Long-Term Care Committee of Management Agenda Preview — November 10, 2026

Hook: Director Update And Operational Report

Grey County · Committee · November 10, 2026

Summary

One-sentence summary: The Long-Term Care Committee of Management will meet on November 10, 2026 at 10:00 AM. The committee will receive a Director's update (LTCR-CM-20-26) covering the launch of the Compliance Improvement Partnership Program and the expansion of the Improving Dementia Care Program to include 30 homes. This item will also detail the transfer of construction oversight to the Ministry of Infrastructure, new design standards emphasizing infection prevention, and preparations for the 2026-27 respiratory season. Agenda item 4.a includes a review of new funding policies specifically for Rockwood Terrace. The committee will consider implications of the revised start-up funding policy and Path 2 PSW registration requirements closing December 1, 2027. Item 4.b is scheduled to include receipt of an operational report (LTCR-CM-21-26) covering Grey Gables, Lee Manor, and Rockwood Terrace for August 15 to October 14, 2026. This report will cover metrics on resident activities such as gardening, community outings, and fundraising efforts, alongside construction progress at Rockwood Terrace. Item 5 is scheduled for Closed Meeting Matters (If Required) with no specific discussion points recorded in the current agenda excerpts.

The Long-Term Care Committee of Management convenes on November 10, 2026, at 10:00 AM to consider a Director's update (LTCR-CM-20-26) covering the launch of the Compliance Improvement Partnership Program and the transfer of construction oversight to the Ministry of Infrastructure. The committee also reviews operational reports (LTCR-CM-21-26) for Grey Gables, Lee Manor, and Rockwood Terrace covering the period from August 15 to October 14, 2026; these reports include metrics on resident activities, staff metrics, and construction progress. Additionally, the committee reviews new funding policies specifically for Rockwood Terrace. Open business matters may be considered before determining the date for the next session. Closed Meeting Matters (If Required) is scheduled as a separate agenda item with no specific discussion points recorded.

Top Newsworthy Developments

  • Agenda item 4.a proposes a Director's update (LTCR-CM-20-26) detailing the launch of the Compliance Improvement Partnership Program and a transfer of construction oversight to the Ministry of Infrastructure.
  • The agenda suggests expanding the Improving Dementia Care Program to include 30 homes during this reporting period.
  • A review of new funding policies specifically for Rockwood Terrace is listed as a topic for the Director's update.
  • Agenda item 4.b schedules receipt of an operational report (LTCR-CM-21-26) covering Grey Gables, Lee Manor, and Rockwood Terrace for August 15 to October 14, 2026.
  • The proposed report includes metrics on resident activities such as community outings and fundraising efforts at the listed facilities.
  • Item 5 Closed Meeting Matters (If Required) is included in the schedule with no specific discussion points recorded in the current agenda excerpts.

Key Topics & Sections

Meeting Details

Jurisdiction
Grey County
Body
Committee
Date
November 10, 2026
Transcript Status
Agenda package summary and extracted subreport text
Transcript URL
https://helpos.ca/transcripts/grey-county/committee/2026-11-10
Official Source
View official meeting page

Related Discussion

HelpOS discussion thread link pending.

Transcript Notice

This page is an accessibility-focused summary and extracted agenda text intended to promote civic accessibility.

It is an unofficial convenience copy and may contain extraction or summarization errors.

For the authoritative record, try to access the original source materials from Grey County using the original link below.

Original meeting link

Full Transcript

1 Call to Order

Agenda item under review: Call to Order.

Agenda item 1: Call to Order

2 Declaration of Interest

Agenda item 2 was a Declaration of Interest.

Agenda item 2: Declaration of Interest

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Combined agenda package (secondary source)

2.

Declaration of Interest

3 Delegations

The agenda item listed Delegations.

Agenda item 3: Delegations

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Combined agenda package (secondary source)

3.

Delegations

4 Items For Direction or Discussion

The agenda lists four items for direction or discussion without recording any specific motions, decisions, or outcomes in this excerpt.

Agenda item 4: Items For Direction or Discussion

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Combined agenda package (secondary source)

4.

Items For Direction or Discussion

4.a LTCR-CM-20-26 Long Term Care Director's Update September 1 to October 31, 2026

The Long-Term Care Director's update for September 1 to October 31, 2026, reports on the launch of the Compliance Improvement Partnership Program and a transition of construction oversight to the Ministry of Infrastructure effective October 1. The government announced an expansion of the Improving Dementia Care Program to 30 homes with $9.82 million annually for Behavioural Support Unit beds, alongside new design standards emphasizing infection prevention and cooling systems. Staff are reviewing the new Start-up Funding and Fill Period Policy implications for the Rockwood Terrace redevelopment while preparing for PSW registration requirements under Path 2 which closes December 1, 2027.

Director Update Covers Ministry Initiatives and Operational Updates

The Long-Term Care Committee of Management received a report for information regarding Director Jennifer Cornell's update covering activities from September 1 to October 31, 2026. The update detailed Ministry announcements including the launch of the Compliance Improvement Partnership Program and the expansion of the Improving Dementia Care Program with $9.82 million in annual investment. It also reported on the release of new design standards, a revised start-up funding policy, and preparations for the 2026-27 respiratory season. Additionally, the report highlighted resident survey distribution, infection prevention resources, and ongoing recruitment and PSW qualification review efforts.

Long-term Care Committee Reported on Ongoing Partnerships at Regional and Local Levels

The Long-Term Care Committee reported on ongoing partnerships at regional and local levels, noting regular meetings with healthcare partners. The PREP LTC Student Placement Program for Grey County was featured in the Ontario Centres for Learning, Research and Innovation in Long-Term Care Annual Report, which included a spotlight on Lee Manor regarding its commitment to learning and staff development. Additionally, Grey Gables, Lee Manor, and Rockwood Terrace participated in the province-wide Long-Term Care Community Engagement Day on September 18 to celebrate partnerships and resident engagement.

Agenda item 4.a: LTCR-CM-20-26 Long Term Care Director's Update September 1 to October 31, 2026

---

Attachment: LTC Director's Update September 1 - October 31, 2026 - LTCR-CM-20-26.pdf
Source: https://helpos.ca/attachments/a37f67d6d6af1d9471b839e0420013ac533e2d3464d99ec58eda74caa1d649b2/4-a-1-ltc-director-s-update-september-1-october-31-2026-ltcr-cm-20-26-pdf.pdf

Committee Report
 To:                             Chair and Members of the Long-Term Care Committee of
                                 Management
 Committee Date:                 November 10, 2026
 Subject / Report No:            LTCR-CM-20-26
 Title:                          LTC Director’s Update September 1 – October 31, 2026
 Prepared by:                    Jennifer Cornell, Director of Long-Term Care & Senior
                                 Services
 Reviewed by:                    Niall Lobley, DCAO and Randy Scherzer, CAO
 Lower Tier(s) Affected:


Recommendation
   1. That LTCR-CM-20-26 regarding a Long-Term Care Director Update be received for
      information.


Executive Summary
This report provides updates on key activities and developments from September 1 to October
31, 2026, including Ministry announcements, respiratory season preparedness, resident and
family engagement, and workforce initiatives. Highlights include the new Start-up Funding and
Fill Period Policy, updated long-term care design standards, the 2026 Resident and Family
Experience Surveys, Long-Term Care Engagement Day, and ongoing work to support PSW
qualification and registration requirements.


Ministry Updates
The Ministry of Long-Term Care released a memo on September 1, 2026, announcing the
launch of the Compliance Improvement Partnership Program (CIPP), a voluntary initiative
designed to support participating long-term care homes in strengthening compliance with the
Fixing Long-Term Care Act, 2021 and Ontario Regulation 246/22. Through structured learning
opportunities, practical resources, and peer collaboration, the program aims to support
continuous quality improvement and the development of sustainable systems that promote
ongoing regulatory compliance and high-quality resident care.
On September 29, the Ministry of Long-Term Care announced the next phase of its capital
delivery modernization initiative. Effective October 1, 2026, responsibility for construction-phase
oversight and reporting for eligible long-term care redevelopment projects will transition from the
Ministry of Long-Term Care to the Ministry of Infrastructure. The Ministry of Long-Term Care will


LTCR-CM-20-26                                   1                             November 10, 2026



continue to oversee planning, design, tendering, licensing, and minor capital projects, while both
ministries will work together to support a smooth transition for operators.
On October 8, the Ontario government announced the expansion of the Improving Dementia
Care Program (IDCP). The expansion will increase the total number of participating long-term
care homes to 30, with a commitment to further expand the program to 50 homes by 2027-28.
The announcement also included an investment of $9.82 million annually beginning in 2026-27
to support up to 153 Behavioural Support Unit (BSU) beds in five long-term care homes across
Ontario. BSUs provide specialized care and support for residents living with complex responsive
behaviours associated with dementia.
The MLTC released the new Long-Term Care Home Design Manual on October 21, and a
companion Catalogue of Standardized Designs. The updated manual applies to new
development and redevelopment projects moving forward and does not impact existing homes
or projects already proceeding under a previous version. While core space standards remain
largely unchanged, the new requirements place greater emphasis on infection prevention and
control, resident room design, cooling systems, safety technologies, and standards for homes
co-located with other residential or community uses. The accompanying catalogue is intended
to support consistent interpretation and application of the design standards by project teams.
The MLTC also released a new Start-up Funding and Fill Period Policy. The policy provides
enhanced start-up funding and greater flexibility in occupancy planning, including revised fill
period timelines and admission requirements. These changes reflect feedback and advocacy
from the long-term care sector regarding challenges associated with opening and transitioning
residents into newly constructed homes. Several elements of the policy reflect concerns and
recommendations previously raised by Grey County through redevelopment advocacy efforts.
Staff are reviewing the policy and potential implications for the Rockwood Terrace
redevelopment.
The MLTC released a memo on October 26 outlining requirements for the 2024 Long-Term
Care Home Annual Report and Subsidy Calculation Worksheet, which support the year-end
reporting and reconciliation of provincial funding. The reporting timeline has been extended from
90 to 120 days, with submissions due February 26, 2027.


Resident and Family Updates
In September, we held our third quarter prerecorded Family Update, which included updates on
recent provincial long-term care initiatives, dementia care programs, redevelopment progress,
quality improvement activities, family engagement efforts, and the upcoming Resident and
Family Experience Surveys. The recording was shared with families following the presentation,
allowing them to access the information at their convenience. Families and Designated Care
Partners continue to be encouraged to submit questions in advance through Grey County's
Communications department.
At the end of September, Grey County released the 2026 Resident and Family Experience
Surveys in partnership with Align. Surveys were distributed via hard copy and email. We
anticipate survey results will be received later this month, with a summary of findings to be
included in the January operational report.




LTCR-CM-20-26                                   2                             November 10, 2026



As required by the Municipal Elections Act, 1996 polling stations were available at all three
Long-Term Care homes for the October 26 municipal election, supporting residents to
participate in the democratic process.


Infection Prevention & Control
On October 5, the Ministry of Health released updated information regarding Ontario's 2026-27
Respiratory Syncytial Virus (RSV) Prevention Program. The program continues to provide
publicly funded RSV vaccination for long-term care residents and other eligible high-risk older
adults, with a focus on preventing severe illness, reducing hospitalizations, and supporting
respiratory season preparedness. Eligibility for publicly funded RSV vaccination includes all
adults aged 75 and older, as well as eligible high-risk individuals aged 60-74, including long-
term care home residents.
On October 7, the Ministry of Long-Term Care released additional resources to support long-
term care homes during the 2026-27 Fall Respiratory Season, including resident vaccination
information, a respiratory illness preparedness checklist, frequently asked questions, and
updated Personal Protective Equipment (PPE) portal guidance. These resources are intended
to support seasonal readiness, strengthen infection prevention and control practices, and
promote compliance with legislative and regulatory requirements.

      ADM Memo
      Fact Sheet for Long-Term Care Residents
      Frequently Asked Questions - Fall Respiratory Illness Season 2026-27
Ontario Health also released operational direction for the 2026-27 Fall/Winter Respiratory
Season, emphasizing increased immunization uptake among residents and staff, outbreak
preparedness, emergency planning, enhanced infection prevention and control measures, and
strategies to reduce avoidable hospital transfers while maintaining system flow. Grey County
Long-Term Care homes continue to review and implement provincial guidance and seasonal
preparedness measures to support the health and safety of residents, team members, and
visitors.
On September 29, Public Health Ontario released a new Hand Hygiene Program designed to
support sustained improvements in hand hygiene practices. Grey County Long-Term Care's
IPAC & Wellness Managers continue to make hand hygiene a key priority through staff
education, compliance monitoring, and ongoing quality improvement efforts.

Staffing & Training
Our homes continue to recruit Registered Nurses, Registered Practical Nurses, Personal
Support Workers, and Food Service Workers, while expanding student placement opportunities
with colleges in Grey County and surrounding communities.
On October 29, leadership team members, along with representatives from Human Resources,
Information Technology, Finance, Clerks, and Communications, participated in a leadership
development day at Sydenham Campus. The morning session focused on Leading Above the
Line and was facilitated by the Director of Long-Term Care & Senior Services and the Director



LTCR-CM-20-26                                   3                             November 10, 2026



of Human Resources. The training encouraged participants to reflect on leadership practices
that foster accountability, collaboration, and a positive workplace culture.
The afternoon featured presentations from the Deputy CAO and team members representing
each long-term care home. Discussions focused on leadership, relationships, and how we bring
the Colour It promise to life through the challenges and opportunities we encounter each day.
The session provided an opportunity to share experiences, celebrate successes, strengthen
cross-departmental connections, and reinforce our shared commitment to resident-centred care
and service excellence.
Long-Term Care continues to prepare for evolving Personal Support Worker (PSW) qualification
requirements under the Fixing Long-Term Care Act, 2021 and registration with the Health and
Supportive Care Providers Oversight Authority (HSCPOA). A review of personnel records is
underway to confirm PSW qualifications, documentation, applicable registration pathways, and
registration status. Particular attention is being given to team members who may qualify under
Path 2, a temporary legacy pathway that closes December 1, 2027. While HSCPOA registration
is currently voluntary, eligible team members are being encouraged to register before Path 2
closes. Information has been shared through staff wellness newsletters, with next steps
including collaboration with Human Resources to provide targeted communication and support
to affected team members.

Wellness
The third quarter edition of the Staff Wellness Newsletter was released at the end of September.
The newsletter featured Employee Assistance Program and wellness resources, Colour It Spirit
photos and stories, CLRI Diversity and Inclusion calendars, IPAC tips, emergency code review,
home updates, and recognition of long-service recipients celebrating milestones from five to 45
years.

Partnerships
Work continues with partnerships at both regional and local levels. The Grey Bruce Long-Term
Care Committee and our healthcare partners continue to meet regularly.
The PREP LTC Student Placement Program for Grey County was featured in the Ontario
Centres for Learning, Research and Innovation in Long-Term Care Annual Report. The report
also includes a spotlight on Lee Manor through the feature "Putting Care First: The Impact of
Training for Lee Manor" (pages 16-17), highlighting the home's commitment to learning, staff
development, and quality resident care.
On September 18, Grey Gables, Lee Manor, and Rockwood Terrace participated in Long-Term
Care Community Engagement Day, a province-wide initiative celebrating the people and
partnerships that enrich life in long-term care. Residents, families, Designated Care Partners,
volunteers, community partners, and team members came together to connect, learn, and
celebrate. Activities highlighted resident engagement, volunteerism, family partnerships,
specialized programs, and the important contributions of Designated Care Partners, while
showcasing Grey County's Colour It promise.




LTCR-CM-20-26                                  4                            November 10, 2026



Relevant Consultation
None.


Appendices and Attachments
None.




LTCR-CM-20-26           5    November 10, 2026

4.b LTCR-CM-21-26 Long Term Care Operational Report August 15 to October 14, 2026

The Long-Term Care Committee of Management received a report covering operations at Grey Gables, Lee Manor, and Rockwood Terrace for the period from August 15 to October 14, 2026. The report details staff metrics including interviews, onboarding, retirements, and student placements across the three homes. Grey Gables highlighted resident activities such as gardening, community outings, and a Markdale Fall Fair where residents earned prizes. The home also hosted Deputy Minister Peter Kaftarian and held Long-Term Care Community Engagement Day. Lee Manor completed a nursing station enclosure and plans murals while refreshing dining areas with new flooring and lighting. Rockwood Terrace residents raised over $900 for cancer research and earned fair ribbons during community activities.

Long-term Care Committee of Management Received a Report Covering Operations

The Long-Term Care Committee of Management received a report covering operations at Grey Gables, Lee Manor, and Rockwood Terrace from August 15 to October 14, 2026. The report detailed fall preparedness initiatives, including pandemic plan reviews and vaccine clinic education, alongside a successful Registered Staff Skills Fair. Construction progress at Rockwood Terrace was noted as 82% complete with a tentative move date of summer 2027. The document also summarized Ministry of Long-Term Care inspection findings for all three homes, noting that issues identified in written notices were addressed, and listed critical incident statistics which have been reviewed and investigated.

Report Covers Operations at Grey Gables, Lee Manor, and Rockwood Terrace

The Long-Term Care Committee of Management received a report covering operations at Grey Gables, Lee Manor, and Rockwood Terrace for the period ending October 14, 2026. The report details staff metrics including interviews, onboarding, retirements, and student placements across the three homes. Grey Gables highlighted resident activities such as gardening, community outings, and a Markdale Fall Fair where residents earned prizes. The home also hosted Deputy Minister Peter Kaftarian and held Long-Term Care Community Engagement Day. Lee Manor noted participation in Resident Council Week and various seasonal events.

Lee Manor Enhancements and Rockwood Terrace Community Activities

Lee Manor completed construction of the 3 North nursing station enclosure to support privacy, with plans for a post office-themed mural and interactive features to enhance resident engagement. The home is also refreshing dining areas with new flooring selected by residents, updating lighting and artwork, and installing new bathing tubs in two resident home areas. Rockwood Terrace residents participated in various community activities, including raising over $900 for cancer research during the Terry Fox Walk and earning a first-place ribbon at the Durham Fall Fair. Grey Gables introduced new Symbliss bathing tubs and reclining bath chairs to improve comfort, while all three homes held monthly fire drills and received no visits from Health System partners during the reporting period.

Pet Photos and Centennial Birthday Celebrate Community

Lee Manor launched a pet photo display inspired by resident input to foster connection and belonging. Rockwood Terrace celebrated a centennial birthday visit highlighting strong family trust and person-centred care.

Agenda item 4.b: LTCR-CM-21-26 Long Term Care Operational Report August 15 to October 14, 2026

---

Attachment: LTC Operational Report August 15 - October 14, 2026 - LTCR-CM-21-26.pdf
Source: https://helpos.ca/attachments/4769e9c2321a083f4d07b73303d029e9888f37e47010df0c16eeef3aec33d4d0/4-b-1-ltc-operational-report-august-15-october-14-2026-ltcr-cm-21-26-pdf.pdf

Committee Report
 To:                           Chair and Members of the Long-Term Care Committee of
                               Management
 Committee Date:               November 10, 2026
 Subject / Report No:          LTCR-CM-21-26
 Title:                        Long-Term Care Operational Report – August 15 – October
                               14, 2026
 Prepared by:                  Kim Mustard, Executive Director Grey Gables, Tolleen Parkin,
                               Executive Director Lee Manor, Teri Fischer, Executive
                               Director, Rockwood Terrace, Denna Leach, Corporate Clinical
                               Specialist, Karen Kraus, Project Lead Operational Readiness,
                               Rockwood Terrace
 Reviewed by:                  Jennifer Cornell, Director of Long-Term Care & Senior
                               Services
 Lower Tier(s) Affected:


Recommendation
   1. That report LTCR-CM-21-26 regarding the Long-Term Care Operational Report
      dated August 15, to October 14, 2026, be received for information.


Executive Summary
This report provides an overview of day-to-day operations from August 15 to October 14, 2026,
at Grey Gables, Lee Manor, Rockwood Terrace along with Clinical and Quality updates,
strategies, and initiatives and an update regarding Rockwood Terrace redevelopment.

Background and Discussion




LTCR-CM-21-26                                 1                           November 10, 2026



Quality & Clinical Update
 Colour It Your Way -is it “Leading Based Practice”, is it “Equitable &
                    Reliable”, does it “Colour It”?

Fall Preparedness Update
Grey County Long-Term Care is preparing for the fall and winter respiratory illness season
across all three homes. A comprehensive review of our Pandemic Plan is currently underway to
ensure alignment with current legislation, Public Health guidance, and lessons learned from
previous respiratory illness seasons. This work includes updating home-specific processes and
reinforcing outbreak preparedness and surveillance measures.
Fall vaccine clinics are also in process. Education regarding available vaccines and Infection
Prevention & Control (IPAC) measures has taken place with residents, team members,
Resident Councils, and Family Councils. These discussions help ensure residents and families
are informed and actively involved in decisions related to seasonal health protection
Grey County also participated in the Public Health Fall Preparedness Day. In addition to
members of our leadership teams, IPAC Champions from our homes attended the event. This
approach continues to build internal capacity by equipping both leaders and frontline champions
with current information, tools, and best practices that can be shared throughout the
organization.

Registered Staff Skills Fair
This fall, Grey County Long-Term Care hosted a two-day Registered Staff Skills Fair developed
and delivered by our two Nurse Practitioners. The purpose of the event was to provide practical
education, strengthen clinical knowledge and skills, promote consistency in practice, and
support professional development of registered staff across all three homes. The Skills Fair
created opportunities for hands-on learning, interdisciplinary collaboration, and networking
among team members while reinforcing key clinical priorities and best practices. Preliminary
evaluations have been highly positive, with participants reporting valuable learning experiences
and increased confidence in applying knowledge to resident care. The event further
demonstrates Grey County’s commitment to continuing education and excellence in clinical
practice.
These initiatives reflect a continued commitment to creating safe, responsive, and supportive
environments for residents and team members. Through ongoing education, collaboration,
preparedness, and quality improvement, Grey County Long-Term Care continues to strengthen
care and build capacity across all three homes.




LTCR-CM-21-26                                  2                             November 10, 2026



Rockwood Terrace Redevelopment Update
Project Update
Exterior construction activity has increased in preparation for the winter season. Curbing for the
streets and parking areas has been completed, with paving scheduled by the end of October.
The parking areas are expected to be fully paved, while the streets will receive a base layer of
asphalt, with the final surface course planned for spring. Installation of window trim and sun-
shading components is underway. Siding has been installed on the mechanical penthouse, and
work on exterior signage has commenced.
Interior construction continues to progress. Both elevators have been installed and are awaiting
testing. Millwork installation in resident washrooms is nearing completion, and flooring
installation has begun in these areas. Flooring will be prioritized in the main kitchen, laundry and
information technology rooms to allow equipment installation to proceed.
As of September 30, 2026, the project was 82% complete and remained within the approved
budget.

Operational Readiness
The Operational Readiness team continues to finalize furniture and equipment requirements,
with a significant number of items now ordered. Procurement activities are being coordinated
with the revised construction schedule to support timely delivery, installation, and readiness for
occupancy.
In collaboration with Human Resources, current employees participated in Bid Days from
September 16 to 18 to select lines within the new master schedule. The process was completed
successfully through coordinated planning involving Human Resources, leadership, Unifor, and
operational teams. Vacant positions were subsequently posted and awarded. Additional
vacancies resulting from the internal posting process will be posted; however, external
recruitment will be deferred to align with the revised building schedule.
Based on the current construction timeline, a tentative resident move date of summer 2027, has
been established. As a result, the second and final Occupancy Report is expected to be
submitted to the Ministry of Long-Term Care in early December. Operational plans, including
recruitment, training, procurement, and move preparations, are being adjusted to align with the
revised timeline.
Resident engagement remains a key focus of operational readiness planning. During an
October fall-colour tour, residents had the opportunity to view the construction site and were
impressed by the size and progress of their future home.




LTCR-CM-21-26                                    3                             November 10, 2026



Ministry of Long-Term Care (MLTC) Compliance Orders
/Inspection Findings Summary
Grey Gables
Ministry of Long-Term Care Inspectors attended the home September 23, 24, 28, 2026, to
conduct a critical incident inspection. The home received two written notices related to reporting
requirements and continence and bowel management. Appropriate follow-up actions were
implemented, and the issues have been addressed.
The public report from the MLTC regarding their Critical Incident Inspection has been received.
Grey Gables Home for the Aged - Inspection - 2026-09-28

Lee Manor
The public report from the MLTC regarding their Critical Incident Inspection has now been
received. The inspection was conducted over July 24, 27 to 31, and August 4 to 6, 2026, and
was discussed at the previous committee meeting.
Lee Manor Home - Inspection - 2026-08-06
Ministry of Long-Term Care Inspectors attended the home September 15-18, and 21 -24, 2026,
to conduct a critical incident inspection. The home received three written notices related to duty
to report, general requirements, and altercations and other interactions between residents.
Appropriate follow-up actions were implemented, and the issues have been addressed.
The public report from the MLTC regarding their Critical Incident Inspection has been received.
Lee Manor Home - Inspection - 2026-09-24

Rockwood Terrace
Ministry of Long-Term Care Inspectors attended Rockwood Terrace from September 2 to 4 and
on September 8, 2026, to conduct a Proactive Compliance Inspection under the Generator
Initiative. The Safe and Secure Home Inspection Protocol was utilized, and the home received
no findings.
Inspectors also conducted a Proactive Compliance Inspection using the Continence Care and
Food, Nutrition and Hydration Inspection Protocols. The home received two written notices
related to food production. Appropriate follow-up actions were implemented, and the issues
have been addressed.
The public reports from the MLTC regarding their Proactive Compliance Inspections have been
received.
Rockwood Terrace Home for the Aged - Proactive Compliance Inspection - 2026-09-08
Rockwood Terrace Home for the Aged - Proactive Compliance Inspection - 2026-09-11




LTCR-CM-21-26                                   4                             November 10, 2026



Critical Incident Systems Reports Summary
                                                                                       Total
                                                                                     Number –
 Types of Critical Incidents – August 15, 2026 – October 14, 2026
                                                                                      Three
                                                                                      Homes
 Abuse & Neglect - Any alleged, suspected, or witnessed abuse of a resident
 by anyone or neglect of a resident by the licensee or staff that resulted in
                                                                                          5
 harm or risk of harm to the resident, misuse or misappropriation of resident’s
 money, misuse or misappropriation of funds provided to licensee.

 Improper or Incompetent Treatment or Care – Includes care of a resident
                                                                                          2
 that resulted in harm or risk of harm to resident.
 Unexpected Death - Including a death resulting from an accident or suicide.              0
 Transfer to Hospital due to Injury - Includes injury in respect of which a
                                                                                          4
 person is taken to hospital.
 Medication Incident - Includes a medication incident or adverse drug
                                                                                          2
 reaction in respect of which a resident is taken to hospital.

 Environmental Hazard - Includes breakdown or failure of the security system
 or major equipment or a system in the Home that affects the provision of care
                                                                                          0
 or the safety, security, or well-being of residents for a period greater than six
 hours.
 Controlled Substance Missing/Unaccounted - Includes missing or
                                                                                          1
 unaccounted for controlled substance
 Disease Outbreak                                                                         4
 Contamination of Drinking Water Supply                                                   0
 An Emergency-including fire, unplanned evacuation or intake of
                                                                                          0
 evacuees


The critical incidents reported above have been reviewed and internally investigated. Action
plans have been implemented along with providing additional training and education as
required.

People
 August 15 –
                              Grey Gables               Lee Manor           Rockwood Terrace
 October 14, 2026

 Number of
                                    5                       17                       10
 Interviews




LTCR-CM-21-26                                    5                             November 10, 2026



Number of Staff
                                   8                       11                       5
 Onboarded

 Number of
 Retirements/                      7                       8                        0
 Resignations

 Number of Student
                                   5                       15                       4
 Placements


Projects, Location Events and Other
Grey Gables
Residents enjoyed an active late summer and fall, with gardening, seasonal programs,
community outings, and special events. Produce grown and harvested by residents was used in
Fix and Feast programs and entered in the Markdale Fall Fair, where residents earned 16
ribbons and $85 in prizes from 30 submissions, including baking, crafts, produce, and the
home’s barbecue sauce.
Community connections continued to be a highlight. Residents welcomed the Sons of Arthritis
Motorcycle Group and the Meaford 4-H Club, which brought two Speckle Park calves to the
home. One resident captured the fun of the week after having his photo taken with a Harley-
Davidson motorcycle and later feeding and petting a calf. Other activities included a Wheelchair
Car Wash, fishing-themed programming, flower arranging, shopping at Heritage Place Mall,
Thanksgiving and birthday celebrations, and musical entertainment.
On August 26, Grey Gables welcomed Deputy Minister of Long-Term Care Peter Kaftarian for a
tour and discussion with County representatives, team members, and Resident Council
leadership. On September 18, Grey Gables hosted Long-Term Care Community Engagement
Day, welcoming community members and local leaders for tours, information displays, music,
and refreshments, while showcasing the programs and services that support residents and
families.
Residents also supported the Alzheimer Society of Grey-Bruce through a Coffee Break
fundraiser on World Alzheimer’s Day and welcomed members of the Grey Highlands 25th
Anniversary Committee for a special community tea. Fall programming included Thanksgiving
celebrations, seasonal activities, and preparations for the upcoming Christmas Market in
November.

Lee Manor
Lee Manor hosted several events this reporting period, including Resident Council Week and
the Long-Term Care Engagement Day. These events celebrated the importance of long-term
care homes in the community, and the valuable contributions that residents make to their homes
and greater community each day. The home also recognized seasonal events including
Grandparents’ Day, Thanksgiving, and the National Day for Truth and Reconciliation.




LTCR-CM-21-26                                  6                            November 10, 2026



Several home enhancement projects are currently underway at Lee Manor. Construction of the
3 North nursing station enclosure has been completed to support the privacy of personal health
information. In the coming months, the space will be enhanced with a post office-themed mural
and interactive features designed to promote resident engagement. Throughout the planning
and construction process, close collaboration has occurred between the project team,
Maintenance, Environmental Services, and Infection Prevention and Control teams to ensure
compliance with healthcare and long-term care design, renovation, and infection prevention
standards.
Resident dining areas are also being refreshed with new flooring, selected with input from
residents, families, and team members, to create a more modern and home-like atmosphere.
Additional enhancements, including updated lighting and artwork, are planned. Flooring
upgrades will also be completed in the dish room and Physiotherapy and Restorative Care area.
In addition, two resident home areas have been equipped with new bathing tubs designed to
enhance comfort and support a more relaxing bathing experience. The organization continues
to strengthen its construction and renovation processes, including infection prevention and
control documentation and monitoring practices, to support resident safety and align with
current standards and best practices.
Lee Manor also launched its annual education program during the reporting period. Team
members participated in in-person education sessions covering topics such as lift and transfer
techniques, pleasurable dining, infection prevention and control, abuse and neglect prevention,
health and safety, and the Colour It Promise. All team members will also complete additional
annual education requirements through an online learning platform.

Rockwood Terrace
Residents enjoyed an active late summer and fall with outdoor activities, gardening, community
outings, and seasonal celebrations. Rockwood Terrace’s annual Coffee Break fundraiser raised
more than $400 for the Alzheimer Society, while residents proudly earned a first-place ribbon for
their homemade chili sauce at the Durham Fall Fair.
September included Resident Council Week and Long-Term Care Engagement Day,
recognizing the importance of resident voice and participation. Residents also welcomed the
Canadian Motorcycle Cruisers and participated in the Terry Fox Walk, raising more than $900
for cancer research. Truth and Reconciliation and Orange Shirt Day were recognized through
educational and reflective activities.
Fall programming included Thanksgiving and Oktoberfest celebrations, pumpkin baking, and a
scenic tour through the Kimberley area. During the outing, residents had an opportunity to see
the progress of the Rockwood Terrace redevelopment, adding to the excitement and
anticipation for their future home.




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Occupancy
Grey Gables
                       September – October
      Occupancy Data                         Year To Date
                              2026

Occupancy                    97.8%              98.7%
Move-Ins                          6              14
Discharges                        7              16


Grey Gables BSTU
                       September – October
      Occupancy Data                         Year To Date
                              2026

Occupancy                    89.4%              95.5%
Move-Ins                          4               8

Discharges                        4               6


Lee Manor
                       September – October
      Occupancy Data                         Year To Date
                              2026

Occupancy                    98.37%            98.48%
Move-Ins                          11             25
Discharges                        14             39


Rockwood Terrace
                       September – October
      Occupancy Data                         Year To Date
                              2026

Occupancy                    99.05%            99.11%

Move-Ins                          4              19
Discharges                        4              17




LTCR-CM-21-26                 8                November 10, 2026



Health System Partners
Grey Gables
Monthly fire drills were held each month on all shifts.
There have been no visits from Health System partners during the reporting period.

Lee Manor
Monthly fire drills were held each month on all shifts.
The Ministry of Labour attended the home on October 14, 2026, to conduct a follow-up
inspection related to a critical injury and to complete a general workplace inspection. No orders
were issued as a result of the inspection.
Public Health attended the home on August 25, 2026, and completed both the routine kitchen
inspection and the annual hair salon inspection. No areas of concern were noted.

Rockwood Terrace
Monthly fire drills were held each month on all shifts.
There have been no visits from Health System partners during the reporting period.

Environmental
(i.e., Emergency Preparedness, Occupational Health and Safety)

Emergency Management Plan
Emergency preparedness education continues to be a focus across all three homes. Monthly
emergency code reviews are included in resident and family newsletters, while emergency
preparedness topics are regularly featured in team member wellness communications to
support awareness and readiness.
Following updates to the County's XVIII-Emergency Management Manual, work is underway to
develop home-specific Emergency Management Plans for Grey Gables, Lee Manor, and
Rockwood Terrace. Leadership teams from each home are actively contributing to the
development of these plans to ensure they reflect each home's unique layout, resident
population, local risks, community resources, and operational requirements. The home-specific
plans will provide clearer guidance during emergency situations, support more effective
decision-making and response coordination, and enhance team member preparedness through
site-specific procedures and resources. The Emergency Management Plans will complement
the organization's pandemic preparedness and outbreak response planning framework.
Grey County Long-Term Care's Emergency Management Framework is publicly available on
www.grey.ca and supports a comprehensive approach to prevention, preparedness, response,
and recovery across all emergency situations.



LTCR-CM-21-26                                    9                            November 10, 2026



Risks
     Type of Risk             Grey Gables              Lee Manor           Rockwood Terrace

 (Includes
 complaints, Health                 0                       0                        0
 and Safety & Legal)


Written Complaints Summary
Grey Gables
No written complaints were received during the reporting period.

Lee Manor
No written complaints were received during the reporting period.

Rockwood Terrace
No written complaints were received during the reporting period.

Resident & Family Council Updates
Grey Gables
Resident Council met on September 8, and October 8, 2026. Members provided input on
several areas of home life, including call bell response times, television use during mealtimes,
and the reintroduction of the Honour Guard process. Residents also participated in Long-Term
Care Community Engagement Day and received information on seasonal immunizations,
outbreak management, and upcoming municipal election voting opportunities.
Family Council met on August 18, and September 15, 2026. Family Council continued to
support resident and family engagement through participation in Long-Term Care Community
Engagement Day and a rock-painting activity for the staff appreciation garden. Council also
continued its advocacy for a pedestrian crosswalk on Highway 10 and received updates on the
Honour Guard process, seasonal immunizations, and outbreak prevention. Members also
began planning staff recognition for the holiday season.

Lee Manor
Resident Council met on August 31, 2026. Members received updates on several initiatives,
including the upcoming Memorial Service, Spiritual Care Committee activities, and seasonal
programming. The Council continues to review the Residents' Bill of Rights at each meeting,
discussing two to three rights monthly. Residents have shared that this approach promotes
meaningful discussion and strengthens their understanding of resident rights. Due to respiratory




LTCR-CM-21-26                                  10                            November 10, 2026



outbreaks in the home, the September meeting was postponed. The Council elected to combine
the September and October agendas and will meet next on October 28, 2026.
Family Council met on September 25, 2026. Discussion topics included seasonal programming,
home enhancement projects, and the introduction of new team member name tags designed to
improve visibility and recognition for residents. Family Council members also identified topics of
interest for upcoming meetings, including a presentation from the Dental Hygienist and a review
of respiratory season precautions with the Infection Prevention and Control Manager.

Rockwood Terrace
Resident Council met on September 10, 2026, and reviewed the Ministry inspection report and
received an update on the Rockwood Terrace redevelopment. Residents discussed staff
appreciation initiatives and ways to recognize team members, as well as upcoming programs
and engagement opportunities, including Long-Term Care Community Engagement Day and
Resident Council Week. The October meeting was postponed due to a respiratory outbreak and
rescheduled for November.
Family Council met on September 8, 2026, and reviewed the most recent Ministry of Long-Term
Care Public Inspection Report and received an update on the Rockwood Terrace
redevelopment, including the anticipated move-in timeline. Council also received staffing
updates and discussed upcoming programs, activities, and opportunities arising from Resident
Council suggestions.

Compliments & Colour It Story
Grey Gables
Grey Gables recently introduced new Symbliss bathing tubs and reclining bath chairs,
enhancing the comfort and bathing experience for residents. This investment supports the
home's commitment to providing care that promotes choice, dignity, comfort, and well-being.
The positive impact of the new equipment has already been demonstrated through resident
experiences. One resident who had previously found bathing challenging experienced
significant improvement following the introduction of the Symbliss tub and reclining bath chair.
The comfortable positioning, calming environment, and personalized approach helped create a
more relaxed and positive experience. The resident shared how much they enjoyed the bath
and expressed a desire to stay longer.
This experience demonstrates how thoughtful investments in the home environment can
enhance quality of life and bring Grey County's Colour It Your Way philosophy to life through
meaningful everyday experiences.

Lee Manor
Lee Manor's Colour It story highlights the power of relationships and collaboration in creating a
sense of home. While discussing enhancements to the newly enclosed 3 North nursing station,
a resident suggested incorporating animals into the planned mural, sharing how pets often bring
people together and spark conversation.


LTCR-CM-21-26                                   11                            November 10, 2026



Inspired by the resident's idea, team members expanded the concept and invited staff to submit
photos of their pets for display on the home's information screens. The response was
enthusiastic, with dozens of photos shared. The resident who inspired the initiative was invited
to view the display and expressed appreciation for seeing the idea come to life.
The pet photo display has become a source of connection throughout the home, prompting
conversations, shared stories, and smiles among residents, visitors, team members, and
community partners. This simple idea demonstrates how listening to residents and acting on
their suggestions can strengthen community, foster belonging, and help create a more home-
like environment for everyone who lives, works, and visits Lee Manor.

Rockwood Terrace
At Rockwood Terrace, “U are the Centre of all we do” is reflected in the relationships built with
residents and families. During a recent visit to celebrate their mother’s 104th birthday, a family
shared heartfelt appreciation for the care she receives and for the weekly FaceTime visits that
help them stay connected from another province.
The family expressed comfort in knowing their mother is not only safe and supported but
genuinely cared for and surrounded by people who know her well. Their comments reflect the
trust, belonging, and meaningful relationships at the heart of person-centred care and Grey
County’s Colour It Your Way philosophy.


Relevant Consultation
☒       Internal - Resident and Family Services Manager(s) Grey Gables, Lee Manor,
        Rockwood Terrace


Appendices and Attachments
None.




LTCR-CM-21-26                                   12                             November 10, 2026

5 Closed Meeting Matters (If Required)

The agenda lists Closed Meeting Matters (If Required) as item 5, but no discussion, motion, vote, or outcome is recorded in this excerpt.

Agenda item 5: Closed Meeting Matters (If Required)

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Combined agenda package (secondary source)

5.

Closed Meeting Matters (If Required)

6 Correspondence

The agenda listed correspondence as item 6 without recording a specific disposition in this excerpt.

Agenda item 6: Correspondence

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Combined agenda package (secondary source)

6.

Correspondence

7 Other Business

Agenda item 7 Other Business was listed on the agenda.

Agenda item 7: Other Business

---

Combined agenda package (secondary source)

7.

Other Business

8 Next Meeting Date

The agenda item for the next meeting date is listed with no specific date determined.

Agenda item 8: Next Meeting Date

---

Combined agenda package (secondary source)

8.

Next Meeting Date
To be determined.

9 Adjournment

The agenda lists an item for adjournment.

Agenda item 9: Adjournment

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Combined agenda package (secondary source)

9.

Adjournment