesexistordonotexistrelativetoAHSzoneandprovincialresults,andwhetherthesedifferencesaremeaningful.

3. Theeffectofservicesprovided:Giventhatfacilitiesdifferinmanyways,thesurveyanditscomponentsmustalsobeevaluatedrelativetotheactivitiesandtheservicesprovidedbyeachfacility.Forexample,laundryservicesmaynotbeaserviceofferedbyallfacilities,orusedbyallresidentswithineachfacilitytherebylimitingtheapplicabilityofquestionsrelatedtolaundryforthosefacilitiesorresidents.

13.2 Limitations of the qualitative analyses

Thereareseveralimportantlimitationstothequalitativeanalyses.First,familymemberswerelimitedbytheamountofspaceprovidedtorecordtheiranswers.Whilefamilymemberschosetoexpandtheiranswersbywritingonthebackpageoftheirquestionnaire,ortosubmitanadditionallong‐answerresponse,mostwrotetheirresponseswithinthespaceprovided.Asaresult,theresponsestothesequestionsmaybeshorter,lessdetailed,andmaynotcoverallofwhatafamilymemberhadtosayhadalargerspacebeenprovided.

Anotherimportantconsiderationisthatthesecommentsprovideoneperspectiveofthequalityofcareandservicesatsupportivelivingfacilities.Thisanalysisisbasedonfamilymembers’opinionsandexperiences,anddoesnotprovideacomprehensive,overallpictureofafacility’scareandservices.Inparticular,familymembers’commentsmaynotreflecttheopinionsandexperiencesofresidents,staffandfacilityoperators.Itispossiblethatthefamilymemberswhoprovidedcommentsandconcernswerethosewhosefamilymembersrequiredthemosthelpand/orwhosefamilymembersweremostatriskofnegativehealthcareexperiences.Ifthiswasthecase,itispossiblethattheexperiencesofthose

108

LIMITATIONS

whoprovidedcommentswererelativelymorenegativethantheoverallpopulation.Nevertheless,familymembersprovidedinvaluableinsightbasedontheirownobservationsandexperiences.

109

SUMMARY OF FINDINGS AND CONCLUSION

14.0 SUMMARY OF FINDINGS AND CONCLUSION

TheSupportiveLivingFamilyExperienceSurveywasconductedbytheHealthQualityCouncilofAlbertaincollaborationwithAlbertaHealthandAlbertaHealthServices(AHS).Theintentofthesurveyistoestablishabaselinemeasurementforsupportivelivingfamilyexperiences(familymembersofsupportivelivinglevel3and4residents)41thatcanbeusedforbenchmarkingandongoingmonitoringasmeasuredbytheGlobalOverallCarerating,fourDimensionsofCare,andtheFoodRatingScale.Thisreportpresentsanoverviewoffacilityperformanceacrosstheprovincefromthefamilymembers’perspectives.Thisinformationcanbeusedtoassessperformancerelativetopeers,toidentifyopportunitiesforimprovement,andtoidentifyhigherperformingfacilities.

Results

Global Overall Care rating

TheGlobalOverallCareratingreflectsfamilymember’soverallevaluationofthesupportivelivingfacility.TheGlobalOverallCareratingfortheprovincewas8.4outof10.Therewasvariationamongthefacilitiesthroughouttheprovincewithindividualfacilityscoresrangingfrom6.5to9.9outof10.

Attheprovinciallevel,thefourDimensionsofCareandtheFoodRatingScalevaryintheirinfluenceonfamilyexperienceandfamily’soverallevaluationofthesupportivelivingfacility.ThegreatestgainsattheprovinciallevelmayberealizedbyfocusingonthestrongestinfluencersofGlobalOverallCare.Thesearelistedinorderofdecreasinginfluenceandinclude:



3. Food



Inaddition,eachfacilityhastheirownuniqueareasoffocus,whichmaydifferfromthoseidentifiedfortheprovince.Thesearehighlightedinfacility‐levelreports,whichhavebeenprovidedtoeachfacilitythatparticipatedinthesurvey.


TheStaffing,CareofBelongings,andEnvironmentDimensionofCarehasthestrongestinfluenceontheGlobalOverallCarerating.Thisdimensionreflectsfamilymembers’experienceswiththeavailabilityofstaff,thecleanlinessoftheresident’sroom,andwhethertheresident’sclothesorbelongingswerelost.Thescorefortheprovinceonthisdimensionwas78.3outof100.Therewasvariabilityamongthefacilitiesthroughouttheprovincewithscoresrangingfrom58.1to95.7outof100.TheStaffing,CareofBelongings,andEnvironmentDimensionofCareaccountedforapproximately33percentofallfamilymembercomments.Familymembersmostfrequentlyprovidedcommentsrelatedtostaffinglevelsandspecifically,issuesregardinghighstaffturnoverandunderstaffing.

41Supportivelivinglevel3isforindividualswhosemedicalconditionisstableandappropriatelymanagedwithout24‐houron‐sitenursingstaff,butwhohavelimitedindependence.Supportivelivinglevel4isforindividualswithmorecomplexmedicalconditions.

110



TheKindnessandRespectDimensionofCarehasthesecondmostinfluenceontheGlobalOverallCarerating.Thisdimensionreflectsfamilymembers’experienceswiththecourteousness,kindness,politeness,andappropriatenessofemployeestowardsresidents.Thescorefortheprovinceonthisdimensionwas85.8outof100.Individualfacilityscoresrangedfrom60.3to100outof100.TheKindnessandRespectDimensionofCareaccountedforapproximatelyfivepercentofallfamilymembercomments.Familymembersexpressedthattheywereappreciativeoffriendly,kind,andrespectfulstaffwhotookaninterestinresidents.Familymembersalsoexpressedconcernsthatwhenstaffdidnotpossessthesequalities,thisdisruptedtheresidents’abilitytoreceivecare,togettheircomplaintsandconcernsaddressedandtobetreatedfairlyandconsiderately.

Food Rating Scale

TheFoodRatingScalereflectsfamilymembers’opinionsaboutthefoodatthefacility.Thescorefortheprovinceonthisitemwas7.2outof10;facilityscoresrangedfrom5.3to9.7outof10.Withrespecttofoodandfoodrelatedissues,somefamilymemberscomplimentedthequalityofthefoodservedatfacilities.Otherfamilymembersexpressedconcernsaboutgeneralfoodquality:thatthefoodwasnotalwaysnutritiousanddidnotalwaysmeetresident’sdietaryneedsandhealthandwellnessgoals.


TheProvidingInformationandEncouragingFamilyInvolvementDimensionofCarereflectsfamilymembers’experienceswithbeinginformedaboutthecareandservicesthattheresidentisreceiving,aswellasinformationonpaymentsandexpenses.Inaddition,familymemberswereaskediftheyarecomfortableaskingquestionsandwhethertheyareeverdiscouragedfromaskingquestionsoftheemployeesatthefacility.Thescoreforthisdimensionfortheprovincewas84.6outof100.Thefacilityscoresrangedfrom69.6to98.4outof100.TheProvidingInformationandEncouragingFamilyInvolvementDimensionofCarecomprisedapproximately11percentofallfamilymembercomments.Mostofthecommentsfocusedontheflowofinformationbetweenstaffandfamilymembers,aswellasthedegreetowhichthefacilityincludedandinvolvedfamilymembersinresidentcare.

Meeting Basic Needs

TheMeetingBasicNeedsDimensionofCarereflectsfamilymembers’experienceswithfacilitystaffhelpingtheresidentwitheating,drinking,ortoileting.Thescoreforthisdimensionfortheprovincewas95.8outof100.Individualfacilityscoresrangedfrom74.7to100outof100.TheMeetingBasicNeedsDimensionofCareaccountedforapproximately31percentofallfamilymembercomments.Themostfrequentlyprovidedcommentsrelatedtotheavailabilityofcareandservicesinthefacility;however,familiesrecognizedthatthenumberandtypeofcareandservicesprovidedtoresidentswerelimitedbyfacilityresources,staffinglevels,andstaffingrequirements.Overall,familymemberssaidresidentswouldbenefitfromreceivingmoretimelycareandservicesandfromhavingaccesstoin‐househealthcare,hygiene,andgroomingservices.

111


Quartile analyses

Facilitiesthatwerecategorizedintheupperquartile(i.e.,upper25percentofscores)ontheirGlobalOverallCareratingwerealsoratedmorepositivelyineachofthefourDimensionsofCareandFoodRatingScalerelativetofacilitiesthatwerecategorizedinthelowerquartile(i.e.,lower25percentofscores).Thisanalysiswillassistlowerquartilefacilitiesindeterminingtheimportanceandfocusofqualityimprovementinitiatives.Facilitieswishingtoimprovecanlooktothoseupperquartileperformersforexamplesofhowtoachieveimprovedperformanceinvariousareas.Differencesinmeansbetweentheupperandlowerperformingfacilities,ineachofthefourDimensionsofCareandtheFoodRatingScaleare:

Staffing,CareofBelongings,andEnvironment:17.6outof100

KindnessandRespect:9.9outof100

Food:1.3outof10

ProvidingInformationandEncouragingFamilyInvolvement:10.4outof100

MeetingBasicNeeds:7.0outof100

Facility size

Overall,resultsshowedthatfacilitysizeisanimportantfactorthatinfluencesallDimensionsofCareandtheGlobalOverallCarerating.Asfacilitysizeincreases(i.e.,numberofbeds),theGlobalOverallCareratingandscoresforDimensionsofCaredecrease.Typically,smallerfacilities(i.e.,fewerbeds)havemorefavorableratingsthanlargerfacilities.ThisissimilartoafindingthatwaspreviouslyreportedbytheHealthQualityCouncilofAlbertaforthelongtermcaresector.42However,itwasnotedthattherewereafewlargefacilitiesthatreceivedrelativelyhighscoresandafewsmallfacilitiesthatreceivedrelativelylowscoresontheGlobalOverallCarerating.

Ownership type

Althoughthereweredifferencesamongownershiptypesforsomeoftheindividualquestionsinthesurvey,noevidencewasfoundtosuggestthattheGlobalOverallCare,DimensionsofCare,andtheFoodRatingScalescoresdifferedbyownershiptype(i.e.,AHS,privatelyowned,orvoluntaryowned).

Propensity to recommend

Provincially,92.0percentofrespondentsstatedthattheywouldrecommendthefacilitytheirfamilymemberlivedintoanotherfamilymemberorfriend.AgreaterpercentageofrespondentsfromfacilitiescategorizedintheupperquartileofGlobalOverallCareratingswouldrecommendtheirfacilityrelativetorespondentsfromlowerquartilefacilities(99.0%versus84.6%).

Conclusion

Resultspresentedinthisreportareintendedtoguidereflectiononperformancebyidentifyingthefactorsthatcontributetotheoverallevaluationofafacilityfromthefamilymembers’perspectives.

42Forfurtherdetailspleasereferto:http://hqca.ca/surveys/continuing‐care‐experience/

112


Goingforward,resultsfromfacility‐levelreports,thisreport,andthe2014SupportiveLivingResidentExperienceSurveyReportprovideabenchmarkbywhichtocomparefuturesurveyresultsandtomeasureimprovementoutcomes.Inaddition,theongoingevaluationofafacilityagainstitself,anditspeers,willprovideopportunitiestoidentifyareasofsuccess,andtodeterminetheimportanceandfocusofqualityimprovementinitiatives.Thiscansupportacultureofcontinualqualityimprovementbasedonfamilyandresidentfeedback.

Ataprovinciallevel,thegreatestgainsmayberealizedbyfocusingonimprovementtothefollowing,inorderofdecreasingpriorityandinfluenceonGlobalOverallCarerating:



3. Food



Eachindividualfacilityhastheirownuniqueareasforimprovement,whichmaydifferfromthoseidentifiedfortheprovince.Facilitiesshouldrefertotheirfacility‐levelreportstobetterdeterminewheretofocusqualityimprovementeffortstobestmeettheneedsoftheirresidentsandfamilymembers.

Familyexperiencedataaloneshouldnotbeusedtojudgefacilityperformanceintheabsenceofotherinformationsuchaslevel‐of‐needoftheresidentpopulation,servicesprovided,otherqualitymeasuressuchasthosederivedfromtheinterRAITMResidentAssessmentInstrument,complaintsandconcerns,andcompliancewithprovincialcontinuingcarestandards.

113

APPENDICES

APPENDICES

115

APPENDIX

APPEN

A

NDIX A: SUURVEY DOOCUMENTTS

117

APPENDIX

A

118

APPENDIX

A

119

APPENDIX A

120

APPENDIX

A

121

APPENDIX

A

122

APPENDIX

A

123

APPENDIX

A

124

APPENDIX B

APPENDIX B: SURVEY PROCESS AND METHODOLOGY

B.1 Privacy, confidentiality, and ethical considerations

InaccordancewiththerequirementsoftheHealthInformationActofAlberta(HIA),anamendmenttotheHQCAprivacyimpactassessmentforpatientexperiencesurveyswassubmittedto,andacceptedby,theOfficeoftheInformationandPrivacyCommissionerofAlberta(OIPC)specificallyfortheSupportiveLivingResidentandFamilyExperiencesurveys.

Asaprovincialcustodian,theHQCAfollowstheHIAtoensurethesecurityofthehealthinformationitcollects.Potentialrespondentswereinformedofthepurposeandprocessofthesurvey,thattheirparticipationwasvoluntary,andthattheirinformationwouldbeconfidential.Thoserespondentswhodeclinedtoparticipatewereremovedfromthesurveyprocess.Residentsandfamilieswereinformedaboutthesurveyprocessusingconventionalcommunicationchannelsincludingpostersandpamphlets.Acontactnumberwasprovidedforthosewhohadconcerns.

B.2 The Alberta Supportive Living Family Experience Survey

B.2.1 The survey instrument (Appendix A)

TheCAHPS®NursingHomeSurvey:FamilyMemberInstrumentwasusedforthissurveyofsupportivelivingresidentfamilymembers.ThisinstrumentwasalsousedintheHQCAsurveyoflongtermcareresidentfamilymembers.QuestionsintheCAHPS®instrumentwererewordedtochangethecontextfromlongtermcaretosupportiveliving.Forexample,question9(Q9)reads:

Q9:Inthelast6months,abouthowmanytimesdidyouvisityourfamilymemberinthenursinghome?

Itwaschangedto:

Q9:Inthelast6months,abouthowmanytimesdidyouvisityourfamilymemberinthesupportivelivingfacility?

Thesurveyiscomprisedof64questions,plusoneopen‐endedquestion,andwasusedwiththepermissionoftheAgencyforHealthcareResearchandQuality(AHRQ).

Thequestionnairewasdeliveredto,andansweredby,familymembers(respondents).Thequestionnairecollectedthefollowinginformation:

Residentandrespondent(familymember)characteristics(AppendixC)

Reportedfamilyexperienceandperceptionofsupportivelivingfacilityactivitiesandservices

Familymemberratingsofthecareprovidedtotheresidentbythesupportivelivingfacility

Willingnesstorecommendthesupportivelivingfacility

Suggestionsforimprovementofcareandservicesprovidedatthesupportivelivingfacility

125

APPENDIX B

B.2.2 Survey dimensions

TheCAHPS®surveycomprisesfoursubscales(i.e.,DimensionsofCare):1)Staffing,CareofBelongings,andEnvironment,2)KindnessandRespect,3)ProvidingInformationandEncouragingFamilyInvolvement,and4)MeetingBasicNeeds.EachDimensionofCarecomprisesmultiplequestions;andadimensionsummaryscoreisproducedfromspecificquestionswithineachdimension.Foralistofthesequestions,seeAppendixF.

B.2.3 Survey response options

Eachsurveyquestionwastypicallyfollowedbytwo‐optionYesorNoresponseorafour‐optionresponse:

Never

Sometimes

Usually

Always

B.2.4 Survey scoring

Thetypicalmethodforscoringthesurveyistotransformeachresponsetoascaledmeasurebetween0‐100,asshowninTable25.Higherscoresrepresentpositiveexperiencesandlowerscoresrepresentmorenegativeexperiences.ThescoringmethodologyinvolvesthecalculationofasummaryscoreforeachDimensionofCareusingamean(oraverage)ofthescaled‐responsescoreswithineachDimensionofCare.

Table 25: Survey scale conversion

Four response options Two response options

Answer choice Converted scaled value Answer choice Converted

scaled value

Always 100.0 Yes 100.0

Usually 66.67

Sometimes 33.33 No 0.0

Never 0.0

NegativelyframedquestionssuchasQuestion15(Inthelast6months,didyoueverseeanynursesoraidesberudetoyourfamilymemberoranyotherresident?)werereversecoded,whereNOresponseswerecodedas100.0andYESresponseswerecodedas0.0.Forallrespondents,eachresponsewasconvertedtoanumericalvaluebasedonthescalingmethodabove(Table25).ADimensionofCaresummaryscorewascalculatedonlyifatleastoneanswerwasprovidedtothequestionsusedforcalculatingthesummaryvariable.Facilitymeansreplacedmissingvaluesforthesequestions.ScaledresponsesweresummedanddividedbythenumberofquestionswithineachDimensionofCareto

126

APPENDIX B

arriveatasummaryscore.Questionweightsweredeterminedaccordingtofactorloadingsinafactoranalysisusingapromaxrotation.

B.3 Survey sampling design and recruitment

Thesurveywasconductedasacensusofalleligibleparticipantsforwhomcontactdatawasavailable.Giventhesmallsizeofmostsupportivelivingfacilities,randomsamplingtechniqueswerenotrequiredandwouldhaveaddedlittlevalueattheexpenseofincreasedcomplexityforthefewlargerfacilities,whererandomselectionmighthavebeenjustified.

Eligiblerespondentswereidentifiedusingacompiledsupportivelivingresidentdatabase;whichwasconstructedusingdataobtainedfromfacilitiesandAHS.Eligibilitywasbasedonboththeresidentandfamilymemberinformation.Thefollowingindividualswereexcluded:

Contactsofnewresidents(thosewhohadresidedatthefacilityforaperiodoflessthanonemonth)

Residentswhohadnocontactperson(familymember),orwhosecontactpersonresidedoutsideofCanada

Contactsofdeceasedresidentsupondatabaseconstruction

Contactsofresidentswhowerelistedasapublicguardian

Contactsofresidentswhowerenolongerlivingatthefacilitythatwaslistedinthedatabase

Familymembersofthosewhoweredeceasedsubsequenttosurveyrolloutweregiventheoptiontocompletethesurveyandtoprovideresponsesthatreflectedthelastsixmonthsinwhichtheresidentresidedinthefacility.Onerespondentwasexcludedbecausetheresidenthadbeenlivingatthesupportivelivingfacilityforlessthanonemonth.43

Thirty‐nineindividualsdeclinedtobesentasurveybeforesurveyroll‐out.Duetotheirpotentialeligibility,theseindividualswereregardedas‘refusedtoparticipate’(thereforeeligiblerespondents).

Thestudyemployedacontinuousrecruitmentstrategyandmailingsweresentoutinthreewaves:October2013,November2013,andJanuary2014.Withineachwave,thefollowingthree‐stagemailingprotocolwasusedtoensuremaximumparticipationrates:

Initialmailingofquestionnairepackages

Postcardreminderstoallnon‐respondents

Mailingofquestionnairepackagewithmodifiedcoverlettertoallnon‐respondents

Familymembershadtheoptionofeithersendingbackapaperquestionnaire,orcompletingthesurveyon‐lineusingauniquesingle‐usesurveyaccesscodeimprintedoneachquestionnairecoverpage.

43Amongrespondents,1.8percentsaidthattheirfamilymemberlivedintheirfacilityforlessthansixmonthsbutgreaterthanonemonth.

127

APPENDIX B

B.3.1 Response rates

Toreducethepotentialfor“non‐responsebias”,itisdesirabletoachieveahighresponserate.Table26showsoverallresponseratebysurveymethod.

Table 26: Response rate

Description Count Response proporiton (%)

Total Sample (Original) 6,613

Proportion eligible (All waves) 4,303 100

Total paper survey responses 2,666 62.0

Total web surveys 203 4.7

Total response 2,869 66.7

Ofthe6,613residentsinthecompleteddatabase,4,303(65.1%)weredeemedeligibletoparticipate(afterallexclusioncriteriawereapplied).Atotalof2,869familymembersreturnedasurveyorcompletedawebsurveyandwereconsideredrespondents(66.7%).Themainmodeofparticipationwasthroughpapersurveyresponses(N=2,666),whichconstituted92.9percentofallcompletedsurveyresponses.

128

APPENDIX

Figure 17

Note:Transi

B

7: Study flow

tional/Duplicate

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nd phone numb

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ent (N = 17)

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13

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sponse N =urn-to-sender (

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d survey blank (

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sponse N =

- Paper Surv

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= 1,434(N = 120)

(N = 53)

= 8)

n one month (N

= 2,869

vey (N = 2,66

vey (N = 203

N = 2)

66)

3)

129

APPENDIX B

B.3.2 Response rates by wave

Themajorityofmailoutswerecompletedduringwave1;82.0percentofeligiblerespondentsreceivedamailoutduringwave1.Responseproportions(percentagesoftotalresponse)wererelativelysimilaracrosswaves(Table27).Theprimaryreasonforanonresponsewasunreturned/nonresponse(89.6%);thiswasdefinedasunreturnedmailandnoresponseviaweb(Table28).

Table 27: Response proportions by wave

Wave 1 (N = 3,532) Wave 2 (N = 660) Wave 3 (N = 72) Alberta (N = 4,264)

Description Percentage (%) Percentage (%) Percentage (%) Percentage (%)

Proportion eligible 100.0 100.0 100.0 100.0

Total paper survey responses

61.8 67.8* 48.5 62.5

Total web surveys 5.5 0.0 11.1 4.8

Total response 67.3 67.8 59.7 67.3*

*Totalresponseexcludes39individualsthatdeclinedpriortosurveymailout.

Table 28: Reasons for non-response by wave

Wave 1 (N = 3,532) Wave 2 (N = 660) Wave 3 (N = 72) Alberta (N = 4,264)

Description Percentage (%) Percentage (%) Percentage (%) Percentage (%)

Proportion eligible 100 100 100 100

Invalid address/RTS 2.9 2.0 5.6 2.8

Language 0.1 -- -- 0.1

Unreturned/non-response

29.1 30.0 34.7 29.3

Refused 0.4 0.2 -- 0.4

Deceased - did not complete

0.2 -- -- 0.2

Lived in facility less than one month

0.1 -- -- 0.1

130

AF AP

PE

ND

IX B

Fig

ure

18:

Res

p N

Res

pons

e -

pape

r

(n =

2,1

82)

Res

pons

e -

web

s

(n =

195

)pons

e flo

w-c

hart

Wav

e 1

N =

3,5

32

surv

ey

surv

ey

No

nre

s

Inva

lid a

send

er (

Lang

uag

No

resp

o

Ref

used

Dec

eas e

(n =

8)

Live

d in

m

onth

(nby

wa

ve

spo

nse

(n

= 1

,155

)

ddre

ss/r

etur

n-to

-n

= 1

03)

ge is

sues

(n

= 2

)

onse

(n

= 1

,026

)

(n

= 1

4)

ed -

did

not

com

plet

e

faci

lity

less

than

one

n

= 2

)

Res

pons

e -

pa

(n =

44

Wav

e 2

N =

660

per

surv

ey

48)

No

n

Inva

sen

No

r

Ref

u2 0 nre

spo

nse

(n

= 2

13)

alid

add

ress

/ret

urn-

to-

der

(n=

13)

resp

onse

(N

= 1

98)

used

(n=

1)

-

Res

pons

e -

p

(n =

3

Res

pons

e -

w

(n =

Wav

e 3

N =

72

aper

sur

vey

35)

web

sur

vey

8)

No In to N

3 on

resp

on

se (

n =

29)

nval

id a

ddre

ss/r

etur

n-

o-se

nder

(n

= 4

)

o re

spon

se (

n =

25)

131

APPENDIX

B.4 R

Responsesurveys.

Figure 19

44Note:wheInotherwor

Non

Res

Per

cen

tag

e (%

)

B

Response

erateoverallw

9: Survey res

nresultsrefertords,itisthezonei

n-respondents

spondents

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

rates by z

was66.7per

sponse rates

zonecomparisoninwhichthefacil

Calgary

s 31.1

68.9

zone44

cent.Ofthec

s by AHS zon

ns,theseresultsrityinreferenceis

Central

30.6

69.4

completedres

ne and provin

refertozonesinwslocated.

Edmonton

35.7

64.3

sponses,near

nce

whichtherespond

n North

39.7

60.3

rlyall(92.9%

dents’familymem

South

31.2

68.8

%)werepaper

mber(resident)r

Alberta

33.3

66.7

r

resides.

a

132

APPENDIX C

APPENDIX C: RESPONDENT AND RESIDENT CHARACTERISTICS

Noteasterisk(*)representsavaluestatisticallydifferentascomparedtotheAlberta(provincial)result.SeeTable46,AppendixFforanexample.

Severalquestionsaboutrespondentandresidentcharacteristicswereincludedinthesurveyquestionnaire.Thesewereintendedto:

1. Helptounderstandwhovisitstheresident(theirdemographiccharacteristicsandtheirrelationshiptotheresident)

2. Evaluatehowthesecharacteristicsmayhaveimpactedtheresults

C.1 Respondent (i.e., family member) characteristics

Respondentcharacteristicsweregroupedintotwocategories:

1. Respondents’relationshipandlevelofinvolvementwiththeresident:

a) Respondentrelationshiptoresident

b) Frequencyofvisits

c) Mostexperiencedpersonwithlevelofcare

2. Socio‐demographicprofilesofrespondents:

a) Age

b) Gender

c) Education

d) Ethnicity

e) Language

Detailedresultsforeachattributearereportedinthefollowingpages.

133

APPENDIX

C.1.1 Q

Respondemajorityospouse/p

Amongthin‐law(23

Figure 20

Table 29

Spouse/part

Parent

Mother/fathe

Grandparen

Aunt/uncle

Sister/brothe

Child

Friend

Other

To

Alberta

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Per

cen

tag

e (%

)

C

Question 1 (

entswereaskofrespondenartner(8.8%

hosewhorepo3.5%).

0: Provincial

: Zone summ

tner

er -in-law

t

er

otal

Spouse/Partner

a 8.8

(Q1): Who

kedtoreportttsreportedth).

ortedother,t

summary of

mary of respo

Calgary

(N = 363)

%

6.1

74.1*

1.9

1.1

2.8

5.8

2.8

3.6

1.9

100.0

ParentMot

65.8

is the perso

theirrelationhattheywere

hemajorityr

responses fo

onses for sur

Central

(N = 540)

%

8.5

66.9

1.9

1.3

5.7

8.0

4.6

1.7

1.5

100.0

her/Father -in-law

Grand

2.6 0

on named o

nshiptothereerepresentin

reportedther

or survey Q1

rvey Q1

Edmonton

(N = 1,023)

%

7.9

62.8*

2.6

0.7

4.9

10.1

4.3

3.0

3.7*

100.0

dparent Aunt / Un

0.9 4.7

on the cove

esidentnamengtheirparen

residentwas

1

North

(N = 173

%

12.7

63.0

4.6

0.6

3.5

9.2

2.9

2.9

0.6

100.0

ncle Sister / Broth

8.6

er letter?

edonthecovents(65.8%)o

asibling,orb

3)

Sout

(N = 74

%

10.6

65.9

3.0

0.8

4.9

8.1

2.7

2.2

1.9

100.0

her Child

3.7

erletter.Thertheir

brother‐orsi

h

42)

Albe

(N = 2

%

6 8.

9 65

2.

0.

4.

8.

3.

2.

2.

0 100

Friend

2.6

ister‐

erta

2,841)

%

8

5.8

6

9

7

6

7

6

4

0.0

Other

2.4

134

APPENDIX

C.1.2 Qin

Themajorlastsixm

Figure 21

Table 30

0 - 1 times I

2 - 5 times I

6 - 10 times

11 - 20 time

More than 2

Alb

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q9: In the lan the suppo

rityofrespononths(68.7%

1: Provincial

: Zone summ

n the last six mo

n the last six mo

In the last six m

s In the last six m

0 times In the las

Total

0 - 1 timlast 6 m

erta 2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthortive living

ndentsreport%).Responses

summary of

mary of respo

nths

nths

onths

months

st six months

es in themonths

2 - la

.6

s, about hofacility?

tedthattheyswerefound

responses fo

onses for sur

Calgary

(N = 360)

%

2.2

6.4

8.6

14.4

68.3

100.0

5 times in theast 6 months

7.5

ow many tim

visitedtheirftodiffersign

or survey Q9

rvey Q9

Central

(N = 539)

%

1.1*

7.1

9.5

13.9

68.5

100.0

6 - 10 timethe last 6 m

8.5

mes did you

familymembificantlyacro

9

Edmonton

N = 1,010)

%

3.7*

8.3

8.9

14.1

65.0*

100.0

es inonths

11 - 2the las

u visit your

bermorethanosszones(p<

North

(N = 171) (N

%

2.9

8.2

10.5

10.5

67.8

100.0

20 times inst 6 months

t

12.7

family mem

n20timesint<0.05,Table

South

N = 732)

Al

(N =

%

2.5

7.2

6.6

9.6*

74.2* 6

100.0 1

More than 20imes in the las

months

68.7

mber

the30).

lberta

= 2,812)

%

2.6

7.5

8.5

12.7

68.7

100.0

0t 6

135

APPENDIX C

Respondentswhoanswered0‐1timeswereinstructedtoskiptothedemographicsectionofthequestionnaire.Forthosewhocontinuedtoanswersurveyquestions,theirresponsesweresettomissing(N=21withvalidresponseonGlobalOverallCareratingquestion).

SomerespondentsdidnotprovidearesponsetoQ9,butdidcompletetherestofthequestionnaire.GlobalOverallCareratingsforthisgroupdidnotdiffersignificantlyfromthosewhoprovidedavalidresponseandthereforetheirresponsestotherestofthequestionnairewereretained.

Table 31: Missing responses to Q9 versus frequency of visits

Q9 Response Results

Missing Referent group

0 to 1 times In the last six months Not significant relative to referent group (p > 0.05)




More than 20 times In the last six months Not significant relative to referent group (p > 0.05)

136

APPENDIX

C.1.3 Qlivc

Inalmost(87.8%).

Figure 22

Table 32

Yes

No

Don't know

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q64: Considving facilityare?

allcases,the

2: Provincial

: Zone summ

Calga

(N = 3

%

86.7

9.9

w 3.3

100.

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

dering all ofy, are you th

erespondentw

summary of

mary of respo

ary

62)

Ce

(N =

7 8

9

3

0 1

Yes

87.8

f the peoplehe person w

wastheperso

responses fo

onses for sur

entral

= 535)

E

(N

%

88.0

9.2

2.8

00.0

e who visit ywho has the

onwiththem

or survey Q6

rvey Q64

Edmonton

N = 1,011)

%

87.9

9.1

3.0

100.0

No

9.2

your family e most expe

mostexperien

64

North

(N = 173)

%

84.4

11.0

4.6

100.0

y member inerience with

ncewithcare

South

(N = 730

%

88.9

8.6

2.5

100.0

Don'

3

n the suppoh his or her

ofthereside

0)

Albe

(N = 2,

%

87.

9.2

3.0

100

't know

3.0

ortive r

nt

erta

,811)

%

8

2

0

0.0

137

APPENDIX

C.1.4 Q

Themostresponde

Figure 23

Table 33

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q60: What i

commonresnts.Approxim

3: Provincial

: Zone summ

Cal

(N =

0

3

2

4

2

r 8

l 10

25 to

erta 1.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

s your age?

pondentagemately34per

summary of

mary of respo

lgary

= 353)

C

(N

%

0.3

3.1

0.7

4.2

2.9

8.8

00.0

34 35 t

0 2

?

groupwasthrcentofresp

responses fo

onses for sur

Central

N = 509)

%

1.4

2.2

17.1

40.1

28.5*

10.8

100.0

to 44 45

2.9

hose55to64ondentswere

or survey Q6

rvey Q60

Edmonton

(N = 989)

%

1.1

4.0*

23.7*

41.0

21.5*

8.7

100.0

5 to 54

20.5

yearsold,coeover65yea

60

North

(N = 162)

%

1.2

2.5

24.7

38.3

21.6

11.7

100.0

55 to 64

41.4

nsistingof41arsofage.

South

(N = 709

%

0.8

1.7

17.5

42.3

26.1

11.6

100.0

65 to 74

24.2

1.4percento

9)

Albe

(N = 2

%

1.0

2.9

20.

41.

24.

10.

100

75 or olde

10.0

of

erta

,722)

%

0

9

.5

.4

.2

.0

0.0

er

138

APPENDIX

C.1.5 Q

Femalescsignifican

Figure 24

Table 34

Male

Female

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q61: Are yo

constituted66ntlyacrossAH

4: Provincial

: Zone summ

Calgary

(N = 363

%

36.4

63.6

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

u male or f

6.8percentoHSzone(p>0

summary of

mary of respo

y

3)

Centr

(N = 5

%

33.1

66.9

100.

M

33

female?

ofrespondent0.05,Table34

responses fo

onses for sur

ral

535)

Edm

(N =

1

9

.0 1

ale

3.2

tsandthepro4).

or survey Q6

rvey Q61

monton

= 1,013)

%

32.6

67.4

100.0

oportionoffe

61

North

(N = 171)

%

27.5

72.5

100.0

emalestomal

South

(N = 731)

%

33.9

66.1

100.0

Female

66.8

lesdidnotdi

Alber

(N = 2,8

%

33.2

66.8

100.0

ffer

rta

813)

2

8

0

139

APPENDIX

C.1.6 Q

Approximless,and2difference

Figure 25

Table 35

Grade schoo

Completed h

Post-second

Some unive

Completed c

Completed u

Postgrad de

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q62: What i

mately32per24percentoesinresponse

5: Provincial

: Zone summ

ol or some high s

high school

dary technical sc

rsity or college

college diploma

university degree

egree (Master's o

Total

Gradeschool some hi

schoo

erta 10.1

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

s the highe

centofrespofrespondentseswerefoun

summary of

mary of respo

school

hool

e

or Ph.D.)

eorigh

ol

Complethigh

schoo

21.9

est grade or

ondentsreporsreportedthdacrosszone

responses fo

onses for sur

Calgary

(N = 348)

%

7.5

22.1

13.8

17.5*

14.4

19

5.7

100.0

ted

ol

Post-secondatechnicschoo

14.4

r level of sc

rtedtheirhigattheyhadces(p<0.05,T

or survey Q6

rvey Q62

Central

(N = 519)

E

%

11

23.9

17.9*

10.8

15.8

16.4

4.2*

100.0

aryall

Someuniversior colleg

13

chool that yo

ghestlevelofecompletedauTable35).

62

Edmonton

(N = 968) (N

%

6.2*

22.4

14.4

12

15.7

20.1

9.2*

100.0

eityge

Completcollegediploma

16.4

ou have co

educationwauniversitydeg

North

N = 165)

S

(N

%

34.5*

22.4

10.9

9.7

11.5

7.3*

3.6

100.0 1

tedea

Completuniversi

degree

17.9

ompleted?

ashighschoogree.Significa

South

N = 700)

Alb

(N =

%

10.3 1

19.3 2

13.0 1

14.6

20.1* 1

17.7 1

5.0 6

100.0 10

tedty

e

Postgradegree

(Masteror Ph.D

6.4

lorant

berta

2,700)

%

10.1

21.9

14.4

13

16.4

17.9

6.4

00.0

ader's.)

140

APPENDIX

C.1.7 Q

Themajor(97.3%).TSignificanlanguage

AmongthItalian,Uk

Figure 26

Table 36

English

Other

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q63: What l

rityofresponTheNorthzontdifferenceswasEnglish(

hosewhorepokrainian,and

6: Provincial

: Zone summ

Calga

(N = 36

%

97.2

2.8

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

anguage do

ndentsreportneconsistedwerefounda(p<0.05,Tab

ortedotherasFrench.

summary of

mary of respo

ry

63)

Ce

(N =

99

0

0 10

Eng

97

o you norm

tedthatEngliofthelargestacrosszonesble36).

stheirprima

responses fo

onses for sur

ntral

= 538)

E

(N

%

9.6*

0.4*

00.0

glish

7.3

En

mally speak

ishwastheprtpercentageinthepercen

rylanguage,t

or survey Q6

rvey Q63

dmonton

N = 1012)

%

96.8

3.2

100.0

nglish Othe

at home?

rimarylanguofnon‐Englisntageofrespo

themostcom

63

North

(N = 170)

%

83.5*

16.5*

100.0

er

agespokeninshrespondenondentswhos

mmonlanguag

South

(N = 733

%

99.3*

0.7*

100.0

Other

2.7

ntheirhoments(16.5%).seprimary

geswereGerm

)

Albe

(N = 2,

%

97.

2.7

100

man,

erta

,816)

%

3

7

.0

141

APPENDIX C

C.1.8 Respondent characteristics and differences in Global Overall Care ratings

GlobalOverallCareratings(ascorefrom0to10)werecomparedtovariablesconsideredunderthesectionRespondentcharacteristics.Inperformingmeancomparisons,variableswithmorethantwolevelswereassessedusingaone‐wayanalysisofvariance,whereastwo‐levelcategoriessuchasgender(Male/Female)wereassessedusingt‐tests.Forsimplicityinreporting,ageandeducationweredichotomizedinto:

Age:65andoverversusunder65yearsofage

Education:Highschoolorlessversusmorethanhighschool

Table 37: Respondent characteristics and differences in Global Overall Care ratings

Respondent characteristic and/or related questions Comment: significant difference in Global Overall Care rating

Q9: In the last 6 months, about how many times did you visit your family member in the supportive living facility?

Not significant

Q64: Considering all of the people who visit your family member in the supportive living facility, are you the person who has the most experience with his or her care?

Not significant

Q60: What is your age? Respondents 65 and older had higher Global Overall Care ratings compared to respondents under 65 (8.4 versus 8.1 out of 10; p < 0.05)

Q61: Are you male or female? Male respondents had higher Global Overall Care ratings compared to female respondents

(8.3 versus 8.1; p < 0.05).

Q62: What is the highest grade or level of school that you have completed?

Not significant

Q63: What language do you normally speak at home? Not significant

142

APPENDIX C

C.2 Resident characteristics

Noteasterisk(*)representsavaluestatisticallydifferentascomparedtotheAlbertaresult.SeeTable46AppendixFforanexample.

Thefollowingresidentdemographicinformationwascollected:

Timelivedinhome

Permanencyinhome

Residentinsharedroom

Residentwithseriousmemoryproblems

Residentautonomy

143

APPENDIX

C.2.1 Qfa

ThemajorSignifican

Figure 27

Table 38

1 month to a

3 months to

6 to almost 1

12 months o

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q4: In total, acility?

rityofresidenntdifferences

7: Provincial

: Zone summ

almost 3 months

almost 5 months

12 months

or longer

Total

1 to m

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

about how

nts(88.0%)linresponses

summary of

mary of respo

s

almost 3months

0.3

long has y

livedattheirswerefound

responses fo

onses for sur

Calgary

(N = 363)

%

0.6

1.7

8.5

89.3

100.0

3 months to6 mon

1.6

your family m

supportivelivacrosszones

or survey Q4

rvey Q4

Central

(N = 541)

%

0.4

3.1*

14.4*

82.1*

100.0

o almostnths

6

member liv

vingfacilityf(p<0.05,Ta

4

Edmonton

(N = 1,027) (

%

0.1

1.2

9.6

89.1

100.0

6 to almost months

10.2

ved in this s

for12monthsable38).

North

(N = 173)

S

(N

%

0.6

0.6

12.7

86.1

100.0

12 12

supportive l

sorlonger.

South

N = 742)

Alb

(N =

%

0.3 0

1.2 1

8.0 1

90.6* 8

100.0 10

2 months orlonger

88.0

iving

berta

2,846)

%

0.3

1.6

0.2

88.0

00.0

144

APPENDIX

C.2.2 Qliv

Approximatasupporesponses

Figure 28

Table 39

Yes

No

Don't know

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q5: Do you ving facility

mately91perortivelivingfswerefound

8: Provincial

: Zone summ

Calgar

(N = 36

%

93.4

3.9

w 2.8*

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

expect youy permanen

centoffamilyfacility;with5acrosszones

summary of

mary of respo

ry

61)

Ce

(N =

8

4

6

0 10

Yes

90.7

ur family metly?

ymembersst5.5percentss(p<0.05,Ta

responses fo

onses for sur

ntral

= 535)

E

(N

%

9.5

4.3

6.2

00.0

ember to liv

tatedthatthesayingthatthable39).

or survey Q5

rvey Q5

dmonton

N = 1,008)

%

89.8

3.1

7.1*

100.0

No

3.8

ve in this or

eyexpectedtheywereunsu

5

North

(N = 168)

%

86.9

6.0

7.1

100.0

any other s

heresidenttoure.Significan

South

(N = 728

%

92.3

3.8

3.8

100.0

Don'

5

supportive

opermanentlntdifferences

)

Albe

(N = 2,

%

90.

3.8

5.5

100

't know

5.5

lylivesin

erta

,800)

%

7

8

5

.0

145

APPENDIX

C.2.3 Qa

Themajorwerefoun

Figure 29

Table 40

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q6: In the lanother pers

rityofresidenndacrosszon

9: Provincial

: Zone summ

Calgary

(N = 364)

%

5.5

94.5

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthson at this s

nts(95.4%)rnes(p<0.05,

summary of

mary of respo

Centra

(N = 540

%

3.3

96.7

100.0

Y

4

s, has yoursupportive

residedinasiTable40).

responses fo

onses for sur

al

0)

Edm

(N =

3

96

10

Yes

4.6

r family meliving facilit

ingle‐residen

or survey Q6

rvey Q6

monton

1,019)

%

3.1*

6.9*

00.0

mber ever ty?

ntroom.Signi

6

North

(N = 174)

%

1.7

98.3

100.0

shared a ro

ificantdiffere

South

(N = 742)

%

7.8*

92.2*

100.0

No

95.4

oom with

encesinrespo

Alber

(N = 2,8

%

4.6

95.4

100.

onses

rta

839)

6

4

.0

146

APPENDIX

C.2.4 QA

ProvinciaSignifican

Figure 30

Table 41

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q7: Does yoAlzheimer's

lly,58.8percntdifferences

0: Provincial

: Zone summ

Calga

(N = 3

%

60.

39.

100

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

our family mdisease, de

centoffamilyinresponses

summary of

mary of respo

ary

359)

Ce

(N

%

2 5

8 4

.0 1

Y

58

member havementia, st

ymembersreswerefound

responses fo

onses for sur

entral

= 531)

E

(

%

52.9*

47.1*

100.0

Yes

8.8

ve serious mtroke, accid

eportedthattacrosszones

or survey Q7

rvey Q7

Edmonton

N = 1,006)

%

57.8

42.2

100.0

memory prodent, or som

theresidenth(p<0.05,Ta

7

North

(N = 171)

%

66.1

33.9

100.0

oblems becmething else

hadseriousmable41).

South

(N = 730

%

62.3

37.7

100.0

No

41.2

cause of e?

memoryprobl

0)

Albe

(N = 2,

%

58.

41.

100

ems.

erta

,797)

%

8

2

0.0

147

APPENDIX

C.2.5 Qdw

Provinciaalwayscawerefoun

Figure 31

Table 42

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

C

Q8: In the laecisions ab

wear, and w

lly,58.6percpableofmakndacrosszon

1: Provincial

: Zone summ

Calg

(N =

%

15

s 22

31

31

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthbout his or h

which activit

centofresponkingdecisionsnes(p<0.05,

summary of

mary of respo

gary

357)

Ce

(N

%

5.1 1

2.1 2

1.7 2

1.1 3

0.0 1

Never

16.7

s, how ofteher own daies to do?

ndentsreportsabouthisorTable42).

responses fo

onses for sur

entral

= 527)

E

(

%

13.1*

24.3

28.8

33.8

100.0

Someti

24.7

en was youraily life, such

tedthattherherowndail

or survey Q8

rvey Q8

Edmonton

N = 1,015)

%

14.4*

23.4

30.0

32.2

100.0

imes

7

r family meh as when

residenttheylylife.Signific

8

North

(N = 167)

%

24.6*

28.1

25.7

21.6*

100.0

Usually

28.6

mber capato get up, w

representedcantdifferenc

South

(N = 733)

%

21.6*

27.1

25.6

25.6*

100.0

ble of makiwhat clothe

wasusuallyocesinrespon

)

Alber

(N = 2,7

%

16.7

24.7

28.6

30.0

100.

Always

30.0

ng s to

orses

rta

799)

7

7

6

0

0

148

APPENDIX C

C.2.7 Resident characteristics and differences in Global Overall Care ratings

GlobalOverallCareratings(ascorefrom0to10)werecomparedtovariablesconsideredunderthesectionResidentcharacteristics.Inperformingmeancomparisons,variableswithmorethantwolevelswereassessedusingaone‐wayanalysisofvariance,whereastwo‐levelcategoriessuchasgender(Male/Female)wereassessedusingt‐tests.

Table 43: Resident characteristics and differences in Global Overall Care ratings

Resident characteristic and/or related questions Comment: significant difference in Global Overall Care rating

Q4: In total, about how long as your family member lived in this supportive living facility?

Not significant

Q5: Do you expect your family member to live in this or any other supportive living facility permanently?

Respondents who expected their family member to live in this or any other supportive living facility gave higher Global Overall Care ratings (8.2 out of 10) compared to those who did not expect this (7.9; p < 0.05) and those who were unsure (7.5; p < 0.05).

Q6: In the last 6 months, has your family member ever shared a room with another person at this supportive living facility?

Respondents whose family member shared a room with another person gave lower Global Overall Care ratings than those who did not have to share a room (7.8 versus 8.2 out of 10; p < 0.05)

Q7: Does your family member have serious memory problems because of Alzheimer's disease, dementia, stroke, accident, or something else?

Respondents whose family member had memory problems gave lower Global Overall Care ratings than those who had no problems (8.1 versus 8.3 out of 10; p < 0.05)

Q8: In the last 6 months, how often was your family member capable of making decisions about his or her own daily life, such as when to get up, what clothes to wear, and which activities to do?

Respondents who’s family member answered never gave lower Global Overall Care ratings (8.0 out of 10) than those answered with usually (8.3 out of 10) and always (8.3 out of 10), p < 0.05

149

APPENDIX D

APPENDIX D: CRITERIA FOR INCLUSION IN FACILITY-LEVEL ANALYSES

Criteria:

1. Confidentiality:fiveormorerespondentsperfacility45

2. <10percentmarginoferror(withfinitepopulationcorrection)

3. Responserateof>50percent

Of113facilitieswithatleastfivesurveyscollected(84.3%of134facilities;Table44):

60metboththemarginoferrorandresponseratecriterialabelledingreen

47mettheresponseratecriterionbutnotthemarginoferrorcriterion(withanaveragemarginoferrorof14.4%,rangingfrom10.4%to23.0%)labelledinyellow

Sixdidnotmeeteithercriterionlabelledinred

Facilitiesthatmetthemarginoferrorcriterion,responseratecriterion,orboth,accountedfor107of134facilities,or79.9percentoffacilities(labelledingreenandyellow),andthesefacilitiesalsoaccountedfor96.3percentofallrespondents(2,764of2,869)and94.4percentofalleligiblerespondents(4,063of4,303).Itisimportanttonotethatfacilitieswithsmallsamplesizes(e.g.,smallfacilities)willinherentlyhavemoredifficultinmeetingconfidentiality,responserateandmarginoferrorcriteria.Inaddition,theresidentprofileofafacilitymustbeconsideredasthesecriteriamayimpactthenumberofresidentswhowereultimatelyeligibleforasurvey,andinturnimpactsthenumberconsideredforconfidentialityreasons,responserate,andthemarginoferrorcalculation.Forexample,thesmallerthefacility,themoredifficulttomeettheconfidentialitycriterionoffiverespondents,andsimilarlythemarginoferrorcalculationisdependentonsamplesize.

Facilitiesexcludedfromfacility‐levelreporting(27facilities)inthisreportstillreceivedindividualfacility‐levelreports.

Table 44: Facility inclusion criteria

Zone Facility Response rate

(%) Margin of error

(%)

Calgary Walden Supportive Living Community 71.2 5.9

Calgary Monterey Place 68.3 5.9

Calgary Eau Claire Retirement Residence 75.9 6.1

Calgary Silver Willow Lodge 79.4 6.9

Calgary Sagewood Supportive Living 63.5 8.3

Calgary Aspen Ridge Lodge 79.2 8.4

Calgary Millrise Place 75.0 9.4

Calgary Carewest Colonel Belcher 73.1 9.5

Calgary McKenzie Towne Retirement Residence 70.4 10.0

Central Sunset Manor 71.4 5.2

45Facility‐levelreportingwithveryfewindividualsrunstheriskofdirectorindirectdisclosure.

150

APPENDIX D


(%) Margin of error

(%)

Central Good Samaritan Good Shepherd Lutheran

Home 83.7 5.3

Central Sunrise Village Camrose 71.1 5.8

Central Bethany Meadows 87.5 6.2

Central Extendicare Michener Hill 73.2 6.4

Central Faith House 87.5 7.7

Central Points West Living Wainwright 68.8 7.7

Central Points West Living Century Park 77.4 7.7

Central Points West Living Lloydminster 63.0 8.3

Central West Park Lodge 75.9 8.4

Central Manor at Royal Oak 69.2 8.5

Edmonton Innovative Housing - Villa Marguerite 64.9 4.5

Edmonton CapitalCare Laurier House Lynnwood 78.9 4.8

Edmonton CapitalCare Strathcona 77.3 5.3

Edmonton Summerwood Village Retirement Residence 67.6 6.6

Edmonton Aspen House 70.0 6.7

Edmonton Rosedale at Griesbach 67.7 6.8

Edmonton Churchill Retirement Community 86.4 6.8

Edmonton Rosedale St. Albert 67.8 7.1

Edmonton Rutherford Heights Retirement Residence 62.5 7.7

Edmonton Shepherd’s Care Vanguard 63.8 7.8

Edmonton LifeStyle Options Terra Losa 80.0 8.0

Edmonton Citadel Mews West 68.2 8.2

Edmonton Salvation Army Grace Manor 60.0 8.3

Edmonton Tuoi Hac - Golden Age Manor 61.1 8.6

Edmonton Good Samaritan Wedman House/Village 59.3 8.9

Edmonton Good Samaritan George Hennig Place 80.0 9.0

Edmonton LifeStyle Options Leduc 56.9 9.0

Edmonton Balwin Villa 58.2 9.0

Edmonton Saint Thomas Assisted Living Centre 56.1 9.3

Edmonton Devonshire Manor 66.7 9.4

Edmonton Shepherd’s Gardens 67.6 9.4

Edmonton Shepherd’s Care Kensington 68.8 9.5

Edmonton Good Samaritan Spruce Grove Centre 78.9 9.5

Edmonton Grand Manor 84.6 9.7

Edmonton Country Cottage Seniors Residence 88.9 9.8

North Heimstaed Lodge 74.1 6.4

North Points West Living Grande Prairie 56.9 8.1

North Grande Prairie Care Centre 69.2 8.5

North Mountain View Centre 67.7 9.9

151

APPENDIX D


(%) Margin of error

(%)

South St. Therese Villa - St. Michaels Health Centre 67.2 4.7

South Extendicare Fairmont Park 71.1 4.7

South Good Samaritan Park Meadows Village 73.3 5.0

South Legacy Lodge 68.1 5.7

South The Wellington Retirement Residence 82.5 5.8

South Good Samaritan West Highlands 66.0 5.8

South Good Samaritan Vista Village 76.6 6.4

South Good Samaritan Linden View 67.1 6.5

South Sunrise Gardens 68.5 7.3

South Good Samaritan Lee Crest 59.7 8.3

South Good Samaritan Garden Vista 83.3 8.5

Calgary Wentworth Manor/The Residence and The Court 55.8 10.8

Calgary Whitehorn Village 66.7 10.9

Calgary Prince of Peace Manor 63.3 11.1

Calgary Scenic Acres Retirement Residence 75.0 17.1

Central Hillview Lodge 63.3 11.1

Central Vermillion Valley Lodge 71.4 11.1

Central Heritage House 62.1 11.6

Central Sunrise Village Olds 81.8 11.7

Central Bethany Sylvan Lake 72.2 11.8

Central Sunrise Village (Ponoka) 73.3 12.6

Central Clearwater Centre 65.0 13.2

Central Islay Assisted Living 71.4 13.8

Central Sunrise Village Wetaskiwin 77.8 14.8

Central Chateau Three Hills 72.7 15.2

Central Pines Lodge 66.7 16.7

Central Serenity House 75.0 17.1

Central Coronation Hospital and Care Centre 57.1 18.8

Central Providence Place 54.5 22.6

Central Eckville Manor House 54.5 22.6

Edmonton Rosedale Estates 67.9 10.4

Edmonton Glastonbury Village 59.0 10.6

Edmonton Place Beausejour 57.1 13.1

Edmonton Riverbend Retirement Residence 57.1 13.1

Edmonton Wild Rose Cottage 56.0 14.2

Edmonton Shepherd’s Care Greenfield 59.1 14.2

Edmonton Garneau Hall 64.7 14.5

Edmonton West Country Hearth 66.7 14.8

Edmonton Emmanuel Home 72.7 15.2

Edmonton LifeStyle Options Riverbend 57.1 18.8

152

APPENDIX D


(%) Margin of error

(%)

North Manoir du Lac 54.3 12.3

North Vilna Villa 70.0 17.1

South York Creek Lodge 63.6 18.7

South Sunny South Lodge 69.2 10.5

South Orchard Manor 76.5 10.9

South Pleasant View Lodge South 87.5 11.2

South Haven of Rest - South Country Village 78.6 11.4

South Golden Acres Lodge 70.0 11.8

South Columbia Assisted Living 55.9 12.1

South Cypress View Foundation 56.3 12.4

South Piyami Lodge 73.3 12.6

South Piyami Place 85.7 13.1

South Good Samaritan Prairie Ridge 57.7 13.4

South Leisure Way 77.8 14.8

South Clearview Lodge 60.0 17.1

South Chinook Lodge 71.4 20.2

South Meadow Lands 60.0 21.3

South MacLeod Pioneer Lodge 62.5 23.0

Calgary Edgemont Retirement Residence 50.0 18.0

Central Viewpoint 38.5 28.6

Edmonton Innovative Housing - 114 Gravelle 38.9 13.5

Edmonton Salvation Army Stepping Stone Supportive

Residence 47.6 18.4

Edmonton Edmonton Chinatown Care Centre 50.0 21.7

Edmonton Shepherd’s Care Ashbourne 35.0 24.5

153

APPENDIX D

Table 45: Facilities excluded from provincial reporting

Facilities with zero respondents (6 facilities) – excluded from report

Zone Facility

Central Sunrise Village Drayton Valley

Central Symphony Seniors Living at Aspen Ridge

Edmonton Kipohtakawmik Elders Lodge

North Shepherd's Care Barrhead

North Parkland Lodge

North Jasper Alpine Summit Seniors Lodge

Facilities with less than 5 respondents (excluded from facility-level analyses, but included in all other aggregate level reporting)

Zone Facility (# of respondents)

Calgary Carewest Nickle House (4)

Central Eagle View Lodge (3)

Central Provost Health Centre (4)

Central St. Michael’s Manor/Vegreville Manor (3)

Central Wetaskiwin Meadows (4)

North St. Paul Abilities Network (2)

North Ridgevalley Seniors Home (4)

North The Gardens at Emerald Park (2)

North Pleasant View Lodge North (1)

North Chateau Lac St. Anne (4)

North Spruceview Lodge (4)

North Vanderwell Lodge (1)

North Whispering Pines Seniors Lodge (3)

South Valleyview (3)

South Prairie Rose Lodge (3)

154

APPENDIX

APPENFOOD RRECOM

Thisappeemphasiznumberostrategywconsequeresult,thepartiallymlevelresu

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155

APPENDIX

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156

APPENDIX

E.3 K

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157

APPENDIX

E.4 F

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158

APPENDIX

E.5 P

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159

APPENDIX

E.6 M

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160

APPENDIX

E.7 P

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0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

y to recom

pondentswhoantdifference

ge who would

ary Ce

6 92

mmend

owouldrecomesinpercenta

d recommend

ntral Ed

2.8

mmendtheiragesacrosszo

d facility by A

dmonton

91.4

rfacilityintheoneswerefou

AHS zone

North

85.8

eprovince(Nund(Figure3

South

92.2

N=2,719)wa38).

Alberta

92.0

as

161

APPENDIX F

APPENDIX F: SUMMARY OF PROVINCIAL AND ZONE LEVEL RESPONSES TO INDIVIDUAL SURVEY QUESTIONS

ThissectionprovidesadetailedanalysisofresponsestosurveyquestionswhichmakeuptheDimensionsofCare:1)Staffing,CareofBelongings,andEnvironment;2)KindnessandRespect;3)ProvidingInformationandEncouragingFamilyInvolvement;and4)MeetingBasicNeeds,inadditiontotheFoodRatingScale.

Resultsinthissectionarepresentedasfollows:

F.1Staffing,CareofBelongings,andEnvironment

(Q10andQ11)Canfindanurseoraide?

(Q50)Howoftenthereareenoughnursesoraides?

(Q31)Resident’sroomlooksandsmellsclean?

(Q22)Residentlooksandsmellsclean?

(Q34)Publicarealookandsmellsclean?

(Q36)Resident’smedicalbelongingslost?

(Q37andQ38)Resident’sclotheslost?

F.2KindnessandRespect

(Q12)Nursesandaidestreatresidentwithcourtesyandrespect?

(Q13)Nursesandaidestreatresidentwithkindness?

(Q14)Nursesandaidesreallycareaboutresident?

(Q15)Nursesandaideswererudetoresidents?

(Q23andQ24)Nursesandaideswereappropriatewithdifficultresidents?

F.3Providinginformationandencouragingfamilyinvolvement

(Q26andQ27)Nursesandaidesgiverespondentinformationaboutresident?

(Q28)Nursesandaidesexplainthingsinanunderstandableway?

(Q29)Nursesandaidesdiscouragerespondentquestions?

(Q42)Respondentstopsselffromcomplaining?

(Q44andQ45)Respondentinvolvedindecisionsaboutcare?

(Q58andQ59)Respondentgiveninfoaboutpaymentsandexpensesassoonastheywanted?

F.4MeetingBasicNeeds

(Q16andQ17)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwitheating?

(Q18andQ19)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithdrinking?

162

APPENDIX F

(Q20andQ21)Helpedbecausestaffdidn’thelporresidentwaitedtoolongforhelpwithtoileting?

F.5Other

QuestionsrelatedtoStaffing,CareofBelongings,andEnvironment

QuestionsrelatedtoKindnessandRespect

QuestionsrelatedtoProvidingInformationandEncouragingFamilyInvolvement

QuestionsrelatedtoMeetingBasicNeeds

(Q55,Q56andQ57)Medications

Descriptivestatistics(meansandresponsepercentagesforall2,869respondents)werecomputedtoproduceprovincialandAHSzoneleveldata.Responseproportions(percentages)werecomparedusingthebinomialprobabilitytest,whichassesseswhetherazone‐specificpercentagediffersfromthepercentageobservedattheprovinciallevel.Forexample,(Table46):

A:ThepercentageofEdmontonrespondentswhoansweredusuallywas62.5percent

B:Thepercentageofallrespondents(Albertapopulation)whoansweredusuallywas37.5percent

Table 46: Example table of binomial probability test interpretation

Calgary Central Edmonton North South Alberta

N % N % N % N % N % N %

Never 10 25.0 10 25.0 10 12.5 10 25.0 10 25.0 50 20.8

Sometimes 10 25.0 10 25.0 10 12.5 10 25.0 10 25.0 50 20.8

Usually 10 25.0 10 25.0 50 62.5* 10 25.0 10 25.0 90 37.5

Always 10 25.0 10 25.0 10 12.5 10 25.0 10 25.0 50 20.8

Total 40 40 80 40 40 240

Thebinomialprobabilitytestcompareswhether62.5percent(A),thosewhoansweredusually,issignificantlydifferentfromwhatisobservedintheAlbertapopulation(37.5%;B).Usingthistest,wecanseethat62.5percentissignificantlydifferentfromtheprovincialaverage(37.5%)atp<0.05.

Othernotes:

Percentagesmaynotalwaysaddto100percentduetorounding.

Referencestozonesrefertotheresident’sfacilityzone.

Facility,zone,andprovincialresultsarepresentedingraphswhichinclude95percentconfidenceintervals(95%CI).Theseintervalscanaidthereaderingaugingstatisticallysignificantdifferencesinresults.Asageneralrule,intervalsthatdonotoverlapreflectsignificantdifferencesbetweenmeasures.Incontrast,intervalsthatoverlapdonotreflectsignificantdifferencesbetweenmeasures.

A B

163

APPENDIX

F.1 S

F.1.1 Qo

Questionofyourvisofrespon

Amongthnurseora

Figure 39

Table 47

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Staffing, C

Question 11r aide when

11wasaskedsits,didyoutrdentssought

hosewhotriedaidewhenthe

9: Provincial

: Zone summ

Calgary(N = 288

%

0.3

s 9.7

43.4

46.5

100.0

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Care of Be

(Q11): In tn you wante

donlyofthosrytofindanutanurseorai

dtofindanueywantedon

summary of

mary of respo

y 8)

Cen(N =

%

0.

13

36.

49

100

Never

0.4

longings,

the last 6 med one?

ewhoresponurseoraidefoideinthepas

urseoraide,8ne(Table47)

responses fo

onses for Que

tral 410)

Ed(N

%

5

.2

.6*

.8

0.0

Someti

12.3

and Envi

months, how

ndedYEStoQoranyreason?tsixmonths.

87.3percents).

or Question

estion 11 (Q

dmonton N = 781)

%

0.5

9.5*

42.8

47.2

100.0

imes

3

ironment

w often were

Question10:I?Provincially

saidtheyalw

11 (Q11)

11)

North (N = 132)

%

1.5

24.2*

37.9

36.4

100.0

Usually

42.3

e you able

Inthelast6my,approximat

waysorusually

South (N = 574)

%

0.0

13.9

46.2

39.9*

100.0

to find a nu

months,duringtely80.1perc

ycouldfinda

)

Albe(N = 2,

%

0.4

12.

42.

45.

100

Always

45.0

urse

ganycent

a

rta,185)

4

3

3

0

.0

164

APPENDIX

F.1.2 Qa

Figure 40

Table 48

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q50: In the lnd aides in

0: Provincial

: Zone summ

Cal

(N =

%

4

s 13

56

25

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montn the suppo

summary of

mary of respo

gary

= 350)

C

(N

%

.6*

3.7*

6.3*

5.4

00.0

Never

10.4

ths, how oftrtive living f

responses fo

onses for Q50

Central

N = 522)

%

8.6

19.9

47.7

23.8

100.0

Someti

20.4

ten did you facility?

or Q50

0

Edmonton

(N = 961)

%

7.9*

18.3

48.6

25.2*

100.0

imes

4

feel that th

North

(N = 159)

%

26.4*

21.4

40.3

11.9*

100.0

Usually

47.2

here were e

South

(N = 711

%

14.3*

26.6*

42.1*

17.0*

100.0

enough nurs

1)

Albe

(N = 2

%

10.

20.

47.

22.

100

Always

22.0

ses

erta

,703)

%

.4

.4

.2

.0

0.0

165

APPENDIX

F.1.3 Qs

Figure 41

Table 49

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q31: In the lmell clean?

1: Provincial

: Zone summ

Cal

(N =

%

2

s 9

46

42

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 mont?

summary of

mary of respo

gary

= 353)

C

(N

%

2.0

9.1

6.7

2.2

00.0

Never

1.7

ths, how oft

responses fo

onses for Q3

Central

N = 528)

%

1.7

9.1*

44.9

44.3*

100.0

Someti

12.4

ten did you

or Q31

1

Edmonton

(N = 982)

%

2.3

13.7

46.6

37.3

100.0

imes

4

r family me

North

(N = 165)

%

1.8

18.2*

45.5

34.5

100.0

Usually

46.4

ember`s roo

South

(N = 712

%

0.7*

13.3

47.3

38.6

100.0

om look and

2)

Albe

(N = 2

%

1.7

12.

46.

39.

100

Always

39.5

d

erta

,740)

%

7

.4

.4

.5

0.0

166

APPENDIX

F.1.4 Qc

Figure 42

Table 50

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q22: In the llean?

2: Provincial

: Zone summ

Cal

(N =

%

1

s 6

48

43

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 mont

summary of

mary of respo

gary

= 353)

C

(N

%

.4

.5*

8.2

3.9

00.0

Never

1.3

ths, how oft

responses fo

onses for Q22

Central

N = 529)

%

0.8

7.0*

47.3

45.0

100.0

Someti

9.6

ten did you

or Q22

2

Edmonton

(N = 983)

%

1.5

11.0

45.5

42.0

100.0

imes

6

r family me

North

(N = 166)

%

2.4

16.9*

47.6

33.1*

100.0

Usually

47.0

ember look

South

(N = 718

%

1.1

9.5

48.3

41.1

100.0

and smell

8)

Albe

(N = 2

%

1.3

9.6

47.

42.

100

Always

42.1

erta

,749)

%

3

6

.0

.1

0.0

167

APPENDIX

F.1.5 Qfa

Figure 43

Table 51

Never

Sometim

Usually

Always

T

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q34: In the lacility look a

3: Provincial

: Zone summ

es

Total

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montand smell c

summary of

mary of respo

Calgary

(N = 352)

%

0.0

1.4

24.1

74.4

100.0

Never

0.3

ths, how oftclean?

responses fo

onses for Q34

Central

(N = 529)

%

0.4

1.1

21.0*

77.5*

100.0

Someti

2.3

ten did the

or Q34

4

)

Edmonto

(N = 980

%

0.4

3.4*

25.9

70.3

100.0

imes

3

public area

on

0)

North

(N = 16

%

0.0

2.4

35.5*

62.0*

100.0

Usually

25.5

as of the su

h

66)

Sout

(N = 71

%

0.4

2.1

26.8

70.7

0 100.0

pportive liv

th

14)

Albe

(N = 2,

%

0.3

2.3

8 25.

7 71.

0 100

Always

71.8

ving

rta

,741)

3

3

5

8

.0

168

APPENDIX

F.1.6 Qmlo

Figure 44

Table 52

Never

Once

Two or mo

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q36: In the lmedical beloost?

4: Provincial

: Zone summ

re times

Total

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montongings (e.g

summary of

mary of respo

Calg

(N =

%

77

13

9.

100

Never

77.7

ths, how oftg., hearing

responses fo

onses for Q36

gary

345)

Cen

(N =

% %

.4 81.

.6 11

0 6.

0.0 100

ten were yoaids, eye-g

or Q36

6

ntral

521)

Edmo

(N =

% %

.6* 76

.7 14

7 8.

0.0 100

Once

13.5

our family mglasses, de

onton

971)

No

(N =

% %

6.8 75

4.4 12

.8 12

0.0 100

member's pentures, etc

orth

164)

So

(N =

% %

5.0 76

2.8 13

2.2 9

0.0 10

Two or m

8

ersonal .) damaged

outh

708)

Alb

(N = 2

% %

6.7 77

3.7 13

.6 8

0.0 10

more times

8.8

d or

berta

2,709)

%

7.7

3.5

8.8

00.0

169

APPENDIX

F.1.7 Qh

Questionfamilymepercentoclothes.

Amongthlost(Tabl

Figure 45

Table 53

Never

Once or tw

Three time

T

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q38: In the low often w

38wasaskedemberusetheofrespondent

hosewhousedle53).

5: Provincial

: Zone summ

wice

es or more

Total

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montwere clothes

donlyofthossupportivelivtsstatedthat

dlaundryser

summary of

mary of respo

Calgary (N = 203)

%

65.0*

27.6

7.4

100.0

Never

57.6

ths, when ys damaged

ewhoresponvingfacility'stheirfamilyu

rvices,57.6pe

responses fo

onses for Q38

Central (N = 335)

%

62.1

29.3

8.7

100.0

your family mor lost?

ndedYEStoQlaundryserviusedsupport

ercentstated

or Q38

8

Edmonto(N = 628

%

57.0

30.9

12.1

100.0

Once or Tw

31.0

member us

Question37:Iicesforhisortivelivinglau

dthattheircl

on )

North(N = 10

%

53.8

30.2

16.0

100.0

wice

sed the laun

Inthelast6mr herclothes?Pundryservice

othesweren

h 06)

South(N = 46

%

52.8*

33.9

13.3

0 100.0

Three tim

1

ndry service

months,didyoProvincially,sforhisorhe

everdamaged

h 66)

Albe(N = 1

%

* 57.

31.

11.

0 100

mes or more

1.4

e,

our67.6er

dor

erta ,738)

%

.6

.0

.4

0.0

170

APPENDIX

F.2 K

F.2.1 Qfa

Figure 46

Table 54

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Kindness a

Q12: In the lamily memb

6: Provincial

: Zone summ

Calg

(N =

%

0

s 2

23

73

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

and Resp

last 6 montber with cou

summary of

mary of respo

gary

351)

Ce

(N

%

.6

.3

3.6 1

3.5 7

0.0 1

Never

0.9

ect

ths, how ofturtesy and

responses fo

onses for Q12

entral

= 528)

E

%

0.4

2.8

19.3*

77.5*

100.0

Someti

3.1

ten did you respect?

or Q12

2

Edmonton

(N = 979)

%

1.3

3.1

24.2

71.4

100.0

imes

1

see the nu

North

(N = 165)

%

2.4

4.8

34.5*

58.2*

100.0

Usually

24.3

urses and a

South

(N = 715)

%

0.7

3.5

26.2

69.7

100.0

aides treat y

)

Alber

(N = 2,7

%

0.9

3.1

24.3

71.6

100.

Always

71.6

your

rta

738)

3

6

0

171

APPENDIX

F.2.2 Qfa

Figure 47

Table 55

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F


7: Provincial

: Zone summ

Cal

(N =

%

0

s 2

32

64

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montber with kin

summary of

mary of respo

gary

= 346)

C

(N

%

0.6

2.6

2.1

4.7

00.0

Never

0.7

ths, how oftndness?

responses fo

onses for Q13

Central

N = 527)

%

0.0

2.7

23.5*

73.8*

100.0

Someti

4.1

ten did you

or Q13

3

Edmonton

(N = 978)

%

1.2

4.4

30.2

64.2

100.0

imes

1

see the nu

North

(N = 165)

%

1.8

7.3

36.4

54.5*

100.0

Usually

29.7

urses and a

South

(N = 714

%

0.3

4.9

30.8

64.0

100.0

aides treat y

4)

Albe

(N = 2

%

0.7

4.1

29.

65.

100

Always

65.5

your

erta

,730)

%

7

1

.7

.5

0.0

172

APPENDIX

F.2.3 Qc

Figure 48

Table 56

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q14: In the lared about

8: Provincial

: Zone summ

Cal

(N =

%

0

s 7

39

52

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montyour family

summary of

mary of respo

gary

= 349)

C

(N

%

0.3

7.7

9.8

2.1

00.0

Never

1.2

ths, how ofty member?

responses fo

onses for Q14

Central

N = 530)

%

0.4

7.7

32.1*

59.8*

100.0

Someti

8.8

ten did you ?

or Q14

4

Edmonton

(N = 976)

%

1.6

8.9

39.8

49.7

100.0

imes

8

feel that th

North

(N = 164)

%

1.2

15.2*

39.0

44.5

100.0

Usually

38.4

he nurses a

South

(N = 716

%

1.5

8.4

40.2

49.9

100.0

and aides re

6)

Albe

(N = 2

%

1.2

8.8

38.

51.

100

Always

51.7

eally

erta

,735)

%

2

8

.4

.7

0.0

173

APPENDIX

F.2.4 Qfa

Figure 49

Table 57

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F


9: Provincial

: Zone summ

Calgary

(N = 351)

%

6.8

93.2

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montber or any o

summary of

mary of respo

Centra

(N = 52

%

7.2

92.8

100.0

Y

8

ths, did youother reside

responses fo

onses for Q15

al

27)

Edm

(N =

9

0 1

Yes

8.9

u ever see aent?

or Q15

5

monton

= 969)

%

9.0

91.0

00.0

any nurses

North

(N = 165)

%

12.1

87.9

100.0

or aides be

South

(N = 713)

%

10.4

89.6

100.0

No

91.1

e rude to yo

Alber

(N = 2,

%

8.9

91.1

100.

our

rta

725)

9

1

.0

174

APPENDIX

F.2.5 Qs

Questionanyresideprovidecabehavein

Amongrenursesan(Table58

Figure 50

Table 58

Never

Sometim

Usually

Always

T

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q24: In the lituation in a

24wasaskedent,includingare?Provincianadifficultma

espondentswndaides,89.38).

0: Provincial

: Zone summ

es

Total

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 monta way that y

donlyofthosyourfamilymally,21.3perannertoward

whostatedthepercentstat

summary of

mary of respo

Calgary (N = 62)

%

1.6

8.1

35.5

54.8

100.0

Never

0.9

ths, how oftyou felt was

ewhoresponmember,behacentofrespodsnursesand

eyhadwitnestedthatthesi

responses fo

onses for Q24

Central (N = 67)

%

0.0

13.4

26.9

59.7

100.0

Someti

9.9

ten did the s appropria

ndedYEStoQaveinawaythondentsrepordaides.

ssedaresidenituationwasu

or Q24

4

Edmonton(N = 242)

%

1.2

8.7

32.6

57.4

100.0

imes

9

nurses andate?

Question23:Ihatmadeithrtedthatthey

ntbehaveinausuallyoralw

n )

North(N = 54)

%

1.9

9.3

44.4

44.4

100.0

Usually

35.4

d aides han

Inthelast6mardfornursesyhadwitness

adifficultmanwayshandled

) South

(N = 15

%

0.0

11.2

40.1

48.7

100.0

ndle this

months,didyosandaidestosedaresiden

nnertowardsappropriatel

h 52)

Albe(N = 5

%

0.9

9.9

35.4

53.9

0 100

Always

53.9

ouseeot

sly

rta 577)

9

9

4

9

.0

175

APPENDIX

F.3 P

F.3.1 Qw

Questionwanttogeresponde

Amongreinformati

Figure 51

Table 59

Never

Sometimes

Usually

Always

Tota

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Providing

Q27: In the lwanted?

27wasaskedetinformationntswantedto

espondentswonassoonas

1: Provincial

: Zone summ

C(N

s

al

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Informatio

last 6 mont

donlyofthosnaboutyourfogetinforma

whowantedinstheywanted

summary of

mary of respo

Calgary N = 295)

%

1.0

9.2

45.8

44.1

100.0

Never

1.5

on and En

ths, how oft

ewhoresponfamilymembationaboutth

nformation,8dit(Table59

responses fo

onses for Q27

Central (N = 411)

%

0.5

11.2

38.2

50.1

100.0

Someti

11.

ncouragin

ten did you

ndedYEStoQerfromanurheirfamilyme

7.4percents9).

or Q27

7

Edmonton (N = 794)

%

1.9

11.5

39.7

47.0

100.0

imes

1

ng Family

get this inf

Question26:Irseoraide.Premberfroma

statedthatth

North (N = 133)

%

2.3

12.8

45.9

39.1

100.0

Usually

40.9

Involvem

formation a

Inthelast6mrovincially,81anurseoraid

heyalwaysor

South(N = 58

%

1.9

11.0

41.0

46.0

100.0

ent

as soon as y

months,didyo1.6percentode.

usuallygotth

h 80)

Albe(N = 2

%

1.5

11

40

46

0 100

Always

46.5

you

ouof

he

erta 2,213)

%

5

.1

.9

.5

0.0

176

APPENDIX

F.3.2 Qw

Figure 52

Table 60

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q28: In the lway that wa

2: Provincial

: Zone summ

Calg

(N =

%

1

s 5

32

59

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 monts easy for y

summary of

mary of respo

gary

345)

Ce

(N

%

.7

.8

2.8 2

9.7 6

0.0 1

Never

2.1

ths, how oftyou to unde

responses fo

onses for Q28

entral

= 517)

E

%

2.1

4.8

25.5*

67.5*

100.0

Someti

6.0

ten did the erstand?

or Q28

8

Edmonton

(N = 955)

%

2.3

6.4

29.7

61.6

100.0

imes

0

nurses and

North

(N = 164)

%

2.4

9.8*

37.2*

50.6*

100.0

Usually

30.0

d aides exp

South

(N = 704)

%

1.8

5.4

30.5

62.2

100.0

plain things

)

Alber

(N = 2,6

%

2.1

6.0

30.0

62.0

100.

Always

62.0

in a

rta

685)

0

0

0

177

APPENDIX

F.3.3 Qa

Figure 53

Table 61

Yes

No

Tota

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q29: In the lsking ques

3: Provincial

: Zone summ

Cal

(N =

%

0

9

al 10

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 monttions about

summary of

mary of respo

lgary

= 354)

C

(N

%

0.8

9.2

00.0

Y

2

ths, did nurst your famil

responses fo

onses for Q29

Central

N = 527)

%

1.3

98.7

100.0

Yes

2.3

ses and aidy member?

or Q29

9

Edmonton

(N = 978)

%

2.1

97.9

100.0

des ever try?

North

(N = 163)

%

7.4*

92.6*

100.0

y to discour

South

(N = 716

%

2.7

97.3

100.0

No

97.7

rage you fro

)

Alber

(N = 2,7

%

2.3

97.7

100.0

om

rta

738)

7

0

178

APPENDIX

F.3.4 Qsw

Figure 54

Table 62

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q42: In the lupportive li

would take i

4: Provincial

: Zone summ

Calgary

(N = 135)

%

21.5

78.5

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montving facilityt out on you

summary of

mary of respo

Centr

(N = 1

%

15.3

84.7

100.

Y

20

ths, did youy staff abouur family m

responses fo

onses for Q42

ral

96)

Edm

(N

3

7

0 1

Yes

0.6

u ever stop t your concember?

or Q42

2

monton

= 405)

%

19.3

80.7

100.0

yourself frocerns becau

North

(N = 83)

%

26.5

73.5

100.0

om talking tuse you tho

South

(N = 324)

%

23.5

76.5

100.0

No

79.4

to any ought they

Alber

(N = 1,

%

20.6

79.4

100.

rta

143)

6

4

.0

179

APPENDIX

F.3.5 Qto

Questionbeeninvolreportedt

Amongthorusually

Figure 55

Table 63

Never

Sometimes

Usually

Always

Tota

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q45: In the lo be in the d

45wasaskedlvedindecisiothattheywer

hosewhostatyinvolvedasm

5: Provincial

: Zone summ

C(N

s

al

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montdecisions a

donlyofthosonsaboutyoureinvolvedin

tedtheyweremuchasthey

summary of

mary of respo

Calgary N = 286)

%

0.0

4.9

35.3

59.8

100.0

Never

0.6

ths, how oftabout your f

ewhoresponurfamilymemndecisionsab

einvolvedindywantedtobe

responses fo

onses for Q45

Central (N = 430)

%

0.5

6.7

29.3

63.5*

100.0

Someti

7.6

ten were yofamily mem

ndedYEStoQmber'scare?Pbouttheirfam

decisionmake(Table63)

or Q45

5

Edmonton (N = 793)

%

0.5

7.6

33.0

58.9

100.0

imes

6

ou involvedmber's care?

Question44:Irovincially,8milymember’

king,91.8per.

North (N = 132)

%

1.5

12.9*

40.9

44.7*

100.0

Usually

33.5

as much a?

Inthelast6m84.1percentoscare.

centstatedth

South(N = 59

%

0.8

8.3

34.7

56.2

100.0

as you want

months,haveyofresponden

heywerealw

h 3)

Albe(N = 2

%

0.6

7.6

33

58

0 100

Always

58.3

ted

younts

ways

erta ,234)

%

6

6

.5

.3

0.0

180

APPENDIX

F.3.6 Qa

Questionthesupporesponde

Amongthusuallyor

Figure 56

Table 64

Never

Sometimes

Usually

Always

To

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q59: In the lbout payme

59wasaskedrtivelivingfantsrequested

hosewhoaskeralwaysgeta

6: Provincial

: Zone summ

s

otal

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

last 6 montents or exp

donlytothosacilityforinfordpaymentan

edforinformllinformation

summary of

mary of respo

Calgary (N = 67)

%

1.5

7.5

32.8

58.2

100.0

Never

4.0

ths, how oftpenses?

sewhoanswermationaboundexpensein

mationaboutpntheywanted

responses fo

onses for Q59

Central (N = 98)

%

2.0

9.2

26.5

62.2

100.0

Someti

10.8

ten did you

eredYEStoQutpaymentsanformationfro

paymentsored(Table64)

or Q59

9

Edmonton(N = 249)

%

6.0

14.1

28.5

51.4

100.0

imes

8

get all the

Question58:Inandexpenses?omthesuppo

expenses,85..

North(N = 38)

%

0.0

7.9

26.3

65.8

100.0

Usually

28.6

information

nthelast6m?Provincially,ortivelivingfa

.1percentsta

) South

(N = 12

%

4.1

8.3

28.9

58.7

100.0

n you wante

onths,didyou,21.6percenacility.

atedthatthey

h 21)

Albe(N = 5

%

4.

10

28

56

0 100

Always

56.5

ed

uaskntof

y

erta 573)

%

0

.8

.6

.5

0.0

181

APPENDIX

F.4 M

F.4.1 Qe

Questionmonths,dcentofre

Amongthnursesor

Figure 57

Table 65

Yes

No

Total

46Accordingbythatgateascertained:thosequestio

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Meeting Ba

Q17: Did yoither didn't

17wasaskedduringanyofyspondentssta

hosewhohelpaidesdidnot

7: Provincial

: Zone summ

Calgar

(N = 57

%

14.0

86.0

100.0

toCAHPS®clean(Q17)containedvQ16),andsubseqonswereretained

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

asic Need

u help yourhelp or ma

dofthosewhyourvisits,didatedthatthey

pedtheirfamthelpormad

summary of

mary of respo

ry

7)

Cent

(N =

%

25.

74.

100

ninginstructions:validresponses,tquentsurveyqued.

Y

22

ds

r family meade him or h

oseresponsedyoueverhelyhelpedtheir

ilymemberwdehimorher

responses fo

onses for Q17

tral

87)

Ed

(N

%

3

7

.0

:Ifagatequestiothevalidresponsestionscontrolled

Yes

2.4

mber with eher wait too

ewasYESorwlpyourfamilyrfamilymem

witheating,2waittoolong

or Q17

7

dmonton

N = 174)

%

20.7

79.3

100.0

n(Q16)wasanswesweresettomidbythatgateque

eating becao long?

wasmissingtymemberwithmberwitheati

2.4percentsg(Table65).

North

(N = 51)

%

21.6

78.4

100.0

wered"NO"andsissing.Ifagatequstioncontainedv

ause nurses

toQuestion1heating?Proing.

statedthatth.

South

(N = 207)

%

25.1

74.9

100.0

subsequentsurveuestionwasmissivalidresponses(Q

No

77.6

s or aides

16:46Inthelasvincially,21.

heyhelpedbe

Albe

(N = 5

%

22.4

77.6

100.

eyquestionsconting(blank,notQ17),therespons

st66per

cause

rta

576)

4

6

.0

rolled

sesfor

182

APPENDIX

F.4.2 Qe

Questionmonths,dpercento

Amongthbecausen

Figure 58

Table 66

Yes

No

Total


Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F


19wasaskedduringanyofyofrespondent

hosewhohelpnursesoraide

8: Provincial

: Zone summ

Calgar

(N = 51

%

15.7

84.3

100.0


erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0


dofthosewhyourvisits,didtsstatedthat

pedtheirfamesdidnothel

summary of

mary of respo

ry

1)

Cent

(N =

%

28.

71.

0 100


Y

26


oseresponsedyoueverheltheyhelped

ilymemberwpormadehim

responses fo

onses for Q19

tral

73)

Ed

(N

%

.8

.2

0.0


Yes

6.0

mber with dher wait too

ewasYESorwlpyourfamilytheirfamilym

withdrinkingmorherwait

or Q19

9

dmonton

N = 145)

%

31.7

68.3

100.0


drinking beco long?

wasmissingtymemberwithmemberwith

g,26.0percenttoolong(Ta

North

(N = 51)

%

31.4

68.6

100.0


cause the n

toQuestion1hdrinking?Phdrinking.

ntstatedthatable66).

South

(N= 192)

%

21.9

78.1

100.0


No

74.0

nurses or a

1847:Inthelasrovincially,1

t theyhelped

Alber

(N = 5

%

26.0

74.0

100.


aides

st618.2

rta

512)

0

0

.0

rolled

sesfor

183

APPENDIX

F.4.3 Qe

Questionmonths,dpercento

Amongthbecausen

Figure 59

Table 67

Yes

No

Total


Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F


21wasaskedduringanyofyofrespondent

hosewhohelpnursesoraide

9: Provincial

: Zone summ

Calga

(N = 6

%

27.5

72.5

100.0


erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0


dofthosewhyourvisits,didtsstatedthat

pedtheirfamesdidnothel

summary of

mary of respo

ary

69)

Ce

(N =

5 3

5 6

0 1


Y

39


oseresponsedyoueverheltheyhelped

ilymemberwpormadehim

responses fo

onses for Q2

entral

= 110)

E

%

32.7

67.3

00.0


Yes

9.6

mber with ther wait too

ewasYESorwlpyourfamilytheirfamilym

withtoileting,morherwait

or Q21

1

Edmonton

(N = 177)

%

39.0

61.0

100.0


toileting beco long?

wasmissingtymemberwithmemberwith

,39.6percenttoolong(Ta

North

(N = 46)

%

52.2

47.8

100.0


cause the n

toQuestion2htoileting?Phtoileting.

ntstatedthatable67).

South

(N = 156

%

46.8

53.2

100.0


No

60.4

nurses or a

20:48Inthelasrovincially,2

theyhelped

6)

Albe

(N =

%

39

60

100


ides

st60.6

erta

558)

%

9.6

0.4

0.0

rolled

sesfor

184

APPENDIX

F.5 O

F.5.1 O

F.5.1.2 Qro

Figure 60

Table 68

Never

Sometim

Usually

Always

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Other ques

Other questi

Q32: In the laoom accepta

0: Provincial

: Zone summ

es

Total

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

stions

ions related

ast 6 monthsable to you?

summary of

mary of respo

Calgary

(N = 352)

%

1.1

2.0

23.9

73.0

100.0

Never

0.8

d to Staffing

s, how often

responses fo

onses for Q32

Central

(N = 531)

%

0.6

0.9*

19.8*

78.7*

100.0

Someti

2.4

g, Care of B

was the noi

or Q32

2

)

Edmonto

(N = 982

%

0.8

2.3

21.6

75.3*

100.0

imes

4

Belongings,

ise level aro

on

2)

North

(N = 16

%

0.0

6.7*

37.0*

56.4*

100.0

Usually

23.9

, and Enviro

und your fam

h

65)

Sout

(N = 71

%

0.8

2.7

* 27.2

* 69.3

0 100.0

onment

mily membe

th

14)

Albe

(N = 2,

%

0.8

2.4

* 23.

* 73.

0 100

Always

73.0

r's

erta

,744)

%

8

4

9

0

.0

185

APPENDIX

F.5.1.2 Qm

Figure 61

Table 69

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q33: In the lamember in pr

1: Provincial

: Zone summ

Cal

(N =

%

0

s 1

1

86

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthsrivate?

summary of

mary of respo

gary

= 349)

C

(N

%

0.9

.1

1.5

6.5

00.0

Never

0.4

s, how often

responses fo

onses for Q33

Central

N = 526)

%

0.4

1.0

8.0*

90.7*

100.0

Someti

1.3

were you ab

or Q33

3

Edmonton

(N = 979)

%

0.2

1.4

10.5

87.8

100.0

imes

3

ble to find pl

North

(N = 161)

%

0.6

0.6

14.3

84.5

100.0

Usually

11.2

laces to talk

South

(N = 711

%

0.4

1.5

13.5

84.5

100.0

k to your fam

1)

Albe

(N = 2

%

0.4

1.3

11.

87.

100

Always

87.2

mily

erta

,726)

%

4

3

.2

.2

0.0

186

APPENDIX

F.5.1.3 Qo

Figure 62

Table 70

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q30: In the laf staff?

2: Provincial

: Zone summ

Cal

(N =

%

0

s 19

66

14

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 months

summary of

mary of respo

gary

= 330)

C

(N

%

0.3

9.1

6.4

4.2

00.0

Never

0.6

s, how often

responses fo

onses for Q30

Central

N = 492)

%

0.6

16.5

62.6*

20.3

100.0

Someti

18.7

is your fami

or Q30

0

Edmonton

(N = 925)

%

0.5

18.2

64.3

17.0

100.0

imes

7

ily member c

North

(N = 159)

%

1.9

24.5

57.9

15.7

100.0

Usually

63.7

cared for by

South

(N = 683

%

0.6

19.5

63.5

16.4

100.0

y the same te

3)

Albe

(N = 2

%

0.6

18.

63.

17.

100

Always

17.0

eam

erta

,589)

%

6

.7

.7

.0

0.0

187

APPENDIX

F.5.2 O

F.5.2.1 Qrea

Figure 63

Table 71

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Other questi

Q35: In the laesident's privrea?

3: Provincial

: Zone summ

Calgary

(N = 337

%

1.8

98.2

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ions related

ast 6 monthsvacy while th

summary of

mary of respo

y

7)

Cen

(N =

%

2.

97

100

Y

2

d to Kindne

s, did you evhe resident w

responses fo

onses for Q35

tral

517)

Ed

(N

%

1

.9

0.0

Yes

2.9

ess and Res

ver see the nwas dressing

or Q35

5

monton

N = 961)

%

2.2

97.8

100.0

spect

nurses and ag, showering

North

(N = 163)

%

6.1*

93.9*

100.0

aides fail to pg, bathing, o

South

(N = 707)

%

4.1

95.9

100.0

No

97.1

protect any or in a public

Albert

(N = 2,6

%

2.9

97.1

100.0

c

ta

685)

0

188

APPENDIX

F.5.2.2 Qw

Figure 64

Table 72

Never

Sometim

Usually

Always

Alb

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q25: In the lawith courtesy

4: Provincial

: Zone summ

es

Total

berta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthsy and respec

summary of

mary of respo

Calgary

(N = 355)

%

0.0

0.3

22.5

77.2

100.0

Never

0.3

s, how often ct?

responses fo

onses for Q25

Central

(N = 532)

%

0.0

1.3

14.1*

84.6*

100.0

Somet

1.5

did the nurs

or Q25

5

)

Edmonto

(N = 973

%

0.6

1.6

17.7

80.1

100.0

times

5

ses and aide

on

3)

North

(N = 16

%

0.6

1.8

28.3*

69.3*

100.0

Usually

19.6

es treat you [

h

66)

Sout

(N = 71

%

0.1

2.0

* 22.7

* 75.2

0 100.0

[the respond

th

14)

Albe

(N = 2,

%

0.3

1.5

* 19.

* 78.

0 100

Always

78.6

dent]

erta

,740)

%

3

5

6

6

.0

189

APPENDIX

F.5.3 OIn

F.5.3.1 Qby

Figure 65

Table 73

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Other questinvolvement

Q46: In the lay phone?

5: Provincial

: Zone summ

Calgary

(N = 353)

%

80.7*

19.3*

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ions relatedt

ast 12 month

summary of

mary of respo

Central

(N = 528

%

61.7*

38.3*

100.0

Y

68

d to Providi

hs, have you

responses fo

onses for Q46

l

8)

Edmo

(N =

%

67

32

10

Yes

8.8

ng Informa

u been part o

or Q46

6

onton

= 974)

%

7.2

2.8

00.0

tion and En

of a care con

North

(N = 157)

%

59.2*

40.8*

100.0

ncouraging

nference, eit

South

(N = 714)

%

72.4*

27.6*

100.0

No

31.2

Family

ther in perso

Albert

(N = 2,7

%

68.8

31.2

100.0

on or

ta

726)

0

190

APPENDIX

F.5.3.2 Qm

Question

Amongthopportun

Figure 66

Table 74

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q47: Were yomonths either

47wasasked

hosewhodiditytoparticip

6: Provincial

: Zone summ

Calgary

(N = 62)

%

29.0

71.0

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ou given ther in person o

donlyofthos

notparticipapateinacare

summary of

mary of respo

Cent

(N = 1

%

13.6

86.4

100

Y

20

e opportunityor by phone?

ewhorespon

ateinacarecoconference(

responses fo

onses for Q47

tral

176)

Edm

(N

6*

4*

.0 1

Yes

0.5

y to be part o?

ndedYEStoQ

onference,79(Table47).

or Q47

7

monton

= 302)

%

20.5

79.5

100.0

of a care con

Question46.

9.5percents

North

(N = 58)

%

20.7

79.3

100.0

nference in t

aidtheywere

South

(N = 176)

%

24.4

75.6

100.0

No

79.5

the last 12

enotgiventh

Albe

(N = 7

%

20.5

79.5

100.

he

rta

774)

5

5

.0

191

APPENDIX

F.5.3.3 Q

Althoughimportanttofurthertocarecolast12mo(Wereyouphone?).T

1. P

2. D

Provinciagiventhe

Whenresmostinvoresponde

Figure 67

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q46 and Q47

familymembtthatafacilitrsummarizetonferenceparonths,haveyougiventheopThesetwoqu

articipated,o

idnotpartici

lly,23.2percopportunity.

ponseswereolvedintheirntsdidnotpa

7: Provincial

Particto (bu

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

7: Summary

bersmaydecltyprovidesfathequestionsrticipationweoubeenpartopportunitytobestionswere

orgiventheo

ipateinacare

centofrespon

limitedtothfamilymembarticipateina

summary of

cipated, or givut declined), in

76

of care conf

linetoparticiamilymembesrelatedtocaerecombinedofacareconfebepartofacacollapsedint

pportunityto

econference

ndentsdidno

osewhoanswbers’care),thacareconfere

responses fo

ven the oppon a care confe

6.8

ference part

ipateinacarerstheopportareconferencd.Figure67aferenceeitherareconferenctotwocatego

oparticipate,

becausethey

otparticipate

weredYEStohepercentageencebecause

or Q46 and 4

rtunityerence

ticipation

econferencetunitytopartceparticipatioandTable75bypersonorceinthelast1ories:

inacarecon

ywerenotgiv

einacarecon

Q64(i.e.,thoeremainedsietheywereno

47

Did notconference

give

foranynumbticipateiftheyon,thetwoqu5combineQubyphone?)an12monthseith

nference.

ventheoppor

nferencebeca

osewhostatemilar:22.3peotgiventheo

t participate ine because theen the opportu

23.2

berofreasonychoose.Inouestionsrelaestion46(InndQuestion4herbyperson

rtunity.

ausetheywer

dtheyweretercentofopportunity.

n a careey were notunity

s,itisordertedthe47norby

renot

the

192

APPENDIX F

Table 75: Zone summary of responses for Q46 and 47

Calgary

(N = 346)

Central

(N = 502)

Edmonton

(N = 953)

North

(N = 150)

South

(N = 693)

Alberta

(N = 2,644)

% % % % % %

Participated, or given the opportunity to (but declined), in a care conference

87.3* 69.7* 75.0 69.3* 80.8* 76.8

Did not participate in a care conference because they were not given the opportunity to

12.7* 30.3* 25.0 30.7* 19.2* 23.2

Total 100.0 100.0 100.0 100.0 100.0 100.0

193

APPENDIX

F.5.3.4 Qfa

Figure 68

Table 76

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q39: At any tamily membe

8: Provincial

: Zone summ

Calgary

(N = 351)

%

27.9

72.1

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

time during ter received a

summary of

mary of respo

Centra

(N = 52

%

24.8*

75.2*

100.0

Y

30

the last 6 moat the suppo

responses fo

onses for Q39

al

24)

Edm

(N =

* 3

* 6

0 1

Yes

0.1

onths, were ortive living f

or Q39

9

monton

= 974)

%

30.8

69.2

00.0

you ever unfacility?

North

(N = 158)

%

37.3

62.7

100.0

nhappy with

South

(N = 709)

%

32.6

67.4

100.0

No

69.9

the care you

Alber

(N = 2,

%

30.1

69.9

100.

ur

rta

716)

1

9

.0

194

APPENDIX

F.5.3.5 Qth

Questiontalktoanytalkedto

Amongthalwayssa

Figure 69

Table 77

Never

Sometimes

Usually

Always

Tot

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q41: How ofthese problem

41wasaskedysupportivelsupportiveliv

hosewhotalktisfiedwithth

9: Provincial

: Zone summ

s

tal

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ten were youms?

donlyofthoslivingfacilitysvingfacilitys

kedtostaffabhewaysuppo

summary of

mary of respo

Calgary

(N = 89)

%

5.6

37.1

40.4

16.9

100.0

Never

8.9

u satisfied w

ewhoresponstaffaboutthstaffaboutthe

outtheirconortivelivings

responses fo

onses for Q4

Central

(N = 115)

%

12.2

36.5

39.1

12.2

100.0

Someti

36.5

with the way t

ndedYEStoQhisconcern?Peirconcerns.

ncerns,54.5pstaffhandled

or Q41

1

Edmonton

(N = 260)

%

10.0

33.8

47.7

8.5

100.0

imes

5

the supporti

Question40:IProvincially,9

ercentstatedproblems(T

n

North

(N = 53

%

13.2

49.1

24.5*

13.2

100.0

Usually

42.4

ive living fac

Inthelast6m90.2percent

dthattheywable78).

h

3)

Sout

(N = 21

%

6.2

36.5

43.1

14.2

100.0

cility staff han

months,didyoofresponden

wereusuallyor

h

11)

Albe

(N =

%

8.

5 36

42

2 12

0 100

Always

12.1

ndled

ounts

r

erta

728)

%

9

6.5

2.4

2.1

0.0

195

APPENDIX

F.5.4 O

F.5.4.1 (Q

Anadditiotherearecaptureswcategorize

1. [Rd

2. [Rh

Itwasfouleastoneunavailab

Figure 70

Table 78

Did not assisto staff unav

Assisted res

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Other questi

Q17, Q19, a

onalitemwasmanyreasonwhethertheredasfollows

Respondentdrinkingortoi

Respondentaelpingorresp

undthat15.8ofthebasicnbilityofstaff.

0: Provincial

: Zone summ

st resident, or asvailability

sident due to staf

Total

Did n

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ions related

nd Q21): Su

screatedtosnsthatafamilrespondenta:

didnotassistileting,butno

assistedineatpondentwait

percentofreneeds(eating,

summary of

mary of respo

ssisted not due

ff unavailability

ot assist residdue to staff

84

d to Meeting

ummary of M

ummarizethlymembermassisteddueto

ineating,driotduetonurs

ting,drinkingtedtoolongto

espondentsst,drinking,or

responses fo

onses for Q17

Calgary

(N = 279)

%

89.6*

10.4*

100.0

dent or assistunavailability

4.2

g Basic Ne

Meeting Basi

equestionsrmightassistinotheunavaila

nking,andtosesoraidesn

gortoileting]ohelp]

tatedthatthetoileting)int

or Q17, Q19

7, Q19, and

Central

(N = 415)

%

87.7

12.3

100.0

ted noty

eds

ic Needs

representingthecareofaabilityofstaf

oileting]OR[Rnothelpingor

AND[helpw

eydidhelpththepastsixm

, and Q21

Q21

Edmonton

(N = 777) (

%

86.5

13.5

100.0

Assisted

MeetingBasiresident,thisff.Thesixque

Respondentarwaitingtool

wasduetonur

heirfamilymemonthsdueto

North

(N = 120)

S

(N

%

75.0*

25.0*

100.0

d resident dueunavailability

15.8

icNeeds.Whisquestionestionswere

assistedineatlongtohelp]

rsesoraides

emberwithaothe

South

N = 511)

Al

(N =

%

76.9* 8

23.1* 1

100.0 1

e to staffy

ile

ting,

not

t

berta

= 2,102)

%

84.2

15.8

00.0

196

APPENDIX

F.5.4.2 Qvi

Figure 71

Table 79

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q51: In the laisited?

1: Provincial

: Zone summ

Calgary

(N = 350)

%

54.9*

45.1*

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 months

summary of

mary of respo

Central

(N = 530

%

59.1*

40.9*

100.0

Y

63

s, did you he

responses fo

onses for Q5

l

0)

Edmo

(N =

%

64

35

10

Yes

3.7

elp with the c

or Q51

1

onton

= 970)

%

4.4

5.6

00.0

care of your

North

(N = 165)

%

70.3

29.7

100.0

family mem

South

(N = 711)

%

69.1*

30.9*

100.0

No

36.3

mber when yo

Albert

(N = 2,7

%

63.7

36.3

100.0

ou

ta

726)

0

197

APPENDIX

F.5.4.3 Qyo

Figure 72

Table 80

Yes

No

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q52: Do you our family m

2: Provincial

: Zone summ

Calgary

(N = 346)

%

11.8

88.2

100.0

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

feel that supmember when

summary of

mary of respo

Central

(N = 518

%

13.1

86.9

100.0

Y

14

pportive livinn you visit?

responses fo

onses for Q52

l

8)

Edmo

(N =

%

14

85

10

Yes

4.4

ng facility sta

or Q52

2

onton

= 955)

%

4.1

5.9

00.0

aff expects y

North

(N = 160)

%

21.9*

78.1*

100.0

you to help w

South

(N = 704)

%

15.2

84.8

100.0

No

85.6

with the care

Albert

(N = 2,6

%

14.4

85.6

100.0

e of

ta

683)

0

198

APPENDIX

F.5.4.4 Qse

Figure 73

Table 81

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q54: In the laervices and

3: Provincial

: Zone summ

Calg

(N =

%

0

s 2.

36

60

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthstreatments t

summary of

mary of respo

gary

351)

Ce

(N

%

.3

8*

6.8 3

0.1 6

0.0 1

Never

0.4

s, how often they needed

responses fo

onses for Q54

entral

= 524)

E

%

0.4

4.8

30.9*

63.9*

100.0

Someti

6.2

did your famd?

or Q54

4

Edmonton

(N = 968)

%

0.8

6.8

37.9

54.4

100.0

imes

2

mily member

North

(N = 163)

%

0.0

9.2

50.3*

40.5*

100.0

Usually

36.5

r receive all

South

(N = 714)

%

0.1

7.3

35.6

57.0

100.0

of the medic

)

Alber

(N = 2,7

%

0.4

6.2

36.5

56.8

100.

Always

56.8

cal

rta

720)

5

8

0

199

APPENDIX

F.5.5 M

F.5.5.1 Qm

Figure 74

Table 82

Never

Sometimes

Usually

Always

Total

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Medications

Q55: In the lamedication?

4: Provincial

: Zone summ

Cal

(N =

%

53

s 4

2

2

10

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 months

summary of

mary of respo

gary

= 353)

C

(N

%

3.3

1.9

2.0

2.8

00.0

Never

50.4

s, how often

responses fo

onses for Q55

Central

N = 522)

%

51.7

41.6

3.6

3.1

100.0

Someti

42.9

did you hav

or Q55

5

Edmonton

(N = 972)

%

50.8

43.0

3.8

2.4

100.0

imes

9

ve concerns

North

(N = 161)

%

44.1

44.7

5.0

6.2

100.0

Usually

3.8

about your f

South

(N = 705

%

48.7

43.7

4.5

3.1

100.0

family memb

5)

Albe

(N = 2

%

50.

42.

3.8

3.0

100

Always

3.0

ber's

erta

,713)

%

.4

.9

8

0

0.0

200

APPENDIX

F.5.5.2 Qm

Questionyoutalkwconcernstheattent

Amongthconcerns

Figure 75

Table 83

Never

Sometimes

Usually

Always

Tot

Albe

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e (%

)

F

Q57: In the lamedication re

57wasaskedwithanysuppo(49.7%ofrestionofstaff.

hosewhobrouwereusually

5: Provincial

: Zone summ

C

(

s

tal

N

erta

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

ast 6 monthsesolved?

donlyofthosortivelivingfaspondents),8

ughtmedicatoralwaysres

summary of

mary of respo

Calgary

N = 144)

%

2.1

6.3

37.5

54.2

100.0

Never

2.9

s, how often

ewhoresponfacilitystaffab89.4percent

tionconcernssolved(Table

responses fo

onses for Q57

Central

(N = 223)

%

2.2

9.9

37.7

50.2

100.0

Someti

11.3

were your c

ndedsometimboutthesemereportedtha

totheattente83).

or Q57

7

Edmonton

(N = 408)

%

3.2

13.0

38.5

45.3

100.0

imes

3

concerns abo

mes,usually,oedicationconcttheyhadbr

tionofstaff,8

North

(N = 74)

%

0.0

12.2

36.5

51.4

100.0

Usually

37.4

out your fam

oralways,toQcerns?Ofthosroughtmedica

85.5percents

South

(N = 327

%

4.0

12.2

36.1

47.7

100.0

mily member

Question56:Dsewhohadationconcern

statedthatth

7)

Albe

(N = 1,

%

2.9

11.

37.4

48.4

100

Always

48.4

r’s

Did

nsto

heir

rta

176)

9

3

4

4

.0

201

APPENDIX

F.5.6 Q

Figure 76

Table 84

Yes

No

Don’t know

Not applica

Total

Albe

0.

10.

20.

30.

40.

50.

60.

70.

80.

90.

100.

Per

cen

tag

e (%

)

F

Q43: In your

6: Provincial

: Zone summ

Calg

(N = 3

%

72.

12.

w 13.3

able 1.7

100

Y

erta 6

.0

.0

.0

.0

.0

.0

.0

.0

.0

.0

.0

r opinion, is

summary of

mary of respo

ary

346)

Ce

(N

%

.8

.1

3*

7

0.0 1

Yes

68.4

s the overal

responses fo

onses for Q43

entral

= 508)

E

%

67.5

17.3

14.1

1.0

100.0

No

16.1

ll cost of liv

or Q43

3

Edmonton

(N = 958)

%

66.9

16.8

14.7

1.6

100.0

ving at this f

North

(N = 153)

%

56.9*

24.8*

16.3

2.0

100.0

Don't know

14.1

facility reas

South

(N = 701

%

71.5

14.1

13.3

1.1

100.0

w No

sonable?

1)

Albe

(N = 2,

%

68.

16.

14.

1.4

100

ot applicable

1.4

erta

,660)

%

4

1

1

4

0.0

202

APPENDIX G

APPENDIX G: GLOBAL OVERALL CARE RATING REGRESSION MODELS

G.1 Model description – Dimension of Care variables

Tosimplifytheinterpretationofthedata,questionswhichmeasuresimilarconstructswerecombinedintosinglevariablescalledDimensionsofCare.Suchamodelexploresthestrengthofassociationbetweenmorespecificqualityvariables(thedimensionsinthiscase)withtheoutcomevariable(theGlobalOverallCarerating).

DimensionsofCarevariablesaretheweightedaveragescoresofallquestionswithineachdimension.Theyprovideasummaryrecordforthecommonattributeofcarerepresentedbythedimension.Inthissection,aregressionmodelwasdevelopedtoidentifydimensionswiththestrongestrelationshiptotheGlobalOverallCarerating.ThisprovidesabetterunderstandingofwhichfactorsimpactGlobalOverallCareratingsandmayprovideusefulinformationforqualityimprovementactivities.

SeeAppendixB.2.3andB.2.4formoreinformationonsurveyresponsescoring.

G.2 Regression Models

AregressionmodelwasusedtoidentifyrelationshipswiththeGlobalOverallCarerating.Thismodelwascalculatedfrom2,869respondentsfrom128facilitiesandexplains61.7percentofthevarianceintheGlobalOverallCareratingscore.

Themodelincludedthefollowingconfoundingvariables:Age,gender,languagespokenathome,sharedroom,facilitysize(numberofbeds),ownershiptype(AHS,private,voluntary),andresidentpermanencyinthefacility.TheselectionofconfoundingvariableswasinitiallybasedonvariablesdescribedinResidentandRespondentcharacteristics(AppendixC).ThesevariableswerethenanalyzedinaccordancetothestrengthoftheirrelationshiptoGlobalOverallCareratingsbasedonthep‐valuesandstandardizedbetacoefficients.Selectvariablesexcludedfromthemodel:

i) werenotsignificantlyrelatedtoGlobalOverallCareratings(p>0.05)andhadthesmallestbetacoefficientsrelativetootherconfounders.

ii) didnotsubstantiallyimpactthevarianceexplainedupontheirremovalfromthemodel(61.5%whenallconfounderswereincludedversus61.7percentwhenlimitedtothefinalselectionofconfounders).

Confoundersthatwereexcludedwere:memoryproblems,whetherrespondentwasthemostexperiencedpersonwithcare,residentlengthofstay,visitfrequency,andeducation.

203

APPENDIX G

Theregressionmodel(Table85)offersevidencethatrespondents’scoresonthefourDimensionsofCareandtheFoodRatingScalearesignificantpredictorsofGlobalOverallCareratings.OrderedfromstrongesttoweakestinfluencewiththeGlobalOverallCarerating:



3. FoodRatingScale



Table 85: Regression model- Dimensions of Care versus Global Overall Care rating adjusted for confounders

Dimension of Care Standardized beta coefficients

Staffing, Care of Belongings, and Environment 0.337*

Kindness and Respect 0.240*

Food Rating Scale (0 to 100) 0.222*


0.151*

Meeting Basic Needs 0.066*

Constant 7.82

N 2,228

R-Sqared 0.620

Ajusted R-Squared 0.617

p-value < 0.001

Note:Confoundingvariablesinclude:age,gender,languagespokenathome,sharedroom,facilitysize(numberofbeds),ownershiptype(AHS,private,voluntary),andresidentpermanencyinfacility.

204

APPENDIX H

APPENDIX H: QUALITATIVE ANALYSIS

H.1 Detailed methodology

Eachresponsetotheopen‐endedquestionwasanalyzedusingNVivoversion10.NVivo10isaqualitativedataanalysissoftwarepackage.Theanalysistookplaceintwoparts.Inpartone,apreliminaryanalysisof619responseswascompleted.Throughthisanalysis,patternsinfamilymembers’commentswereidentifiedandthemesandsubthemesweredeveloped.Themeswerenotpredetermined.Intotal,12themesemergedfromfamilymemberscomments.Thesewere:

Activities

Careandservices

Choice

Communications

Dailyoperations

Food

Cost

Residentenvironment

Safetyandsecurity

Staff

Workfamilymembersdo

Other

Inparttwo,all1,736commentswereexaminedformultiplethemesandideas.Theanalysiswasiterative.Duringthisanalysis,thethemesandsubthemesidentifiedinthepreliminaryanalysiswerefurtherrefined.Nonewthemesweregeneratedduringthisphase.Analysiswasdeemed‘complete’whencommentswerenolongercodedorrecodeddifferently.

Toenablecomparisonwithquestionnairefindings,the12emergentthemeswerecategorizedwithinoneofthefourexistingdimensions.TheDimensionsofCarewere:(1)Staffing,CareofBelongings,andEnvironment,(2)KindnessandRespect,(3)ProvidingInformationandEncouragingFamilyInvolvement,and(4)MeetingBasicNeeds.Attimes,athemewasrelevanttoaDimensionofCarebutitwasnotanexistingcomponentofit.Forexample,anemergenttheme‘accesstohealthservices’wasincludedunderthedimension‘MeetingBasicNeeds’–toreflectthis,thecriterionthatguideshowtocodeacommentwithineachdimensionwasmodified(seeTable88forcodingbyDimensionsofCareandadditionalthemes).WhenanemergentthemecouldnotbecategorizedintooneofthefourDimensionsofCare,thethemewasretainedandcategorizedas‘Other’.Two‘Other’themeswereidentifiedandincluded1)Activitiesand2)Funding.Inaddition,thethemeSafetyandSecuritywasretainedandhighlightedindependentofthefourDimensionsofCare.Familymembers’commentswerethenclassifiedasbeingarecommendationforchangeand/orconcernor,complimentaryorneutralasfollows:

205

APPENDIX H

Commentswereclassifiedasbeingarecommendationforchangeand/orconcernwhenfamilymembersclearlyconveyedtheyweredissatisfiedwiththecareprovidedtoaresident,indicatingroomforimprovement.Additionally,thesecommentswereclassifiedassuchiffamilymembersexpressedadesireforchangeorimprovementand/orprovidedasuggestionforhowcareandservicescouldbeimprovedorchanged.

Complimentaryorneutralwhenfamilymembersexpressedsatisfactionorneutralitywithcareandservices.

H.2 Additional results

Table86summarizesthecommentsbyDimensionsofCareandadditionalthemes.Acrossallregions,familymemberscommentedmostfrequentlyontopicsrelevantto:(1)theStaffing,CareofBelongings,andResidentEnvironmentdimension,and(2)theMeetingBasicNeedsdimension.Familymembersmostoftenprovidedrecommendationsforchangeand/orconcernasopposedtocomplimentaryorneutralstatements,bothprovinciallyandacrossallzones.

Table87representsthenumberofthematicstatementsinfamilymembers’comments,byDimensionsofCareandadditionalthemesaccordingtorecommendationtype.Thematicstatementswerethethemesandideascontainedinacommentthatwererelevanttooneormoredimensions.Atotalof3,696thematicstatementswereidentified(anaverageof2.1thematicstatementsperpersonwhoprovidedacomment).

Figure77providesasummaryofthetoptenfamilymembersuggestionsforchangeandconcerns,bytheme.

206

AP

PE

ND

IX H

Tab

le 8

6: R

egio

nal c

ompa

rison

of b

reak

dow

n of

com

men

ts b

y D

imen

sion

s of

Car

e an

d re

com

men

datio

n ty

pe

Region

Su

mm

ary

of

co

mm

ents

by

Dim

ensi

on

s o

f C

are

Sta

ffing

, Car

e of

B

elo

ngin

gs, a

nd

Env

ironm

ent

Kin

dne

ss a

nd

Res

pec

t

Pro

vidi

ng

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rmat

ion

and

Enc

oura

ging

F

amily

In

volv

emen

t

Mee

ting

Bas

ic N

eeds

S

afet

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d S

ecur

ity

Oth

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To

tal

Calgary

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

2.

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2.2

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3.5

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3

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Rec

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dat

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s fo

r ch

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%

26.6

4.

0

13.4

27

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1.6

12

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85.4

To

tal

%

28.8

6.

2

15.1

30

.6

1.9

17

.5

100.

0

Central

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

2.

5

1.5

0.

3

5.4

0.

2

5.9

15

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Rec

om

men

dat

ion

s fo

r ch

ang

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d/o

r co

nce

rn

%

29.9

2.

5

8.2

29

.6

1.3

12

.7

84.2

To

tal

%

32.4

3.

9

8.6

35

.0

1.5

18

.6

100.

0

Edmonton

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

1.

9

1.8

1.

2

3.7

0.

2

3.8

12

.6

Rec

om

men

dat

ion

s fo

r ch

ang

e an

d/o

r co

nce

rn

%

29.3

4.

2

12.1

24

.6

1.9

15

.4

87.5

To

tal

%

31.2

5.

9

13.2

28

.3

2.1

19

.3

100.

0

North

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

0.

9

0.4

0.

0

3.9

0.

0

2.6

7.

8

Rec

om

men

dat

ion

s fo

r ch

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d/o

r co

nce

rn

%

37.2

3.

0

11.7

25

.5

2.2

12

.6

92.2

To

tal

%

38.1

3.

5

11.7

29

.4

2.2

15

.2

100.

0

207

AP

PE

ND

IX H

Region S

um

mar

y o

f c

om

men

ts b

y D

imen

sio

ns

of

Car

e

Sta

ffing

, Car

e of

B

elo

ngin

gs, a

nd

Env

ironm

ent

Kin

dne

ss a

nd

Res

pec

t

Pro

vidi

ng

Info

rmat

ion

and

Enc

oura

ging

F

amily

In

volv

emen

t

Mee

ting

Bas

ic N

eeds

S

afet

y an

d S

ecur

ity

Oth

er

To

tal

South

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

2.

3

1.4

0.

7

4.8

0.

0

4.2

13

.4

Rec

om

men

dat

ion

s fo

r ch

ang

e an

d/o

r co

nce

rn

%

35.7

2.

7

8.0

25

.7

2.1

12

.3

86.5

To

tal

%

38.1

4.

1

8.7

30

.5

2.1

16

.5

100.

0

Alberta

Co

mp

limen

tary

or

neu

tral

sta

tem

ents

%

2.

1

1.6

0.

9

4.3

0.

1

4.3

13

.3

Rec

om

men

dat

ion

s fo

r ch

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e an

d/o

r co

nce

rn

%

31.4

3.

4

10.4

26

.2

1.8

13

.6

86.8

To

tal

%

33.4

4.

9

11.3

30

.5

2.0

17

.9

100.

0

208

APPENDIX H

Table 87: Breakdown of thematic statements by Dimensions of Care and additional themes according to recommendation type in Alberta

Staffing, Care of Belongings, and Environment Complimentary or neutral statements

Recommendations for change and/or

concern Total

Theme % % %

Staffing levels 0.2 37.7 37.8

Additional training and continuous education for staff 0.2 11.6 11.7

Staff accountability to resident care 0.0 0.8 0.8

Resident’s ability to be cared for by same staff 0.0 6.9 6.9

Cleanliness and condition of resident’s room and common areas

0.5 17.9 18.4

Resident’s belongings 0.0 1.8 1.8

Laundry services 0.2 2.8 2.9

Smoking 0.0 0.5 0.5

Volunteering 0.0 0.8 0.8

Quality of staff 5.3 1.1 6.4

Leadership and supervision of staff 0.6 5.9 6.6

Delegation of work for staff 0.0 2.2 2.2

Transportation of residents 0.0 1.4 1.4

Noise levels 0.0 0.5 0.5

Temperature and air quality 0.2 1.2 1.3

Total 7.2 93.1 100.0

Kindness and Respect Complimentary or neutral statements


concern Total

Theme % % %

Interpersonal relations including kindness, respect, courtesy and concern or resident’s wellbeing

31.1 62.2 93.3

Privacy 0.0 4.3 4.3

Respect between residents 0.0 2.4 2.4

Total 31.1 68.9 100.0

209

APPENDIX H


Complimentary or neutral statements


concern Total

Theme % % %

Involving family in resident care 3.0 27.8 30.8

Language barriers between staff and the family 0.7 12.9 13.6

Information about payments or expenses 0.0 2.0 2.0

General quality of communication 0.2 5.0 5.2

How concerns are handled 2.5 19.9 22.3

Communication between staff 0.0 13.2 13.2

Staff availability to answer questions 1.0 10.4 11.4

Staff identification 0.0 1.5 1.5

Total 7.4 92.7 100.0

Meeting Basic Needs Complimentary or neutral statements


concern Total

Theme % % %

Help and supervision with Meeting Basic Needs including help with eating, drinking and toileting

0.4 13.7 14.1

General quality of care 10.8 4.2 15.1

Work family members do to help the resident 0.3 7.6 7.8

Consistent delivery of resident care plans 0.0 1.2 1.2

Food 1.2 33.7 34.9

Hygiene and grooming 0.4 10.9 11.3

Healthcare needs 0.5 14.1 14.6

Speed of care delivery 0.0 1.0 1.0

Total 13.6 86.4 100.0

210

APPENDIX H

Safety and Security Complimentary or neutral statements


concern Total

Theme % % %

Safety and security measures in the facility 0.0 37.3 37.3

Harm to resident within facility 0.0 49.3 49.3

Sense of security within facility 4.5 9.0 13.4

Total 4.5 95.6 100.0

Other Complimentary or neutral statements


concern Total

Theme % % %

Activities 1.0 32.4 33.4

Provision of resources 0.0 3.4 3.4

Cost of living at the facility 1.0 21.7 21.8

Maintaining documents and records 0.0 3.3 3.3

General quality of facility 22.6 3.6 26.2

Access to the facility 0.0 1.8 1.8

Scheduling of resident’s day 0.0 0.5 0.5

Couple suites 0.0 1.1 1.1

Facility policies and procedures 1.0 3.6 3.7

Resident’s ability to have choice 0.0 3.4 3.4

Non-classifiable, miscellaneous 0.0 1.3 1.3

Total 25.6 76.1 100.0

211

AF AP

PE

ND

IX H

Fig

ure

77:

Top

1 S

Per

cent

age

(%)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.

0

Percentage (%)

10 r

ecom

men

da

Sta

ffing

leve

ls (

n=

494

)F

ood

17.4

tions

for

chan

ge

d (n

= 3

83)

Cle

anlin

esco

nditi

on o

faci

lity

(n =

13.5

8.4e

s an

dof

the

= 2

37)

Invo

lvin

g fa

mily

ire

side

nt c

are

(n

222)

7.8

in =A

ctiv

ities

(n

=19

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e

7.0

ealth

care

nee

ds(n

= 1

60)

He l

supe

rvba

sic

n 1

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ndvi

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with

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s (n

=15

7)

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ition

atr

aini

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cont

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aff (

n =

1

5.5

5.4

al nd edfo

r52

)

Res

iden

t'shy

gien

e an

dgr

oom

ing

(n =

125)

4.4

Inte

rper

sona

lsk

ills

of th

e st

aff

(n =

102

)

3.6

212

APPENDIX H

Table 88: Guidelines used to code comments by Dimensions of Care and additional themes


Staffing levels Quality of staff

Additional training and continuous education for staff Leadership and supervision of staff

Staff accountability to resident care Cleanliness and condition of resident’s room and

common areas

Resident’s ability to be cared for by same staff Delegation of work for staff

Resident’s belongings Transportation of residents

Laundry services Noise levels

Volunteering Temperature and air quality

Smoking


Interpersonal relations including kindness, respect, courtesy and concern for resident’s wellbeing

Privacy

Respect between residents


Involving family in resident care How concerns are handled

Language barriers between staff and the family Communication between staff

Information about payments or expenses Staff availability to answer questions

General quality of communication Staff identification

Meeting Basic Needs

Help and supervision with basic needs including help with eating, drinking, and toileting

Food

General quality of care Hygiene and grooming

Work family members do to help the resident Healthcare needs

Consistent delivery of resident care plans Speed of care delivery

Safety and Security

Safety and security measures in the facility Sense of security within facility

Other

Activities Access to the facility

Provision of resources Scheduling of resident’s day

Cost of living at the facility Couple suites

Maintaining documents and records Facility policies and procedures

General quality of facility Resident’s ability to have choice

Non-classifiable, miscellaneous

213

APPENDIX I

APPENDIX I: DIMENSIONS OF CARE BY OVERALL CARE RATING QUARTILES

Note:Forthetablesbelow,asingleasterisk(*)indicatesthattheupperquartileresultsaresignificantlydifferentthanlowerquartileresultsatp<0.05.

I.1 Staffing, Care of Belongings, and Environment by Global Overall Care rating quartile

Table 89: Staffing, Care of Belongings, and Environment - by Global Overall Care rating quartile

Quartiles Staffing, Care of Belongings, and

Environment mean (out of 100)

95% confidence interval

Lower Upper

Upper (27 facilities; 305 respondents) 87.0* 85.9 88.2

Upper middle (27 facilities; 565 respondents) 81.8 80.7 82.8

Lower middle (27 facilities; 841 respondents) 74.7 73.7 75.7

Lower (26 facilities; 963 respondents) 69.4 68.4 70.4

214

APPENDIX I

Table 90: Staffing, Care of Belongings, and Environment - Individual questions by Global Overall Care rating quartile

Questions Total

Upper quartile

27 facilities

Lower quartile

26 facilities

Upper minus Lower

% n % n % n %

Q11: In the last 6 months, how often were you able to find a nurse or aide when you wanted one? (Among those who answered YES to Q10)

% Usually or Always

87.3 1,908 96.7 203 80.4 644 16.3*

Q50: In the last 6 months, how often did you feel that there were enough nurses and aides in the supportive living facility?

% Usually or Always

69.2 1,871 91.4 276 56.3 524 35.1*

Q31: In the last 6 months, how often did your family member`s room look and smell clean?

% Usually or Always

85.9 2,353 97.4 295 78.6 750 18.8*

Q22: In the last 6 months, how often did your family member look and smell clean?

% Usually or Always

89.1 2,449 97.0 293 82.8 792 14.2*

Q34: In the last 6 months, how often did the public areas of the supportive living facility look and smell clean?

% Usually or Always

97.4 2,669 100.0 301 95.1 907 4.9*

Q36: In the last 6 months, how often were your family member's personal medical belongings (e.g., hearing aids, eye-glasses, dentures, etc.) damaged or lost?

% Never

77.7 2,104 84.3 253 72.2 680 12.1*

Q38: In the last 6 months, when your family member used the laundry service, how often were clothes damaged or lost? (Among those who answered YES to Q37)

% Never

57.6 1,001 77.4 147 47.9 299 29.5*

Additional related questions not included in the dimension

Q32: In the last 6 months, how often was the noise level around your family member's room acceptable to you?

% Usually or Always

96.9 2,658 98.0% 298 95.6 911 2.4

Q33: In the last 6 months, how often were you able to find places to talk to your family member in private?

% Usually or Always

98.3 2,680 99.0% 299 97.6 922 1.4

Q30: In the last 6 months, how often is your family member cared for by the same team of staff?

% Usually or Always

80.7 2,089 92.8% 269 72.4 644 20.4*

215

APPENDIX I

I.2 Kindness and Respect by Global Overall Care rating quartile

Table 91: Kindness and Respect - by Global Overall Care rating quartile

Quartiles Kindness and Respect mean

(out of 100)


Lower Upper





Table 92: Kindness and Respect - Individual questions - by Global Overall Care rating quartile

Questions Total

Upper quartile

27 facilities

Lower quartile

26 facilities

Upper minus Lower

% n % n % n %

Q12: In the last 6 months, how often did you see the nurses and aides treat your family member with courtesy and respect?

% Usually or Always

95.9 2,626 99.0 299 94.4 894 4.6*

Q13: In the last 6 months, how often did you see the nurses and aides treat your family member with kindness?

% Usually or Always 95.2 2,598 99.7 301 92.9 877 6.8*

Q14: In the last 6 months, how often did you feel that the nurses and aides really cared about your family member?


Q15: In the last 6 months, did you ever see any nurses or aides be rude to your family member or any other resident?

% No

91.1 2,482 95.7 288 88.8 837 6.9*

Q24: In the last 6 months, how often did the nurses and aides handle this situation in a way that you felt was appropriate?

% Usually or Always

89.3 515 100.0 31 85.4 222 14.6*


Q35: In the last 6 months, did you ever see the nurses and aides fail to protect any resident's privacy while the resident was dressing, showering, bathing, or in a public area?

% No

97.1 2,608 98.6 292 96.1 897 2.5*

Q25: In the last 6 months, how often did the nurses and aides treat you [the respondent] with courtesy and respect?

% Usually or Always

98.2 2,691 100 304 96.9 919 3.1*

216

APPENDIX I

I.3 Providing Information and Encouraging Family Involvement by Global Overall Care rating quartile

Table 93: Providing Information and Encouraging Family Involvement - by Global Overall Care rating quartile

Quartiles Providing Information and

Encouraging Family Involvement mean (out of 100)


Lower Upper





Table 94: Providing Information and Encouraging Family Involvement - Individual questions by Global Overall Care rating quartile

Questions Total

Upper quartile

27 facilities

Lower quartile

26 facilities

Upper minus Lower

% n % n % n %

Q27: If YES to Q25, In the last 6 months, how often did you get this information as soon as you wanted?


Q28: In the last 6 months, how often did the nurses and aides explain things in a way that was easy for you to understand?

% Usually or Always

92.0 2,469 97.3 289 88.5 824 8.8*

Q29: In the last 6 months, did nurses and aides ever try to discourage you from asking questions about your family member?

% No

97.7 2,676 100 304 96.1 915 3.9*

Q42: In the last 6 months, did you ever stop yourself from talking to any supportive living facility staff about your concerns because you thought they would take it out on your family member?

% No

79.4 908 88.2 60 78.2 390 10.0

Q45: In the last 6 months, how often were you involved as much as you wanted to be in the decisions about your family member's care?

% Usually or Always

91.9 2,052 97.1 238 89.4 717 7.7*

Q59: If YES to Q58, In the last 6 months, how often did you get all the information you wanted about payments or expenses?

% Usually or Always

85.2 488 96.7 59 80.9 195 15.8*

217

APPENDIX I


Care conference participation (Q46 and Q47)

% Participation or given the opportunity to participate 76.8 2,031 72.1 207 83.2 765 -11.1*

Q39: At any time during the last 6 months, were you ever unhappy with the care your family member received at the supportive living facility?

% No

69.9 1,898 89.4 270 58.8 551 30.6*

Q41: Among those who brought concerns to the attention of staff (YES on Q40), how often were you satisfied with the way the supportive living facility staff handled these problems?

% Usually or Always

54.5 397 79.3 23 46.7 165 32.6*

218

APPENDIX I

I.4 Meeting Basic Needs by Global Overall Care rating quartile

Table 95: Meeting Basic Needs - by Global Overall Care rating quartile

Quartiles Meeting Basic Needs mean (out of

100)


Lower Upper





Table 96: Meeting Basic Needs - Individual questions by Global Overall Care rating quartile

Questions Total

Upper quartile

27 facilities

Lower quartile

26 facilities

Upper minus Lower

% n % n % n %

Q16 and Q17: Helped family member with eating because nurses or aides either didn't help or made him or her wait too long

% No

77.6 447 96.8 30 70.9 175 25.9*

Q18 and Q19: Helped family member with drinking because nurses or aides either didn't help or made him or her wait too long

% No

74.0 379 93.8 30 71.1 162 22.7*

Q20 and Q21: Helped family member with toileting because nurses or aides either didn't help or made him or her wait too long

% No

60.4 337 78.7 37 53.8 119 24.9*


Q51: In the last 6 months, did you help with the care of your family member when you visited?

% No 36.3 989 49.3 148 30.8 292 18.5*

Q52: Do you feel that supportive living facility staff expects you to help with the care of your family member when you visit?

% No

85.6 2,297 92.3 275 81.3 750 11.0*

Q54: In the last 6 months, how often did your family member receive all of the medical services and treatments they needed?

% Usually or Always

93.4 2,540 98.3 295 90.7 861 7.6*

Q57: In the last 6 months, how often were your concerns about your family member's medication resolved?

% Usually or Always

85.8 1,009 92.8 90 81.6 372 11.2*

219

AP

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Providing Information and Encouraging Family Involvement mean score (0-100)

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225

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(93.

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)

Adj‐R2= 0.062

226

APPENDIX K

APPENDIX K: QUESTION-LEVEL RESULTS BY OWNERSHIP TYPE

Table 97: Facility ownership - Staffing, Care of Belongings, and Environment

Question Measure AHS Private Voluntary Significant differences

Q11: In the last 6 months, how often were you able to find a nurse or aide when you wanted one? (Among those who answered YES to Q10)

% Usually or Always 87.7 86.3 88.7

N 154 1,189 842

Q50: In the last 6 months, how often did you feel that there were enough nurses and aides in the supportive living facility?


N 186 1,434 1,083

Q31: In the last 6 months, how often did your family member`s room look and smell clean?


N 188 1,459 1,093

Q22: In the last 6 months, how often did your family member look and smell clean?


%AHS > %Priv and %Vol

N 189 1,460 1,100

Q34: In the last 6 months, how often did the public areas of the supportive living facility look and smell clean?


N 189 1,459 1,093

Q36: In the last 6 months, how often were your family member's personal medical belongings (e.g., hearing aids, eye-glasses, dentures, etc.) damaged or lost?

% Never 75.0 77.3 78.6

N 184 1,l40 1,085

Q38: In the last 6 months, when your family member used the laundry service, how often were clothes damaged or lost? (Among those who answered YES to Q37)

% Never 55.1 57.4 58.4

N 127 898 713


Q32: In the last 6 months, how often was the noise level around your family member's room acceptable to you?


N 190 1,459 1,095

Q33: In the last 6 months, how often were you able to find places to talk to your family member in private?


N 188 1,447 1,091

Q30: In the last 6 months, how often is your family member cared for by the same team of staff?


N 182 1,378 1,029

227

APPENDIX K

Table 98: Facility ownership - Kindness and Respect


Q12: In the last 6 months, how often did you see the nurses and aides treat your family member with courtesy and respect?


N 191 1,453 1,094

Q13: In the last 6 months, how often did you see the nurses and aides treat your family member with kindness?


N 188 1,451 1,091

Q14: In the last 6 months, how often did you feel that the nurses and aides really cared about your family member?


N 186 1,456 1,093

Q15: In the last 6 months, did you ever see any nurses or aides be rude to your family member or any other resident?

% No 87.8% 91.6% 91.0%

N 188 1,449 1,088

Q24: In the last 6 months, how often did the nurses and aides handle [difficult situations] in a way that you felt was appropriate?


N 34 306 237


Q35: In the last 6 months, did you ever see the nurses and aides fail to protect any resident's privacy while the resident was dressing, showering, bathing, or in a public area?

% No 98.3 97.1 97.0

N 181 1,426 1,078

Q25: In the last 6 months, how often did the nurses and aides treat you [the respondent] with courtesy and respect?


N 191 1,459 1,090

228

APPENDIX K

Table 99: Facility ownership - Providing Information and Encouraging Family Involvement


Q27: If YES to Q25, In the last 6 months, how often did you get […] information as soon as you wanted?

% Usually or Always 90.6% 87.4% 86.8%

N 159 1,180 874

Q28: In the last 6 months, how often did the nurses and aides explain things in a way that was easy for you to understand?


Total N 188 1,425 1,072

Q29: In the last 6 months, did nurses and aides ever try to discourage you from asking questions about your family member?

% No 99.0% 97.5% 97.8%

N 191 1,460 1,105

Q42: In the last 6 months, did you ever stop yourself from talking to any supportive living facility staff about your concerns because you thought they would take it out on your family member?

% No 78.8% 79.1% 80.1%

N 85 622 436

Q45: In the last 6 months, how often were you involved as much as you wanted to be in the decisions about your family member's care?


N 160 1,192 882

Q59: If YES to Q58, In the last 6 months, how often did you get all the information you wanted about payments or expenses?


N 22 319 232


Care conference participation (Q46 and Q47)

% Participated or given the

opportunity to participate

90.4 75.4 76.1 %AHS > %Priv and %Vol

Total N 187 1,391 1,066

Q39: At any time during the last 6 months, were you ever unhappy with the care your family member received at the supportive living facility?

% No 63.8 69.1 72.0

%Vol > %AHS

N 189 1,447 1,098

Q41: Among those who brought concerns to the attention of staff (YES on Q40), how often were you satisfied with the way the supportive living facility staff handled these problems?


N 58 398 272

229

APPENDIX K

Table 100: Facility ownership - Meeting Basic Needs


Q17: Helped family member with eating because nurses or aides either didn't help or made him or her wait too long

% No to Q17 or Q16 91.0% 95.2% 96.1%

%AHS < %Priv and %Vol

Mean (0 to 100) 91.0 95.2 96.1

N 188 1,447 1,088

Q19: Helped family member with drinking because nurses or aides either didn't help or made him or her wait too long

% No to Q18 or Q19 91.0% 94.8% 96.3%

%Vol > %AHS and %Priv Mean (0 to 100) 91.0 94.8 96.3

Total N 189 1,456 1,095

Q21: Helped family member with toileting because nurses or aides either didn't help or made him or her wait too long

% No to Q20 or Q21 86.8% 91.3% 93.7%

%Vol > %AHS and %Priv

%Priv > %AHS Mean (0 to 100) 86.8 91.3 93.7

Total N 190 1,459 1,093


Q51: In the last 6 months, did you help with the care of your family member when you visited?

% No 32.8 35.3 38.2

Total N 186 1,456 1,084

Q52: Do you feel that supportive living facility staff expects you to help with the care of your family member when you visit?

% No 85.9 86.1 84.9

Total N 184 1,424 1,075

Q54: In the last 6 months, how often did your family member receive all of the medical services and treatments they needed?


Total N 188 1,445 1,087

Q57: In the last 6 months, how often were your concerns about your family member's medication resolved?


Total N 94 640 442

230

LIST OF TABLES

LIST OF TABLES

Table 1: Facility size quintile groupings ........................................................................................ 16 Table 2: Comprehensive summary of facility results ..................................................................... 17 Table 3: Guide for interpretation ................................................................................................... 24 Table 4: Summary of facility mean Global Overall Care ratings by zone ...................................... 25 Table 5: Guide for interpretation ................................................................................................... 29 Table 6: Summary of facility means for Staffing, Care of Belongings, and Environment .............. 30 Table 7: Guide for interpretation ................................................................................................... 34 Table 8: Summary of facility means for Kindness and Respect .................................................... 35 Table 9: Guide for interpretation ................................................................................................... 39 Table 10: Summary of facility means for Food Rating Scale .......................................................... 40 Table 11: Guide for interpretation ................................................................................................... 44 Table 12: Summary of facility means for Providing Information and Encouraging Family

Involvement .................................................................................................................... 45 Table 13: Guide for interpretation ................................................................................................... 49 Table 14: Summary of facility means for Meeting Basic Needs ...................................................... 50 Table 15: Additional questions ........................................................................................................ 56 Table 16: Mean number of beds by Global Overall Care rating quartiles ....................................... 74 Table 17: Mean number of beds by Staffing, Care of Belongings, and Environment Dimension

of Care quartiles ............................................................................................................. 74 Table 18: Mean number of beds by Kindness and Respect Dimension of Care quartiles .............. 75 Table 19: Mean number of beds by Food Rating Scale quartiles ................................................... 75 Table 20: Mean number of beds by Providing Information and Encouraging Family Involvement

Dimension of Care quartiles ............................................................................................ 75 Table 21: Mean number of beds by Meeting Basic Needs Dimension of Care quartiles ................ 76 Table 22: Zone summary of responses for propensity to recommend ............................................ 82 Table 23: Summary of the percentage of respondents who would recommend the facility by

Global Overall Care rating .............................................................................................. 83 Table 24: Number of beds by percentage of respondents who would recommend the facility

(median 96%) ................................................................................................................. 88 Table 25 Survey scale conversion ............................................................................................... 126 Table 26: Response rate .............................................................................................................. 128 Table 27: Response proportions by wave ..................................................................................... 130 Table 28: Reasons for non-response by wave ............................................................................. 130 Table 29: Zone summary of responses for survey Q1 .................................................................. 134 Table 30: Zone summary of responses for survey Q9 .................................................................. 135 Table 31: Missing responses to Q9 versus frequency of visits ..................................................... 136 Table 32: Zone summary of responses for survey Q64 ................................................................ 137 Table 33: Zone summary of responses for survey Q60 ................................................................ 138 Table 34: Zone summary of responses for survey Q61 ................................................................ 139 Table 35: Q62. Zone summary of responses for survey Q62 ....................................................... 140 Table 36: Zone summary of responses for survey Q63 ................................................................ 141 Table 37: Respondent characteristics and differences in Global Overall Care ratings ................. 142 Table 38: Zone summary of responses for survey Q4 .................................................................. 144

231

LIST OF TABLES

Table 39: Zone summary of responses for survey Q5 .................................................................. 145 Table 40: Zone summary of responses for survey Q6 .................................................................. 146 Table 41: Zone summary of responses for survey Q7 .................................................................. 147 Table 42: Zone summary of responses for survey Q8 .................................................................. 148 Table 43: Resident characteristics and differences in Global Overall Care ratings ...................... 149 Table 44: Facility inclusion criteria ................................................................................................ 150 Table 45: Facilities excluded from provincial reporting ................................................................. 154 Table 46: Example table of binomial probability test interpretation ............................................... 163 Table 47: Zone summary of responses for Question 11 (Q11) ..................................................... 164 Table 48: Zone summary of responses for Q50 ........................................................................... 165 Table 49: Zone summary of responses for Q31 ........................................................................... 166 Table 50: Zone summary of responses for Q22 ........................................................................... 167 Table 51: Zone summary of responses for Q34 ........................................................................... 168 Table 52: Zone summary of responses for Q36 ........................................................................... 169 Table 53: Zone summary of responses for Q38 ........................................................................... 170 Table 54: Zone summary of responses for Q12 ........................................................................... 171 Table 55: Zone summary of responses for Q13 ........................................................................... 172 Table 56: Zone summary of responses for Q14 ........................................................................... 173 Table 57: Zone summary of responses for Q15 ........................................................................... 174 Table 58: Zone summary of responses for Q24 ........................................................................... 175 Table 59: Zone summary of responses for Q27 ........................................................................... 176 Table 60: Zone summary of responses for Q28 ........................................................................... 177 Table 61: Zone summary of responses for Q29 ........................................................................... 178 Table 62: Zone summary of responses for Q42 ........................................................................... 179 Table 63: Zone summary of responses for Q45 ........................................................................... 180 Table 64: Zone summary of responses for Q59 ........................................................................... 181 Table 65: Zone summary of responses for Q17 ........................................................................... 182 Table 66: Zone summary of responses for Q19 ........................................................................... 183 Table 67: Zone summary of responses for Q21 ........................................................................... 184 Table 68: Zone summary of responses for Q32 ........................................................................... 185 Table 69: Zone summary of responses for Q33 ........................................................................... 186 Table 70: Zone summary of responses for Q30 ........................................................................... 187 Table 71: Zone summary of responses for Q35 ........................................................................... 188 Table 72: Zone summary of responses for Q25 ........................................................................... 189 Table 73: Zone summary of responses for Q46 ........................................................................... 190 Table 74: Zone summary of responses for Q47 ........................................................................... 191 Table 75: Zone summary of responses for Q46 and 47 ................................................................ 193 Table 76: Zone summary of responses for Q39 ........................................................................... 194 Table 77: Zone summary of responses for Q41 ........................................................................... 195 Table 78: Zone summary of responses for Q17, Q19, and Q21 ................................................... 196 Table 79: Zone summary of responses for Q51 ........................................................................... 197 Table 80: Zone summary of responses for Q52 ........................................................................... 198 Table 81: Zone summary of responses for Q54 ........................................................................... 199 Table 82: Zone summary of responses for Q55 ........................................................................... 200 Table 83: Zone summary of responses for Q57 ........................................................................... 201 Table 84: Zone summary of responses for Q43 ........................................................................... 202

232

LIST OF TABLES

Table 85: Regression model- Dimensions of Care versus Global Overall Care rating adjusted for confounders .................................................................................................................. 204

Table 86: Regional comparison of breakdown of comments by Dimensions of Care and recommendation type ................................................................................................... 207

Table 87: Breakdown of thematic statements by Dimensions of Care and additional themes according to recommendation type in Alberta ............................................................... 209

Table 88: Guidelines used to code comments by Dimensions of Care and additional themes ..... 213 Table 89: Staffing, Care of Belongings, and Environment - by Global Overall Care rating

quartile .......................................................................................................................... 214 Table 90: Staffing, Care of Belongings, and Environment - Individual questions by Global Overall

Care rating quartile ....................................................................................................... 215 Table 91: Kindness and Respect - by Global Overall Care rating quartile .................................... 216 Table 92: Kindness and Respect - Individual questions - by Global Overall Care rating quartile . 216 Table 93: Providing Information and Encouraging Family Involvement - by Global Overall Care

rating quartile ................................................................................................................ 217 Table 94: Providing Information and Encouraging Family Involvement - Individual questions by

Global Overall Care rating quartile ................................................................................ 217 Table 95: Meeting Basic Needs - by Global Overall Care rating quartile ...................................... 219 Table 96: Meeting Basic Needs - Individual questions by Global Overall Care rating quartile ...... 219 Table 97: Facility ownership - Staffing, Care of Belongings, and Environment ............................. 227 Table 98: Facility ownership - Kindness and Respect .................................................................. 228 Table 99: Facility ownership - Providing Information and Encouraging Family Involvement ......... 229 Table 100: Facility ownership - Meeting Basic Needs .................................................................... 230

233

LIST OF FIGURES

LIST OF FIGURES

Figure 1: Streams of continuing care ............................................................................................... 6 Figure 2: Staffing, Care of Belongings, and Environment Dimension of Care by Global Overall

Care rating quartile ......................................................................................................... 70 Figure 3: Kindness and Respect Dimension of Care by Global Overall Care rating quartile .......... 71 Figure 4: Food Rating Scale by Global Overall Care rating quartile ............................................... 71 Figure 5: Providing Information and Encouraging Family Involvement Dimension of Care by

Global Overall Care rating quartile .................................................................................. 72 Figure 6: Meeting Basic Needs Dimension of Care by Global Overall Care rating quartile ............ 72 Figure 7: Global Overall Care ratings as a function of ownership type .......................................... 77 Figure 8: Staffing, Care of Belongings, and Environment as a function of ownership type ............ 78 Figure 9: Kindness and Respect as a function of ownership type .................................................. 78 Figure 10: Food Rating Scale as a function of ownership type ........................................................ 79 Figure 11: Providing Information and Encouraging Family Involvement as a function of ownership

type ................................................................................................................................. 79 Figure 12: Meeting Basic Needs as a function of ownership type .................................................... 80 Figure 13: Provincial summary of responses for propensity to recommend ..................................... 82 Figure 14: Percentage who would recommend their family members’ facility by Global Overall

Care rating quartile ......................................................................................................... 87 Figure 15: Percentage who would recommend facility by ownership type ....................................... 89 Figure 16: Word cloud – Qualitative analysis ................................................................................... 90 Figure 17: Study flow-chart ............................................................................................................ 129 Figure 18: Response flow-chart by wave ....................................................................................... 131 Figure 19: Survey response rates by AHS zone and province ....................................................... 132 Figure 20: Provincial summary of responses for survey Q1 ........................................................... 134 Figure 21: Provincial summary of responses for survey Q9 ........................................................... 135 Figure 22: Provincial summary of responses for survey Q64 ......................................................... 137 Figure 23: Provincial summary of responses for survey Q60 ......................................................... 138 Figure 24: Provincial summary of responses for survey Q61 ......................................................... 139 Figure 25: Provincial summary of responses for survey Q62 ......................................................... 140 Figure 26: Provincial summary of responses for survey Q63 ......................................................... 141 Figure 27: Provincial summary of responses for survey Q4 ........................................................... 144 Figure 28: Provincial summary of responses for survey Q5 ........................................................... 145 Figure 29: Provincial summary of responses for survey Q6 ........................................................... 146 Figure 30: Provincial summary of responses for survey Q7 ........................................................... 147 Figure 31: Provincial summary of responses for survey Q8 ........................................................... 148 Figure 32: Global Overall Care ratings by AHS zone ..................................................................... 155 Figure 33: Staffing, Care of Belongings, and Environment Dimension of Care scores by AHS

zone .............................................................................................................................. 156 Figure 34: Kindness and Respect Dimension of Care scores by AHS zone .................................. 157 Figure 35: Food Rating Scale Mean Dimension of Care scores by AHS zone .............................. 158 Figure 36: Providing Information and Encouraging Family Involvement Dimension of Care

scores by AHS zone ..................................................................................................... 159 Figure 37: Meeting Basic Needs Dimension of Care scores by AHS zone .................................... 160

234

LIST OF FIGURES

Figure 38: Percentage who would recommend facility by AHS zone ............................................. 161 Figure 39: Provincial summary of responses for Question 11 (Q11) .............................................. 164 Figure 40: Provincial summary of responses for Q50 .................................................................... 165 Figure 41: Provincial summary of responses for Q31 .................................................................... 166 Figure 42: Provincial summary of responses for Q22 .................................................................... 167 Figure 43: Provincial summary of responses for Q34 .................................................................... 168 Figure 44: Provincial summary of responses for Q36 .................................................................... 169 Figure 45: Provincial summary of responses for Q38 .................................................................... 170 Figure 46: Provincial summary of responses for Q12 .................................................................... 171 Figure 47: Provincial summary of responses for Q13 .................................................................... 172 Figure 48: Provincial summary of responses for Q14 .................................................................... 173 Figure 49: Provincial summary of responses for Q15 .................................................................... 174 Figure 50: Provincial summary of responses for Q24 .................................................................... 175 Figure 51: Provincial summary of responses for Q27 .................................................................... 176 Figure 52: Provincial summary of responses for Q28 .................................................................... 177 Figure 53: Provincial summary of responses for Q29 .................................................................... 178 Figure 54: Provincial summary of responses for Q42 .................................................................... 179 Figure 55: Provincial summary of responses for Q45 .................................................................... 180 Figure 56: Provincial summary of responses for Q59 .................................................................... 181 Figure 57: Provincial summary of responses for Q17 .................................................................... 182 Figure 58: Provincial summary of responses for Q19 .................................................................... 183 Figure 59: Provincial summary of responses for Q21 .................................................................... 184 Figure 60: Provincial summary of responses for Q32 .................................................................... 185 Figure 61: Provincial summary of responses for Q33 .................................................................... 186 Figure 62: Provincial summary of responses for Q30 .................................................................... 187 Figure 63: Provincial summary of responses for Q35 .................................................................... 188 Figure 64: Provincial summary of responses for Q25 .................................................................... 189 Figure 65: Provincial summary of responses for Q46 .................................................................... 190 Figure 66: Provincial summary of responses for Q47 .................................................................... 191 Figure 67: Provincial summary of responses for Q46 and 47 ........................................................ 192 Figure 68: Provincial summary of responses for Q39 .................................................................... 194 Figure 69: Provincial summary of responses for Q41 .................................................................... 195 Figure 70: Provincial summary of responses for Q17, Q19, and Q21 ............................................ 196 Figure 71: Provincial summary of responses for Q51 .................................................................... 197 Figure 72: Provincial summary of responses for Q52 .................................................................... 198 Figure 73: Provincial summary of responses for Q54 .................................................................... 199 Figure 74: Provincial summary of responses for Q55 .................................................................... 200 Figure 75: Provincial summary of responses for Q57 .................................................................... 201 Figure 76: Provincial summary of responses for Q43 .................................................................... 202 Figure 77: Top 10 recommendations for change ........................................................................... 212 Figure 78: Global Overall Care rating scores as a function of facility size ..................................... 220 Figure 79: Staffing, Care or Belongings, and Environment scores as a function of facility size ..... 221 Figure 80: Kindness and Respect scores as a function of facility size ........................................... 222 Figure 81: Providing Information and Encouraging Family Involvement as a function of facility

size ............................................................................................................................... 223

235

LIST OF FIGURES

Figure 82: Meeting Basic Needs as a function of facility size ........................................................ 224 Figure 83: Food Rating Scale as a function of facility size ............................................................. 225 Figure 84: Propensity to recommend as a function of facility size.................................................. 226

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Documents

Supportive Living Family Experience Survey Report Jan 2015