2020 Nursing and Residential Care Facility Survey

Archived information

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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, operating revenues and expenses, personnel and hours worked, and type of care offered. Questions related to the COVID – 19 pandemic will cover infection prevention and control, changes made to the facility, and confirmed number of COVID – 19 cases. This will help identify factors that impacted COVID – 19 outbreaks and how facilities responded. This information will help guide policy decisions to benefit health outcomes for residents and ensure 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 reporting 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 statcan.esd-helpdesk-dse-bureaudedepannage.statcan@canada.ca- this link will open in a new window

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.

What will you need to complete this questionnaire

The survey asks questions about:

  • Revenue and expenses
  • Facility building information
  • Facility operations
  • Personnel employed and hours worked
  • Counts of residents
  • COVID – 19 related questions.

Reporting instructions

  • Report dollar amounts in thousands of Canadian dollars
  • When precise figures are not available, provide your best estimates
  • Enter "0" if there is no value to report.

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 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 where needed.

Note: Legal name modifications should only be done to correct a spelling error or typo.

Note: Press the help button (?) for additional information.
Legal name
Operating name (if applicable)

2. Verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where 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)
The maximum number of characters is 10.
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
Ceased operations
Sold operations
Amalgamated with other businesses or organizations
Temporarily inactive but will re-open
No longer operating due to other reasons

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).

Naics title Eng
Description and examples
Naics title Eng
Naics description eng
This is the current main activity
This is not the current main activity

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, 2019 and March 31st, 2020.

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)

3.  Are you an administrator or a person normally authorized to provide tax data, such as revenues and expenses, to CRA for this facility?

Yes

  • What is your role in this facility?
  • Owner or CEO
  • Partner
  • Accountant or CFO
  • Other
  • Specify the role

No

With your permission, Statistics Canada will share this facility's tax data for operating revenue, salaries, wages and benefits, and operating expenses with provincial and territorial statistical agencies, ministries of health and ministries responsible for residential care facilities, and with Health Canada, Public Health Agency of Canada, and the Canadian Institute for Health Information.

4.  Do you give Statistics Canada permission to share this facility's tax data?

Yes

  • Please provide your first and last names which will act as your electronic authorization signature.
    Note: Statistics Canada will not share your name with external agencies.
    Electronic authorization signature

No

Administrative characteristics

5. What best describes the legal organization of this facility?

Corporation
Sole proprietorship
Partnership
Governments
Trusts or special funds
Branch operations
Other
Specify the other legal organization

6.  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

7.  By which of the following is this facility owned and operated?

Proprietary
Religious
Lay e.g., not-for-profit, non-profit voluntary associations, societies
Municipal
Provincial or territorial
Federal
Regional Health Authority
Board
District
Corporation
Other
Specify how this facility is owned and operated

8. What is this facility's designation?

For profit
Government sector, not-for-profit
Non-government, not-for-profit

Financial

The following questions are about this facility's operating revenue and expenses, personnel counts, on-site services offered and resident counts.

  • Report dollar amounts in thousands of Canadian dollars
  • When precise figure is not available, please provide your best estimate
  • Report number of hours rounded to the nearest value and do not include decimal e.g., 37.25 would be reported as 37.

Please report the information for the reporting period ending between April 1st, 2019 and March 31st, 2020.

9.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what was this facility's total operating revenue?

Report dollar amounts in thousands of Canadian dollars.

Total operating revenue

10.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what were this facility's employment expenses?

Include all employees who were issued a T4.

Report dollar amounts in thousands of Canadian dollars.

Employment costs and expenses

a. Salaries, wages and commissions
b. Employee benefits

11.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what was this facility's total operating expenses?

Report dollar amounts in thousands of Canadian dollars.

Total operating expenses

Personnel

12.  On the last day of your fiscal period ending between April 1st, 2019 and March 31st, 2020, what was the number of employees for each of the following categories?

Note: When an employee fills more than one position, that individual is to be recorded only once under the category of employment in which the major portion of time is spent.

When precise figure is not available, please provide your best estimate.

Nurses

a.
Registered nurses
Full time
Part time
Casual
Contract

b.  
Registered psychiatric nurses
Full time
Part time
Casual
Contract

c.  
Nurse practitioners
Full time
Part time
Casual
Contract

d.
Licensed or registered practical nurses
Full time
Part time
Casual
Contract

e.
All other nurses
Specify all other nurses
Full time
Part time
Casual
Contract

Total nurses
Full time
Part time
Casual
Contract

Physicians and therapists

f.
Physicians
Full time
Part time
Casual
Contract

g. 
Physiotherapists
Full time
Part time
Casual
Contract

h.
Occupational therapists
Full time
Part time
Casual
Contract

i.
All other therapists
Specify all other therapists
Full time
Part time
Casual
Contract

Total physicians and therapists
Full time
Part time
Casual
Contract

Support – direct care employees

j.
Social workers
Full time
Part time
Casual
Contract

k.
Personal support workers or health care aides
Full time
Part time
Casual
Contract

l.
Activity and recreation employees
Full time
Part time
Casual
Contract

m.
Support staff
e.g., dietary (including nutritionists and dietitians), laundry and housekeeping
Full time
Part time
Casual
Contract

n.
Other support direct care employees
Full time
Part time
Casual
Contract

Total support direct care employees
Full time
Part time
Casual
Contract

Indirect care employees

o.
Operations, maintenance and security
Full time
Part time
Casual
Contract

p.
Administration and support
e.g., human resources, registration, health records, information systems
Full time
Part time
Casual
Contract

q.
Other indirect care employees
Full time
Part time
Casual
Contract

Total indirect care employees
Full time
Part time
Casual
Contract

Volunteers

r.
Direct and indirect care volunteers
Full time
Part time

13.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what was the total hours worked for each of the following categories?

Note: When an employee fills more than one position, that individual is to be recorded only once under the category of employment in which the major portion of time is spent.

Please round to the nearest value and do not include decimal values.

When precise figure is not available, please provide your best estimate.

Hours worked

Nurses

a. Registered nurses
b. Registered psychiatric nurses
c. Nurse practitioners
d. Licensed or registered practical nurses
e. All other nurses
Specify all other nurses
Total nurses

Physicians and therapists

f. Physicians
g. Physiotherapists
h. Occupational therapists
i. All other therapists
Specify all other therapists
Total physicians and therapists

Support – direct care employees

j. Social workers
k. Personal support workers or health care aides
l. Activity and recreation employees
m. Support staff
e.g., dietary (including nutritionists and dietitians), laundry and housekeeping
n. Other support direct care employees
Specify other support direct care employees
Total support direct care employees

Indirect care employees

o. Operations, maintenance and security
p. Administration and support
e.g., human resources, registration, health records, information systems
q. Other indirect care employees
Total indirect care employees

Volunteers

r. Direct and indirect care volunteers

Facility characteristics

14.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what services were offered on-site by either this facility or a third party?

Select all that apply.

Health and medical services

Dental care
Eye care
Hearing care
Physical therapy
Occupational therapy
Nursing care
Physician care
Palliative care
Foot care
Speech therapy
Other health and medical services
OR
No health and medical services

Counselling and mental health

Addiction or substance use counselling
Alzheimer's disease or other dementia programs
Grief or bereavement counselling
Nutrition counselling
Other counselling and mental health services
OR
No counselling and mental health

Personal care and well-being

Cultural or religious services
Social programs
Physical activities
Hair dressing
Help with activities of daily living
Meal services
Security
Housekeeping
Other personal care and well-being
OR
No personal care and well-being

All other on-site services

Other on-site services

15. For the reporting period ending between April 1st, 2019 and March 31st, 2020, what was the total number of resident days?

Resident days are the number of days for which care was 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.

Example: A facility of four beds and 100 percent occupancy would report total days of care as (4 x 365) 1,460. A facility of four beds in which one bed was not occupied for 31 days during the year would report total days of care 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

16.  On the last day of your fiscal period ending between April 1st, 2019 and March 31st, 2020, what was the total number of beds in each of the following categories?

When precise figure is not available, please provide your best estimate.

Number of beds

Licensed and approved beds

a. Private rooms with private bathrooms
b. Private rooms with shared bathrooms
c. Shared rooms of two beds
d. Shared rooms of three or more beds
e. All other licensed and approved beds
Total licensed and approved beds

Short term stay beds

f. Respite beds
Include all beds reserved or used as respite beds.
g. Convalescent care beds
Include all beds reserved or used as convalescent care beds.
h. All other short term stay beds
Total short term stay beds

Resident characteristics

17.  For the reporting period ending between April 1st, 2019 and March 31st, 2020, what was the number of residents in each of the following categories?

When precise figure is not available, please provide your best estimate.

Number of residents

Under care

a. Residents in the facility on the first day of the reporting period
b. Residents admitted during the reporting period

Separation

c. Residents discharged during the reporting period
d. Deaths during the reporting period
Total residents

18. On the last day of your fiscal period ending between April 1st, 2019 and March 31st, 2020, what was the number of male, female, and other gender residents for each of the following age categories?

When precise figure is not available, please provide your best estimate.

a. Less than 18 years
Male residents
Female residents
Other gender residents

b. 18 – 44 years
Male residents
Female residents
Other gender residents

c. 45 – 64 years
Male residents
Female residents
Other gender residents

d. 65 – 69 years
Male residents
Female residents
Other gender residents

e. 70 – 74 years
Male residents
Female residents
Other gender residents

f. 75 – 79 years
Male residents
Female residents
Other gender residents

g. 80 – 84 years
Male residents
Female residents
Other gender residents

h. 85 – 89 years
Male residents
Female residents
Other gender residents

i. 90 – 94 years
Male residents
Female residents
Other gender residents

j. 95 years and older
Male residents
Female residents
Other gender residents

Total number of residents
Male residents
Female residents
Other gender

COVID – 19 pandemic

The next questions are about this facility's experiences during the COVID – 19 pandemic.

The purpose of these questions is to better understand the impact of the pandemic in nursing and residential care facilities across Canada.

Please report the information for the calendar year of January 1st, 2020 to December 31st, 2020.

19.  For the calendar year of January 1st, 2020 to December 31st, 2020, what was the total number of COVID – 19 cases among residents and staff?

Note:

  • for direct care employees and indirect care employees, include full-time, part-time and casual employees
  • please include all laboratory-confirmed cases as well as any probable or suspected cases as reported to your local health authority.

Instruction:

  • if the breakdown by direct and indirect care employees is not possible, enter the number of cases for residents and the total number of cases
  • if no positive cases were recorded during the period please enter "0" in each of the categories.

Number of COVID – 19 cases

a. Residents
b. Direct care employees
Include physicians, nurses, therapists and direct care support employees.
c. Indirect care employees
Include administration and support employees, facility operations, maintenance and security employees.
Total number of COVID – 19 cases

20.  For the calendar year of January 1st, 2020 to December 31st, 2020, which of the following Infection Prevention and Control (IPC) protocols and practices were newly introduced or increased at this facility?

Select all that apply.

Newly introduced IPC protocols and practices

Screening of residents, visitors or employees
Hand hygiene
Personal protective equipment (PPE) practices Include requirements to wear a mask for residents or visitors, training on use of PPE.
Environmental cleaning and disinfection
Management of health care worker exposure
Visitor or caregiver management e.g., a "no visitor" policy, only essential visitors, screening of visitors for signs and symptoms of infection at every visit, limiting visitor movement within facility
Handling of the deceased
Reduction or suspension of in-person contact
Management of the flow or placement of residents, visitors or employees
Other
OR
No newly introduced IPC protocol and practice

Increased IPC protocols and practices

Screening of residents, visitors or employees
Hand hygiene
Personal protective equipment (PPE) practices Include requirements to wear a mask for residents or visitors, training on use of PPE.
Environmental cleaning and disinfection
Management of health care worker exposure
Visitor or caregiver management e.g., a "no visitor" policy, only essential visitors, screening of visitors for signs and symptoms of infection at every visit, limiting visitor movement within facility
Handling of the deceased
Reduction or suspension of in-person contact
Management of the flow or placement of residents, visitors or employees
Other
OR
No increased IPC protocols and practices

21.  For the calendar year of January 1st, 2020 to December 31st, 2020, 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
Re-configuration of furniture
Installation of partitions
Review and updating of resident's records as needed e.g., medications, contact information, Substitute Decision Makers, RAI-MDS
COVID – 19 testing of staff
COVID – 19 testing of residents
Introduction or increased use of virtual care services

  • Which types of virtual care services were introduced or increased? Select all that apply.
    Resident-provider videoconferencing or teleconferencing
    Remote resident monitoring
    Secure messaging between residents and providers
    Other

OR
No new changes implemented

22. Between March 1, 2020 and December 31, 2020, compared to the same time period in the previous year, have any of the following increased, decreased, or there was no 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., that impact the quality of resident care and employee safety
Increased
Decreased
No change

g. PPE supply critical shortages
i.e., less than a 2-day supply available
Increased
Decreased
No change

23. Does this facility provide the seasonal flu shot on-site for residents or staff?

Yes
No
Don't know

24. When a COVID – 19 vaccine becomes available, does this facility plan on providing the following on-site services? If a vaccine is already available and any of the following have already taken place, please answer "Yes".

a. COVID – 19 vaccination for residents
Yes
No
Don't know

b. COVID – 19 vaccination for staff
Yes
No
Don't know

c. Training for employees to administer the COVID – 19 vaccine
Yes
No
Don't know

Changes or events

25. 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
End of business activities
Other
Specify the other changes or events
OR
No changes or events

27.  How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.
Hours
Minutes

28.  Do you have any comments about this questionnaire?

 
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