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  1. The “Policy for the operation of short-stay beds” (the “policy”) sets out updated requirements for licensed or approved long-term care home beds that are operated as SSP beds under the Fixing Long-Term Care Act, 2021, Ontario Regulation 246/22, and the Service Accountability Agreement (L-SAA) between Ontario Health and long-term care ...

  2. The Minister shall determine whether or not there should be a long-term care home in an area, and how many long-term care home beds there should be in an area, by considering what is in the public interest, having taken into account,

    • Background
    • Definitions
    • Contents of Policy
    • Beds in Abeyance Policy Principles
    • Funding
    • Returning Beds in Abeyance to Operation and Compliance with Policy
    • Application Process For Placing Beds in Abeyance

    Beds in Abeyance (BIA) are licensed or approved long-term care home beds which are unoccupied and not currently available for occupancy pursuant to a written permission of the director under section 107(3) of the Fixing Long-Term Care Act, 2021. Under that provision, if long-term care beds are unoccupied and not available for occupancy for 14 conse...

    The following definitions apply except where the context indicates otherwise: Applicable Law means all statutes, regulations, orders, approvals, licences, guidelines, policies, manuals and codes of the Province of Ontario, and, where applicable, the federal government, related to long-term care homes, including the Fixing Long-Term Care Act, 2021 a...

    This policy describes: 1. the circumstances and criteria for placing beds in abeyance 2. the categories of BIAbeds 3. the requirements for availability for occupancy 4. ministry funding while beds are in abeyance This policy also sets out Procedures that describe: 1. the application process for placing beds in abeyance 2. the process for evaluating...

    Beds in abeyance categories

    A bed placed in abeyance will be categorized in one of the following categories: 1. the facilities to house the bed physically exist and will continue to exist during the term of the BIAagreement 2. the facilities to house the bed do not physically exist or may have been physically removed from the long-term care home system by demolition, change to another use, or by some other means, during the term of the BIAAgreement

    Availability for occupancy

    Beds can only be put into abeyance when there is a reasonable expectation that they will return to occupancy. The BIAperiod, unless otherwise approved, may not exceed a maximum of 5 years, though generally it is expected that this period will be for a shorter duration. Within this 5 year maximum, the BIAperiod may be shortened or lengthened as appropriate in accordance with this policy and the Beds in Abeyance Agreement. For the purposes of calculating the percentage of occupancy (utilization...

    Circumstances for placing beds in abeyance

    A bed can be placed in abeyance in any of the following circumstances: 1. It will facilitate an approved transfer of beds. 2. It is necessary to take beds out of service to allow renovations, repairs, reconstruction, replacement, modifications, or redevelopment of a long-term care home. 3. It is in OH’sor the ministry’s interest to temporarily reduce the supply of available beds in a Service Area at the request of a licensee. 4. To achieve a 97% occupancy rate in Homes that have chronically u...

    The licensee must agree, as a condition of being permitted to place beds in abeyance, that despite any provision to the contrary in the L-SAA or any other relevant funding agreement between the licensee and the ministry or the OH, BIA beds in a long-term care home will not receive the following funding from the OHor the ministry (as noted below) fo...

    It is a condition of permitting any beds to be placed in abeyance that the licensee thereby agrees to return the BIA beds to operation as set out in this policy and the relevant Beds in Abeyance Agreement, and that where the licensee fails to do so, or if the licensee fails to meet any of the applicable requirements set out above, the director, in ...

    Process

    A licensee seeking to place beds in abeyance must make an application to the OH using the Beds in Abeyance Application Form (Appendix “A”). Where a BIAApplication is tied to any physical change in structure, the licensee will simultaneously submit two copies of the architectural drawings, an operational plan and a project summary to the technical specialist of the Capital Program Management Branch. A licensee can re-apply to place beds in abeyance after the beds, having previously been placed...

    Process for evaluating a beds in abeyance application

    Once a completed application has been submitted to the OH, the OH will review the application and make a recommendation using the Recommendation Form (Appendix “B”). The application and the OH recommendation will then be sent to CPB, whether or not the OHis in agreement with the application. The application and OHrecommendation will be circulated to the following offices for further evaluation. (Each office will use a separate Recommendation Form (Appendix “B”)): 1. the technical specialist (...

    Beds in abeyance agreement

    Once the signed BIA Agreement is returned from the licensee, the director will sign the agreement sending one signed original back to the long-term care home licensee, one original to OH CEO and filing one copy with CPB. Only one BIA Agreement shall be in effect at a time for any home unless the director determines otherwise. When additional beds are placed in abeyance in a home where there is an existing BIA Agreement, this existing agreement shall be terminated and replaced by a new BIA Agr...

  3. Long-term care homes offer services and accommodation in a supervised setting to adults requiring 24-hour nursing and personal care, including assistance with most or all daily activities.

  4. All long-term care homes in Ontario are now governed by one piece of legislation: the Long-Term Care Homes Act, 2007. The LTCHA is designed to help ensure that residents of long-term care homes receive safe, consistent, high-quality, resident-centred care. The goal is to create long-term care home environments where residents feel at home, are

  5. On August 31, 2022, the Ontario government passed Bill 7, More Beds, Better Care Act, 2022. The related regulatory amendments were filed on September 14, 2022 and made regulatory changes under the Fixing Long-Term Care Act, 2021 and the Public Hospitals Act.

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  7. Because long-term care homes in Ontario receive public funding, Community Care Access Centres (CCACs) are the gatekeepers of long-term care. To find out if you are eligible for long-term care, you will need to contact your local CCAC office to book an assessment.