Why are we conducting this survey?
This survey will be used to standardize national, provincial, and regional statistics on nursing and residential care facilities in Canada. This will allow governments and researchers to examine the correlation between facility operations and personnel, health outcomes of residents, and system-level performance during pandemics or other emergencies.
Questions will be asked about the facility, its revenues and expenses, personnel and hours worked, the type of services offered on-site, the number of beds and the number of residents by their age and gender. Questions related to the COVID-19 pandemic will cover infection prevention and control, changes made to the facility, the confirmed number of COVID-19 cases, and the proportion of residents and employees fully vaccinated against COVID-19. This will help identify factors associated with COVID-19 severity in Canadian nursing and residential care facilities. This information will help guide policy decisions to benefit health outcomes for residents and a safe work environment for employees.
Your information may also be used by Statistics Canada for other statistical and research purposes.
Your participation in this survey is required under the authority of the Statistics Act.
Other important information
Authorization to collect this information
Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
Confidentiality
By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.
Record linkages
To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.
Data sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.
Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.
For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon. The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data, and mailing it to the following address:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Public Sector Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6
You may also contact us by email at Statistics Canada Help Desk- this link will open in a new window or by fax at 613-951-6583.
For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut, as well as with Health Canada, Public Health Agency of Canada, the Canadian Institute for Health Information, and provincial and territorial ministries of health. The provincial and territorial ministries of health may make this data available to local health authorities.
For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to entities located within the jurisdiction of the respective province or territory.
For this questionnaire
Coverage Statement
What you will need to complete this questionnaire
The survey asks questions about:
- Revenue and expenses
- Personnel employed and hours worked
- Facility operations
- Counts of residents
- COVID – 19 related questions.
To complete this survey, we suggest to have this facility's financial statement or filed tax information and payroll information readily available. In some cases, this facility's human resources department may need to be consulted.
Reporting instructions
Report dollar amounts in thousands of Canadian dollars
When precise figures are not available, provide your best estimates.
If a question does not apply to your facility, enter "0" in the corresponding line.
Who should complete this questionnaire?
This questionnaire should be completed by the Owner, Chief of operations, Chief executive officer, or the person in charge of day to day operations.
How do we protect your information?
Statistics Canada is committed to respecting the privacy of consultation survey participants. All personal information created, held or collected by the agency is protected in accordance with the Privacy Act.
Deadline for completing this questionnaire
Please complete this questionnaire and submit it within 21 days of receipt.
Printing your completed questionnaire
You can print this questionnaire once you have completed and submitted it.
Business or organization and contact information
1. Verify or provide the business or organization's legal and operating name, and correct information if needed.
Note: Legal name should only be modified to correct a spelling error or typo.
Legal name
Operating name (if applicable)
2. Verify or provide the contact information for the designated contact person for the business or organization's, and correct information if needed.
Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.
First name
Last name
Title
Preferred language of communication
Mailing address (number and street)
City
Province, territory or state
Postal code or ZIP code (Format: Letter digit letter space digit letter digit or 5 digits dash 4 digits) Example: A9A 9A9 or 12345-1234
Country
Email address Example: user@example.gov.ca
Telephone number (including area code) (Enter all ten numbers without spaces or special characters) Example: 123-123-1234
Extension number (if applicable)
Fax number (including area code) (Enter all ten numbers without spaces or special characters) Example: 123-123-1234
3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.
Operational
Not currently operational e.g., temporarily or permanently closed, change of ownership
Why is this business or organization not currently operational?
Seasonal operations
When did this business or organization close for the season?
Date Example: YYYY-MM-DD
When does this business or organization expect to resume operations?
Date Example: YYYY-MM-DD
Ceased operations
When did this business or organization cease operations?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
Why did this business or organization cease operations?
Bankruptcy
Liquidation
Dissolution
Other
Specify the other reasons why operations ceased
Sold operations
When was this business or organization sold?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
What is the legal name of the buyer?
Amalgamated with other businesses or organizations
When did this business or organization amalgamate?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
What is the legal name of the resulting or continuing business or organization?
What are the legal names of the other amalgamated businesses or organizations?
Temporarily inactive but will reopen
When did this business or organization become temporarily inactive?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
When does this business or organization expect to resume operations?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
Why is this business or organization temporarily inactive?
No longer operating because of other reasons
When did this business or organization cease operations?
Date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
Why did this business or organization cease operations?
4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.
Note: The described activity was assigned using the North American Industry Classification System.
Naics title Eng
Description and examples
Naics title Eng
NAICS description E
This is the current main activity
This is not the current main activity
Provide a brief but precise description of this business or organization's main activity e.g., breakfast cereal manufacturing, shoe store, software development
Main activity
5. You indicated that Naics title Eng is not the current main activity. Was this business or organization's main activity ever classified as Naics title Eng?
Yes
When did the main activity change?
Date Example: YYYY-MM-DD
No
6. Search and select the industry classification code that best corresponds to this business or organization's main activity.
How to search:
- if desired, you can filter the search results by first selecting the business or organization's activity sector
- enter keywords or a brief description that best describe the business or organization's main activity
- press the Search button to search the database for an activity that best matches the keywords or description you provided
- select an activity from the list.
Select this business or organization's activity sector (optional)
Farming or logging operation
Construction company or general contractor
Manufacturer
Wholesaler
Retailer
Provider of passenger or freight transportation
Provider of investment, savings or insurance products
Real estate agency, real estate brokerage or leasing company
Provider of professional, scientific or technical services
Provider of health care or social services
Restaurant, bar, hotel, motel or other lodging establishment
Other sector
Enter keywords or a brief description, then press the Search button
Reporting period information
1. What are the start and end dates of this business's or organization's most recently completed fiscal year?
For this survey, the end date should fall between April 1st, 2020 and March 31st, 2021.
Fiscal Year Start date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
Fiscal Year End date (Format: 4 digit year dash 2 digit month dash 2 digit day) Example: YYYY-MM-DD
2. What is the reason the reporting period does not cover a full year?
Select all that apply.
Seasonal operations
New business
Change of ownership
Temporarily inactive
Change of fiscal year
Ceased operations
Other
Specify the other reason the reporting period does not cover a full year
Sharing of tax data submitted to the Canada Revenue Agency (CRA)
With your permission, Statistics Canada will share this facility's tax data on revenue and expenses with provincial and territorial statistical agencies, ministries of health and ministries responsible for residential care facilities, and with Health Canada, the Public Health Agency of Canada and the Canadian Institute for Health Information.
Statistics Canada does not share names, addresses or any other direct identifiers that could identify you or this operation.
3. Does the administrator, or person normally authorized to provide tax data to CRA for this facility, give Statistics Canada permission to share this facility's tax data on revenues and expenses to the above mentioned parties?
Yes
Please provide your name, or the person granting permission's first and last name, which will act as an electronic signature.
Electronic authorization signature
No
Administrative characteristics
4. Does this facility submit data to the Canadian Institute for Health Information's Continuing Care Reporting System (CCRS) or the Integrated interRAI Reporting System (IRRS)?
Yes
Specify the 5-digit facility code
No
5. What is this facility's designation?
For profit
Government sector, not-for-profit
Non-government, not-for-profit
6. Was this facility accredited as of the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021?
Accreditation: A formal evaluation by an external third-party reviewer with the aim of validating the attainment of healthcare standards.
Yes
Select by which accreditor
Select all that apply.
Accreditation Canada (AC)
Commission on Accreditation of Rehabilitation Facilities (CARF)
Conseil Québécois d'Agrément (CQA)
Other accreditor
Specify other accreditor
No
Don't know
Revenue and expenses
The next section is about this facility's revenue and expenses for the reporting period ending between April 1st, 2020 and March 31st, 2021.
To complete this portion of the survey, we suggest having this establishment's financial statements or filed tax information readily available.
Instructions:
- report dollar amounts in thousands of Canadian dollars
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line
Revenue
7. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what was this facility's revenue from each of the following sources?
Notes:
- a detailed breakdown may be requested in other sections
- these questions are asked of many different industries. Some questions may not apply to this business
- if a question does not apply to your facility, enter "0" in the corresponding line
Report dollar amounts in thousands of Canadian dollars.
a. Revenue from sales and services
Include revenue from rental or leasing of accommodations (rooms or apartments) as primary source of revenue, revenue from sales such as parking fees, prepared meals and alcoholic beverages sold on site.
b. Revenue from rental and leasing as a secondary source of revenue
Include secondary source of revenue from renting or leasing apartments, commercial buildings, land, office space, and residential housing. May also be used to report income from investments in co-tenancies and co-ownerships.
If rental and leasing are the primary revenue source report in line a.
c. Revenue from commissions as a secondary source of revenue
If commissions are the primary revenue source report in line a.
d. Revenue from subsidies, grants and donations
Include fundraising and sponsorships.
d1. Government grants or subsidies
Note: A breakdown by types of government grants and subsidies will be asked at question 8.
Include grants and subsidies from federal, provincial, territorial and municipal level of governments, regional health authorities, hospitals and other public residential care facilities.
d2. Non-government donations, grants and subsidies
Include grants, donations and subsidies from financial institutions, individuals, non-profit organizations and other private residential care facilities, as well as fundraising activities and sponsorships.
e. Revenue from royalties, rights, licensing and franchise fees
f. Revenue from dividends
g. Revenue from interests
Include interest revenue on loans from regional health authorities, hospitals and other residential care facilities.
h. All other revenue
Include intracompany transfers.
Specify all other revenue
Total revenue
Sum of (a to h)
8. For the reporting period ending between April 1st, 2020 and March 31st, 2021, of the amount reported as government grants and subsidies at question 7d1, how much came from the following sources?
Instructions:
- report government grants and subsidies at the level of government that provided the funding to this facility. For example, if these funds were originally from provincial departments, but flowed through a health board, authority or integration network, please report under health authority and not provincial or territorial government
- if a question does not apply to your facility, enter "0" in the corresponding line.
Report dollar amounts in thousands of Canadian dollars.
a. Provincial or territorial government
Include revenues received directly from the provincial and territorial government.
e.g., funding received directly from any Ministry or Department (e.g., Department of Health, Ministry of Social Services, Department of Finance, Ministry of Health, Ministry of Long-Term Care, and Department of Health and Seniors care)
b. Health authority
Include revenues received directly from the health sector. If these funds were originally from the provincial departments, but they flowed through a health board, authority or integration network please report them here.
e.g., funding received directly from Provincial Health Authorities, Health Boards or Health Integration Networks
c. Municipal government, regional or district administrations
d. Federal government
e. Other government grants and subsidies
Specify all other government grants and subsidies
Total government grants and subsidies
The total government grants and subsidies should be equal to the amount reported in the revenue section at question 7d1.
Expenses
9. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what were this facility's expenses from each of the following sources?
Notes:
- a detailed breakdown may be requested in other sections
- these questions are asked of many different industries. Some questions may not apply to this business
- if a question does not apply to your facility, enter "0" in the corresponding line
Report dollar amounts in thousands of Canadian dollars.
a. Purchases and supplies
Include purchases of incontinence supplies, housekeeping and laundry supplies, meal preparation supplies, supplies for treatment and examination of residents, and personal protective equipment (PPE).
b. Employment costs and expenses
Include all employees who were issued a T4.
Exclude commissions paid to non-employees, report in line c.
b1. Salaries, wages and commissions
b2. Employee benefits
c. Subcontracts
Include commissions paid to non-employees, purchasing services from regional health authorities, hospitals and other residential care facilities, and purchasing services from employment agencies.
Exclude research and development.
d. Research and development fees
Exclude in-house research and development.
e. Professional and business fees
e.g., legal, accounting, consulting, scientific and property management fees
f. Utilities
e.g., electricity, water, gas
g. Office and computer related expenses
e.g., office supplies, postage, computer upgrades
h. Telephone, Internet and other telecommunication
i. Business taxes, licenses and permits
e.g., beverage tax, business tax, license fees, property taxes
j. Royalties, franchise fees and memberships
Exclude Crown royalties.
k. Rental and leasing
Include land, buildings, equipment, vehicles.
l. Repair and maintenance
Include buildings, equipment, vehicles.
m. Amortization and depreciation
n. Insurance
o. Advertising, marketing, promotion and entertainment
p. Travel, meetings and conventions
q. Financial services
e.g., bank charges, transaction fees
r. Interest expense
s. Other non-production-related costs and expenses
Include bad debts, loan losses, donations, political contributions and inventory write-down.
t. All other expenses
Include intracompany expenses.
Specify all other expenses
Total expenses
Sum of (a to t)
Personnel characteristics
The next section is about this facility's personnel characteristics.
Questions on:
- total employee counts by statuses (full time, part time, casual,subcontracted and volunteers) on the last day of your reporting period ending between April 1st, 2020 and March 31st, 2021
- employee counts by types (nurses, therapists, etc.) and statuses(full time, part time, casual and subcontracts) on the last day of your reporting period ending between April 1st, 2020 and March 31st, 2021 (if applicable)
- hours worked by types of employees for the reporting period ending between April 1st, 2020 and March 31st, 2021 (if applicable).
To complete this portion of the survey, we suggest having this facility's payroll information readily available.
This facility's human resources department may need to be consulted.
Instructions:
- report number of hours rounded to the nearest value and do not include a decimal e.g., 37.25 would be reported as 37
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line
10. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021, what was the total number of employees for each of the following categories?
Note: A detailed breakdown may be requested in other sections.
Instructions:
- when an employee fills more than one position, that individual is to be recorded only once under the category of employment in which the majority of their time is spent
- if a question does not apply to your facility, enter "0"in the corresponding line.
Include all on-site employees who received a T4 during the reporting period such as nurses, therapists, physicians, counsellors, social workers, aides,administration, security, management and maintenance.
Exclude all subcontracted employees hired through agencies or local health authorities, and all volunteers. The number of subcontracted employees should be reported at question 11 and the number of volunteers at question 12.
Definitions:
Full time: Refers to persons employed on a full-time basis, i.e., regularly employed throughout the facility's full work week.
Part time: Refers to persons employed on a part-time basis, i.e., regularly employed on selected days or partial days in the facility's work week.
Casual: Refers to those employed on a non-continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave, or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.
When precise figure is not available, please provide your best estimate.
a. Full time employees
b. Part time employees
c. Casual employees
Total number of employees on the last day of your fiscal period ending between April 1st, 2020 and March 31st,2021
11. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021, what was the number of subcontracted employees at this facility?
Subcontract: Purchasing of services from outside of the company rather than providing them in-house. For example, subcontracted employees can be hired through agencies or local health authorities.
When precise figure is not available, please provide your best estimate.
Number of subcontracted employees
OR
No subcontracted employees at this facility
12. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what was the number of volunteers at this facility?
Volunteer: An individual that participates in purposeful helping activities without monetary compensation.
When precise figure is not available, please provide your best estimate.
Number of volunteers
OR
No volunteers at this facility
13. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021 what was the total number of employees for each of the following categories?
Instructions:
- when an employee fills more than one position, that individual is to be recorded only once under the category of employment in which the majority of their time is spent
- only report for on-site employees who received a T4 during the reporting period
- exclude all subcontracted employees hired through agencies or local health authorities, and all volunteers
- if a question does not apply to your facility, enter "0" in the corresponding line.
Definitions:
Full time: Refers to persons employed on a full-time basis, i.e., regularly employed throughout the facility's full work week.
Part time: Refers to persons employed on a part-time basis, i.e., regularly employed on selected days or partial days in the facility's work week.
Casual: Refers to those employed on a non-continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave, or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.
When precise figure is not available, please provide your best estimate.
Nurses
a. Registered nurses
Full time
Part time
Casual
b. Registered psychiatric nurses
Full time
Part time
Casual
c. Nurse practitioners
Full time
Part time
Casual
d. Registered or licensed practical nurses
Include auxiliary nurses.
Full time
Part time
Casual
e. Nursing management
Include nursing manager, director of nursing, care manager, director of care.
Full time
Part time
Casual
Total nurses
Sum of (a to e)
Full time
Part time
Casual
Physicians
f. Physicians
Full time
Part time
Casual
Therapists
g. Physical therapists
Include physiotherapists,occupational therapists, rehabilitation therapists.
Full time
Part time
Casual
h. Mental or behavioural therapists
Include mental health counsellors,psychologists, psychiatrists.
Full time
Part time
Casual
i. Other therapists
Include speech and language therapists, nutritionists, dietitians.
Full time
Part time
Casual
Total therapists
Sum of (g to i)
Full time
Part time
Casual
Support –direct care employees
j. Social workers
Full time
Part time
Casual
k. Personal support workers or health care aides
Include certified nursing assistants, nursing assistants, home health aides, home care aides,personal care aides, and personal care assistants.
Full time
Part time
Casual
l. Pharmacists and pharmacy technicians
Full time
Part time
Casual
m. Activity and recreation employees
Full time
Part time
Casual
Total support direct care employees
Sum of (j to m)
Full time
Part time
Casual
Other employees
n. All other direct care employees not previously listed
Include meal preparation employees(kitchen staff, cooks and chefs), laundry and housekeeping staff.
Exclude operations, maintenance, security and administration and support(human resources, registration, health records, information system).
Full time
Part time
Casual
o. All indirect care employees
Include operations, maintenance, security and administration (human resources, registration, health records, information system).
Full time
Part time
Casual
Total employees
The total full time employees should be equal to the value reported in the personnel characteristics section at question 10a.
The total part time employees should be equal to the value reported in the personnel characteristics section at question 10b.
The total casual employees should be equal to the value reported in the personnel characteristics section at question 10c.
Full time
Part time
Casual
14. The next question will ask the number of hours worked for each of the personnel categories this facility had for the reporting period ending between April 1st, 2020 and March 31st, 2021.
Select how you would like to report the number of hours worked.
Average daily hours
i.e., average number of hours worked over a period of 24 hours
Average weekly hours
i.e., average number of hours worked over a period of 7 days
Average biweekly hours
i.e., average number of hours worked over a period of 14 days
Average monthly hours
i.e., average number of hours worked over a period of 30 days
Total annual hours
i.e., the total number of hours worked over the full reference period
15. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what were the number of hours worked according to choice made in Q14 for each of the following?
Note: Report the entire number of hours worked for each employee category. For example, if you chose to report daily hours, on an average day, if two nurse practitioners work 10 and 11 hours respectively,enter 21.
Exclude all subcontracted employees hired through agencies or local health authorities and all volunteers.
When precise figure is not available, please provide your best estimate.
Nurses
a. Registered nurses
b. Registered psychiatric nurses
c. Nurse practitioners
d. Registered or licensed practical nurses
Include auxiliary nurses.
e. Nursing management
Include nursing manager, director of nursing, care manager, director of care.
Total nurses
Physicians
f. Physicians
Therapists
g. Physical therapists
Include physiotherapists,occupational therapists, rehabilitation therapists.
h. Mental or behavioural therapists
Include mental health counsellors, psychologists, psychiatrists.
i. Other therapists
Include speech and language therapists, nutritionists, dietitians.
Total therapists
Support –direct care employees
j. Social workers
k. Personal support workers or health care aides
Include certified nursing assistants, nursing assistants, home health aides, home care aides,personal care aides, and personal care assistants.
l. Pharmacists and pharmacy technicians
m. Activity and recreation employees
Total support direct care employees
Other employees
n. All other direct care employees not previously listed
Include meal preparation employees (kitchen staff, cooks and chefs), laundry and housekeeping staff.
Exclude operations, maintenance, security and administration and support (human resources, registration, health records, information system).
o. All indirect care employees not previously listed
Include operations, maintenance, security and administration (human resources, registration, health records, information system).
16. Of the number of subcontracted employees reported at question 11, what were this facility's number of subcontracted employees and the number of hours worked according to choice made in Q14 by category?
Subcontract: Purchasing of services from outside of the company rather than providing them in-house. For example, subcontracted employees can be hired through agencies or local health authorities.
Instructions: If a question does not apply to your facility, enter "0" in the corresponding line.
When precise figure is not available, please provide your best estimate.
a. Physicians
Number of subcontract employees
Number of hours worked according to choice made in Q14
b. Registered nurses
Number of subcontract employees
Number of hours worked according to choice made in Q14
c. Registered psychiatric nurses
Number of subcontract employees
Number of hours worked according to choice made in Q14
d. Nurse practitioners
Number of subcontract employees
Number of hours worked according to choice made in Q14
e. Registered or licensed practical nurses
Include auxiliary nurses.
Number of subcontract employees
Number of hours worked according to choice made in Q14
f. Nursing management
Include nursing manager, director of nursing, care manager, director of care.
Number of subcontract employees
Number of hours worked according to choice made in Q14
g. Physical therapists
Include physiotherapists, occupational therapists, rehabilitation therapists.
Number of subcontract employees
Number of hours worked according to choice made in Q14
h. Mental or behavioural therapists
Include mental health counsellors, psychologists, psychiatrists.
Number of subcontract employees
Number of hours worked according to choice made in Q14
i. Other therapists
Include speech and language therapists, nutritionists, dietitians.
Number of subcontract employees
Number of hours worked according to choice made in Q14
j. Social workers
Number of subcontract employees
Number of hours worked according to choice made in Q14
k. Personal support workers or health care aides
Include certified nursing assistants, nursing assistants, home health aides, home care aides,personal care aides and personal care assistants.
Number of subcontract employees
Number of hours worked according to choice made in Q14
l. Pharmacists and pharmacy technicians
Number of subcontract employees
Number of hours worked according to choice made in Q14
m. Activity and recreation employees
Number of subcontract employees
Number of hours worked according to choice made in Q14
n. All other direct care employees not previously listed
Include meal preparation employees (kitchen staff, cooks and chefs), laundry and housekeeping staff.
Exclude operations, maintenance, security and administration (human resources, registration, health records, information system).
Number of subcontract employees
Number of hours worked according to choice made in Q14
o. All indirect care employees
Include operations, maintenance, security and administration (human resources, registration, health records, information system).
Number of subcontract employees
Number of hours worked according to choice made in Q14
Total subcontracted employees
Sum of (a to o)
The total subcontracted employees should be equal to the value reported in the personnel characteristics section at question 11.
Number of subcontract employees
Number of hours worked according to choice made in Q14
Assets and liabilities
The next section is about this facility's assets and liabilities on the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021.
To complete this portion of the survey, please have this facility's financial statements or filed tax information readily available.
Instructions:
- report dollar amounts in thousands of Canadian dollars
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line.
17. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021, what were the total assets for each of the following categories?
Report dollar amounts in thousands of Canadian dollars.
Financial assets
a. Cash
b. Accounts receivable
c. Prepaid expenses
Non-financial assets
d. Inventories
e. Buildings
f. Buildings – accumulated amortization
g. Equipment
h. Equipment – accumulated amortization
i. Vehicles
j. Vehicles – accumulated amortization
Total assets
sum of (a to j)
18. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021, what were the total liabilities for each of the following categories?
Report dollar amounts in thousands of Canadian dollars.
a. Accounts payable
b. Short term debt
c. Long term debt
Total liabilities
Facility characteristics
The next section is about this facility's characteristics for the reporting period ending between April 1st, 2020 and March 31st, 2021.
Questions on:
- services offered on-site to the residents
- resident days (if applicable)
- bed counts.
Instructions:
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line
19. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what services were offered on-site by either this facility or a third party?
Select all that apply.
Health and medical services
Dental care Include any routine or emergency dental services provided by a licensed dentist, dental hygienist or services provided by a denturologist.
Eye care Include any services or tests provided by an eye care professional, such as an ophthalmologist, optometrist, or optician.
Hearing care Include any services or tests provided by a hearing professional, such as an audiologist or audioprosthesist.
Physical therapy Include physiotherapy, occupational therapy, rehabilitation therapy.
Pharmacy and medication administration Include checking prescriptions for proper dosage, compounding and dispensing of prescribed pharmaceutical products, and maintaining medication profiles.
Nursing care e.g., the provision of services essential to or helpful in the promotion, maintenance and restoration of health and well-being
Laboratory services Include blood tests, ultrasounds, x-rays, imaging.
Medical virtual care Include resident-provider videoconferencing or teleconferencing, remote resident monitoring and secure messaging between residents and providers.
Physician care Include services provided by physicians in family medicine and specialists of other disciplines, such as surgical specialists.
Palliative care e.g., treatment of the pain, discomfort, and symptoms of serious illness
Foot care Include services provided by podiatrists or foot care nurses in order to assess the condition of feet, while checking for any inflammation, bruising, cuts, or blisters.
Speech therapy Include services by speech-language pathologists (SLP) to assess and treat, comprehension, cognition, swallowing disorders, articulation, auditory habilitation and rehabilitation.
Other health and medical services
Specify other health and medical services
OR
No health and medical services
Counselling and mental health
Addiction or substance use counselling Include services by certified addiction counsellors.
Behavioural counselling Include services and support offered by behavioural specialists or consultants, such as elaboration of behaviour plans or behaviour modification plans.
Psychological and mental health support Include services and support offered by psychologists and psychiatrists.
Pastoral and spiritual care Include counselling and support offered by pastoral counsellors.
Grief or bereavement counselling Include counselling which focuses on working through the grieving process related to a major loss.
Nutrition counselling Include counselling and support from nutritionists and dietitians for eating disorders and meal plans for medical conditions.
Other counselling and mental health services
Specify other counselling and mental health services
OR
No counselling and mental health services
Personal care and well-being
Alzheimer’s disease or other dementia programs
Cultural or religious services e.g., dedicated place of worship on-site, organized outings to places of worship, organized celebrations of religious holidays such as Easter or Yom Kippur, prayer service
Services and communication provided in a language other than English or French e.g., residents have the possibility of obtaining help, assistance and support in a language other than English and French
Social activity programs e.g., movie nights, game nights, organized outings such as shopping or getting groceries
Physical activities e.g., yoga, pilates, cycling, walking groups, or other instructor-led activities
Beauty and personal care e.g., hairdresser, spa treatments, manicure, pedicure (other than for medical reasons), esthetician services
Help with activities of daily living (ADL) e.g., helping residents with feeding, bathing, dressing, continence, mobility, exercises, toileting
Meal services e.g., provided meals in the dining hall, meals brought to residents’ rooms, cafeteria services
Security e.g., security cameras, security personnel on premises
Transportation e.g., shuttle services for outings or appointments
Housekeeping e.g., laundry, cleaning of residents' rooms or apartments
Other personal care and well-being services
Specify other personal care and well-being services
OR
No personal care and well-being services
All other on-site services
Other on-site services
Specify the other on-site services
20. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what was the total number of resident days?
Resident days are the number of days for which care or services were provided to residents. This is calculated by multiplying the total number of residents by the total number of days they were in the facility receiving care or services.
Care is defined as time mainly spent with residents, giving assistance, nursing care, guidance or any other forms of personal help to residents.
Example: A facility of four beds and 100 percent occupancy would report number of resident days as 1,460 (4 x 365). A facility of four beds in which one bed was not occupied for 31 days during the year would report number of resident days as 1,429. This could be calculated as [(4 x 365) - 31] or counting each day that each bed was occupied [(1 x 365) + (1 x 365) + (1 x 365) + (1 x 334)].
When precise figure is not available, please provide your best estimate.
Number of resident days
21. For the reporting period ending between April 1st, 2020 and March 31st, 2021, how many beds did this facility have?
Instructions:
- include both occupied and unoccupied beds
- include licensed and approved beds, long term stay beds and short term care beds (respite and convalescent care beds)
- if this facility is organized by apartments or units, count the number of one bedroom apartments or units as one bed each, two bedroom apartments or units as two beds each and so on.
Note: A breakdown by types of beds will be asked at question 22.
Number of beds
22. For the reporting period ending between April 1st, 2020 and March 31st, 2021, of the total beds reported at question 21, how many beds are in each of the following categories?
Instructions:
- include both occupied and unoccupied beds
- if this facility is organized by apartments or units, count the number of one bedroom apartments or units as one bed each, two bedroom apartments or units as two beds each and so on.
For example, two persons sharing a one bedroom apartment or unit in a community living facility would count as one bed.
When precise figure is not available, please provide your best estimate.
Licensed and approved long term care beds
a. Number of beds in private rooms with private bathrooms
b. Number of beds in private rooms with shared bathrooms
c. Number of beds in shared rooms with two beds
d. Number of beds in shared rooms with three or more beds
Other long term stay beds
e. Number of other long term stay beds
Include all long term beds that are not licensed and approved by provincial, territorial or municipal authorities.
Short term stay beds
f. Number of respite beds
Include all beds reserved or used as respite beds.
g. Number of convalescent care beds
Include all beds reserved or used as convalescent care beds.
All other bed types
h. Number of other beds
Specify the other bed types
Total number of beds
The total number of beds should be equal to the value reported in the facility characteristics section at question 21.
Resident characteristics
The next section is about resident characteristics.
Questions on:
- residents admitted and discharged through the reporting period ending between April 1st, 2020 and March 31st, 2021 (if applicable)
- resident counts by age and gender on the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021.
Instructions:
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line.
23. For the reporting period ending between April 1st, 2020 and March 31st, 2021, what was the number of residents in each of the following categories?
When precise figure is not available, please provide your best estimate.
Under care
a. Residents in the facility on the first day of your fiscal period
b. Residents admitted during the reporting period ending between April 1st, 2020 and March 31st, 2021
Separation
c. Residents discharged during the reporting period ending between April 1st, 2020 and March 31st, 2021
Include only residents that have left the facility permanently. A resident that left the facility temporarily and returned is still considered as under care.
d. Deaths during the reporting period ending between April 1st, 2020 and March 31st, 2021
Total residents on the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021
Line (a + b - c - d)
24. On the last day of your fiscal period ending between April 1st, 2020 and March 31st, 2021, what was the number of male, female and residents of another gender for each of the following age categories?
Instructions:
- only report for the residents present on the facility premises on the last day of the fiscal period
- do not include the count of all the residents that may have been admitted or discharged throughout the year
- if there are no residents in your facility on the last day of the fiscal period, enter "0" in the total line.
a. Younger than 18 years
Male residents
Female residents
Residents of another gender
b. 18 – 24 years old
Male residents
Female residents
Residents of another gender
c. 25 – 44 years old
Male residents
Female residents
Residents of another gender
d. 45 – 64 years old
Male residents
Female residents
Residents of another gender
e. 65 – 69 years old
Male residents
Female residents
Residents of another gender
f. 70 – 74 years old
Male residents
Female residents
Residents of another gender
g. 75 – 79 years old
Male residents
Female residents
Residents of another gender
h. 80 – 84 years old
Male residents
Female residents
Residents of another gender
i. 85 – 89 years old
Male residents
Female residents
Residents of another gender
j. 90 – 94 years old
Male residents
Female residents
Residents of another gender
k. 95 years old and older
Male residents
Female residents
Residents of another gender
Total number of residents
Male residents
Female residents
Residents of another gender
25. Of the total number of residents reported on the last day of the fiscal period, did any residents have Alzheimer's disease or any other dementia that were diagnosed by a health professional?
Yes
How many residents had Alzheimer's disease or any other dementia that were diagnosed by a health professional?
When precise figure is not available, please provide your best estimate.
No
Don't know
COVID – 19 pandemic
The next section is about this facility's experiences during the COVID – 19 pandemic.
Questions on:
- number of COVID – 19 cases
- COVID – 19 vaccination rate
- Infection Prevention and Control (IPC) protocols
- challenges this facility may have been faced with.
Instructions:
- when precise figure is not available, please provide your best estimate
- if a question does not apply to your facility, enter "0" in the corresponding line.
26. For the calendar year of January 1st, 2021 to December 31st, 2021, what was the total number of COVID – 19 cases among residents and employees?
Instructions:
- include all employees on payroll, exclude subcontracted employees and volunteers
- include all laboratory-confirmed cases as well as any probable or suspected cases as reported to your local health authority
- if no positive cases were recorded during the period, enter "0" in the corresponding line.
a. Residents
b. Employees
Include all employees on payroll
Exclude subcontracted employees and volunteers
Total number of COVID – 19 cases
27. As of December 31st, 2021, what was the proportion of residents fully vaccinated against COVID-19 in this facility?
Residents considered fully vaccinated have either:
- received both doses of a vaccine that requires two doses (such as Pfizer-BioNTech, Moderna, AstraZeneca, or COVISHIELD COVID-19 vaccines)
- received one dose of a vaccine that only requires one dose (such as the Janssen COVID-19 vaccine)
- received one dose of a COVID-19 vaccine after a laboratory-confirmed COVID-19 infection (only in Quebec).
Proportion of residents fully vaccinated
Less than 50%
50% to 74%
75% to 84%
85% to 94%
95% to 99%
100%
28. As of December 31st, 2021, what was the proportion of employees fully vaccinated against COVID-19 in this facility?
Employees considered fully vaccinated have either:
- received both doses of a vaccine that requires two doses (such as Pfizer-BioNTech, Moderna, AstraZeneca, or COVISHIELD COVID-19 vaccines)
- received one dose of a vaccine that only requires one dose (such as the Janssen COVID-19 vaccine)
- received one dose of a COVID-19 vaccine after a laboratory-confirmed COVID-19 infection (only in Quebec).
Proportion of employees fully vaccinated
Less than 50%
50% to 74%
75% to 84%
85% to 94%
95% to 99%
100%
29. For the calendar year of January 1st, 2021 to December 31st, 2021, which of the following Infection Prevention and Control (IPC) protocols and practices were newly introduced, already in place and increased, or did not change at this facility?
a. Screening of residents and visitors
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
b. Screening of employees
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
c. Hand hygiene
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
d. Personal protective equipment (PPE) practices
Include requirements for residents or visitors to wear a mask, training on use of PPE.
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
e. Environmental cleaning and disinfection
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
f. Management of health care worker exposure
e.g., 2-metre distancing, testing for COVID-19, self-isolation following exposure to COVID-19
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
g. Visitor or caregiver management
e.g., a "no visitor" policy, only essential visitors, limiting visitor movement within facility
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
h. Handling of the deceased
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
i. Reduction or suspension of in-person contact
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
j. Management of the flow or placement of residents, visitors or employees
Newly introduced
Already in place and increased
Already in place and no change
Not applicable
30. For the calendar year of January 1st, 2021 to December 31st, 2021, were there any other changes implemented at this facility in direct response to the COVID – 19 pandemic?
Select all that apply.
Changes to ventilation or air purification systems
Reconfiguration of furniture
Converting rooms into semi-private and private
Installation of partitions e.g., acrylic or plexiglass dividers
Review and updating of residents' records as needed e.g., medications, contact information, Substitute Decision Makers, RAI-MDS
COVID – 19 testing of staff
COVID – 19 testing of residents
Additional procedures for residents with difficulty self-isolating due to medical conditions e.g., additional procedures for residents diagnosed with Alzheimer's disease or any other dementia
OR
No changes implemented
31. Between January 1st, 2021 and December 31st, 2021, compared to the same period last year, have any of the following increased, decreased, or did not change?
a. Number of direct care employees
Increased
Decreased
No change
b. Number of hours worked by direct care employees
Exclude overtime hours
Increased
Decreased
No change
c. Overtime hours for direct care employees
Increased
Decreased
No change
d. Absenteeism of direct care employees
e.g., decreased availability due to self-isolation, care for family
Increased
Decreased
No change
e. Other direct care staffing challenges
e.g., restrictions on hiring staff, staff can only work at one facility
Increased
Decreased
No change
f. Critical staffing shortages
i.e., impacted the quality of resident care and employee safety
Increased
Decreased
No change
g. Contracting out resources and temporary employees
Increased
Decreased
No change
h. Challenges with Infection Prevention and Control (IPC) for residents with difficulty self-isolating due to a medical condition
Include access to care facilities due to IPC changes
Increased
Decreased
No change
i. Critical PPE supply shortages
i.e., less than a 2-day supply available
Increased
Decreased
No change
Changes or events
32. Indicate any changes or events that affected the reported values for this facility compared with the last reporting period.
Select all that apply.
Strike or lock-out
Contracting out
Organizational change
Price changes in labour or raw materials
Natural disaster
Sold business or business units
Expansion
Acquisition of business or business units
Merger of business or business units
Vacation or maintenance periods
Equipment failure
Increased or decreased market demand
Dissolution
Change in accounting or basis of reporting
Other
Specify the other change or event
OR
No changes or events
Contact person
33. Statistics Canada may need to contact the person who completed this questionnaire for further information. Is the designated contact person for the business or organization the best person to contact?
Yes
No
Feedback
34. How long did it take to complete this questionnaire?
Include the time spent gathering the necessary information.
Hours
Minutes
35. Do you have any comments about this questionnaire?
Enter your comments