Here is a look at issues facing seniors living in retirement and assisted living housing

1. RETIREMENT
AND ASSISTED
LIVING
• Paul Young CPA CGA
• May 27, 2020

2. PAUL YOUNG - BIO
• CPA, CGA
• Academia (PF1, FA4 and MS2)
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Emerging Technology
• SME – Financial Solutions
• SME – Business Process Change
• SME – Supply Chain Management
Contact information:
Paul_Young_CGA@Hotmail.com

3. AGENDA
• Retirement home break down
• Homecare / Canada
• Mortality rate / Canada
• Audit Reports – Retirement Homes – Diet
• Audit Reports – Patient Care
• Audit Reports – Quality
• Revera
• What’s needs to be done
• Training/Professional Development Courses
Assisted and Long-term Care
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4. RETIREMENT HOME BREAKDOWN
Source - https://www.bcmj.org/news/statistics-canada-almost-5-seniors-long-term-care or
https://sba.ubc.ca/blog/industry-overview-home-care-providers-canada
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5. HOMECARE IN CANADA
Source - https://sba.ubc.ca/blog/industry-overview-home-care-providers-canada
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6. MORTALITY RATES / CANADA
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7. AUDITOR GENERAL – ONTARIO – NURSING
HOMES - DIET
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8. AUDITOR-GENERAL – ONTARIO –
PATIENT TREATMENT
Source - https://ipolitics.ca/2019/12/04/auditor-generals-report-paints-grim-
portrait-of-ontario-healthcare-system/
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9. QUALITY / NURSING HOMES - ONTARIO
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• Government implemented more quality
inspection at homes – so why are there still
issues with nursing home operations?
• Bruce Lea had issues that if there was
proper inspection would have been caught
sooner - https://london.ctvnews.ca/bruce-
county-fires-three-top-administrators-of-
long-term-care-home-issues-1.4592524
• Staffing and other issues have been a
concerns at long-term care facilities -
https://www.cbc.ca/news/canada/london/we
ttlaufer-inquiry-care-home-inspectors-
1.4777296
• Lack of inspection and oversight -
https://globalnews.ca/news/5202136/advoc
ates-cry-foul-after-ontario-officials-alter-
nursing-home-inspection-report-without-
explanation/
• LHIN has failed over the years to protect
seniors -
https://www.carp.ca/2015/12/14/131025/
• More oversight of nursing homes -
https://www.ncbi.nlm.nih.gov/pmc/articles/P

10. REVERA
• Lawsuits - https://www.ctvnews.ca/w5/groundbreaking-legal-action-alleges-nursing-home-
chains-put-profit-ahead-of-care-1.4155852
• Asset sale - https://business.financialpost.com/real-estate/property-post/revera-sells-big-stake-
in-canadian-senior-housing-to-health-care-reit-for-1-billion
• Pension Fund owns the company - https://www.thestar.com/business/2020/05/26/public-service-
union-calls-on-pension-fund-to-give-up-ownership-of-private-nursing-home-chain.html
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11. TRAINING AND DEVELOPMENT
• If you like to learn more
about trade and/or other
subjects as part of your
professional learning and
development then feel
free to review my material
on
https://www.udemy.com/
(search Paul Young CPA
CGA)
• These subjects address
how to fixed issues with
housing and/or systemic
issues related to economy
including government
policies

12. WHAT’S NEXT
• LHIN need to set up better monitoring of long-term care facilities. This can be done through mandatory
reporting to LHINs including the use of analytics and data sciences
• All long-term care facilities should have a performance audit done of their facilities as part of their funding
- https://www.slideshare.net/paulyoungcga/the-importance-of-value-for-money-and-perfomance-based-
audits
• Nursing homes/Assisted living need to have a crisis management/risk management plan as part of
managing any outbreak at their facilities. These reports should be disclosed to various ministry of health
across Canada
• All companies whether they are for profit or non-profit need to go through rigorous audits -
https://www.dementiacarecentral.com/memory-care/non-profit-vs-for-profit
• Staffing and wages – all homes need to review their staffing including wages, training, hours, benefits,
etc.
• All homes need to have a crisis management, i.e. outbreaks
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