Long-term care homes are publicly funded and operated by municipalities, not-for-profit organizations and private organizations. They provide health care and services to people whose needs cannot be met in the community.
Long-term care homes are licensed and regulated by Ontario's Ministry of Long-Term Care. The province has specific laws and regulations for admission to long-term care homes that are designed to ensure fairness and equity in the system, so that it can serve the needs of people with greater care needs as well as people who are still independent.
Long-term care homes can provide a residential alternative for patients with high care needs, who meet the following criteria:
- 18 years of age or older
- Have a valid Ontario Health Card
- Have health-care needs that cannot be met with any combination of caregiving in the home or community
- Have health-care needs that can be met in a long-term care home
What is the process for selecting a home?
The long-term care home placement process includes a multi-part assessment, including an assessment by a Care Coordinator, to ensure there is an accurate record of your medical history, and to help determine eligibility for long-term care.
Your Care Coordinator will discuss all options, including providing options for long-term care homes. You can apply to as many as five homes. The wait times for long-term care homes vary widely, so decisions about which homes you are applying to will help determine the amount of time you will wait for long-term care.
Once a spot in a chosen long-term care home becomes available, you will be contacted by your Care Coordinator, and you will have 24 hours to consent to the admission. If you move to a home that is not your first choice, you may stay on the waiting list for your other choices, if you wish.
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Long-term care accommodation costs are set by the Ministry of Long-Term Care and are standard in all long-term care homes across Ontario.
The Ministry of Long-Term Care pays for the care you receive, you are responsible for accommodation costs. Rates are typically reviewed annually by the Ministry.
Effective July 1, 2019, accomodate rates are as follows, though these are subject to change:
|$62.18 (a)||$1,891.31 (b)|
Long-Stay Semi Private
|$74.96 (Basic plus a maxiumum of $12.78)||$2,280.04|
|$88.82 (Basic plus a maxiumum of $26.64)||$2,701.61|
- Effective from July 1, 2019, the basic accommodation rate is determined using the following formula:
- 2018 basic accommodation rate × (1 + CPI Rate) = 2019 co-payment rate.
[ i.e., $60.78 × (1+1.2.3%) = $62.18 ]
- The monthly rate is determined by multiplying the daily rate by 30.4167.
[ i.e., $62.18 × 30.4167 = $1,891.31 ]
- The maximum rate for semi-private or private accommodation in some long-term care homes can be less depending on the age and structure of the long-term care home.
If you do not have enough annual income to pay for the basic room, you may be eligible for a subsidy through the Long-Term Care Home Rate Reduction Program. The subsidy is not available to people requesting semi-private or private rooms.
Your Care Coordinator can provide you with information about applying for a rate reduction subsidy. If you are eligible for placement in a long-term care home, you will not be refused because of an inability to pay.
To learn more about long-term care eligibility and admission watch our Long-Term Care video.
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