Campbell Eldercare Consulting
Specializing in Eldercare Issues

Long Term Care Facilties vs. Retirement Residences: similarities and differences

Retirement Residence

Long Term Care Facility

Governed by Landlord and Tenant Act Governed by Ministry of Health & Long Term Care legislation
Mainly corporate for-profit, some non-profit Some corporate for-profit, some non-profit
Rents rise each year according to the Act Accommodation fees rise minimally each year as determined by the Ministry of Health & Long Term Care
Funded by resident rents and fees, in some cases subsidized by charitable foundations Funded by Ministry of Health & Long Term Care and resident co-payment depending on type of accommodation. Extra subsidies available for ward accommodation with proof of income
Application provided by facility requiring medical report. Acceptance of application mutually determined with client, and a deposit made Applications provided by CCAC, adjudicated by CCAC, and once eligibility for placement in long term care is determined, applications are sent out to facilities of client/family choice

Retirement Residence

Long Term Care Facility back to top

When accommodation is available, first and last month's rent must be paid upon admission When a bed offer is made, the client/family must accept within 24 hours and be ready for the move once the application has been accepted by the chosen facilities
If a client is not yet ready to make the move into a retirement residence, they can ask to postpone it, and the facility will hold the application until they are ready If the client is not yet ready to make the move and they refuse the bed offer, then they are out of the system for 6 months, and will have to re-apply through CCAC to start the process all over again
Varying amounts of care and services provided for extra cost Total, 24-hour care and services provided for no extra cost, except for hairdressing and footcare, some outings
Physiotherapy available in some facilities Physiotherapy available in all facilities
Pastoral Care provided Pastoral Care provided

Retirement Residence

Long Term Care Facility back to top

Monitoring of resident's food intake and medical issues informally provided in some cases Monitoring of all activities of daily living provided consistently
Residents are responsible for their ongoing medical or nursing requirements Facilities are responsible for residents' ongoing medical and nursing requirements
Not all retirement residences have medical care All long term care facilities have medical care
Not all retirement residences have nursing care All long term care facilities have nursing care
All retirement residences have recreational programs All long term care facilities have recreational programs

Retirement Residence

Long Term Care Facility back to top

Retirement residences are for people who need some social and environmental support but who are essentially fairly healthy, understanding their own medical and medication issues Long Term Care Facilities are for people who are chronically ill, and no longer able to manage their own activities of daily living
Some retirement residences have special units that are locked for the protection of people with dementia. These are more costly than for more independent residents. All Long Term Care Facilities are equipped to care for people with all forms of dementia. This type of accommodation costs the same as for all residents in long term care