On occasion, a Long-Term Care Home may determine that they are unable to meet the needs of an applicant applying for residency in their facility. Let's trace the process in Ontario and possible action strategies.
What happens after I have been qualified for Long-Term Care and my wait list has been submitted to the selected homes?
At this point the CCAC Coordinator will forward the assessment information to the selected Residences for their review. At that time, the home will assess their ability to provide care based on the information provided. The home may request further clarification of the assessments if desired.
What happens if my application to a Long-Term care home is rejected and I am not eligible for one or more wait lists?
After an assessment and review of the applicant's application, if there are reasons a home is unable to accept a client to their wait list, there is a process that must be followed for notification. The home is required to provide the grounds in which the application was refused with supporting evidence. The applicant must receive this information in writing. The MOHLTC and the CCAC must also be given this information.
There is specific government legislation in place that governs the refusal process, should the home have concerns about meeting an individual's care needs.
What are some of the actions that an applicant can do to address a refusal?
- Engaging in a discussion with the CCAC Case Coordinator
- Information can be accessed through the MOHLTC action line. Although this can be an anonymous help line, you will be required to leave your contact number. A response may take up to 3 business days. (The Long-Term Care ACTION Line is open seven days a week, from 8:30 a.m. to 7:00 p.m., and can be reached toll-free at: 1-866-434-0144.) http://www.health.gov.on.ca/en/public/contact/ccac...
- ACE: The Advocacy Centre for the Elderly may be able to provide additional information, legal guidance and support. Telephone queries are accepted for specific concerns. 416-598-2656 http://www.advocacycentreelderly.org/
Where does information exist regarding Long-Term Care legislation aside from the above resources?
Information about the Long Term Care Homes Act for Ontario can be accessed via the link below. The document specifically addresses legislation surrounding these and other topics relating to LTC homes in Ontario.
On a positive note, acceptance is far more common to home wait lists than refusals. Long-Term Care Homes in Ontario are subject to governance by the MOHLTC (Ministry of Health and long-Term Care). There are very specific rules, regulations and guidelines in place to address a home's actions and care services.
If your application is refused, take the time to collect your thoughts and start making the appropriate contacts. Keeping the lines of communication open will enhance your ability to advocate effectively and address your options.