Long-Term Care Options

residential care options island health

Long-Term Care homes provide 24-hour professional care and supervision to adults in a supportive and secure environment. Publicly subsidized Long-Term Care Services are available to adults with complex medical and cognitive care needs and an assessed and urgent need for 24-hour care. Services are aimed at meeting the complex health needs of those admitted to a care home and include:

  • Accommodation
  • 24-hour nursing care
  • Other professional services such as nursing, physical therapy, social work and nutritional support
  • Hospitality services  (meals, housekeeping, recreational activity programs, emergency response)
  • Personal care assistance
  • End-of-life care.


Publicly subsidized long-term care is a limited resource, and placement in a long-term care facility is based on the urgency of the individual’s care needs.

You may be eligible if you meet citizenship and provincial residency Home and Community Care requirements and the criteria for admission to one of Island Health's long-term care homes. Island Health care management staff will determine your eligibility by conducting a thorough, standardized assessment of your need and urgency for long-term care.

Some of the eligibility factors we consider include:

  • Your health and care needs
  • Your family’s ability to provide care and support at home
  • Whether community resources are appropriate, safe and sustainable for you.

What if I am not eligible for Long-Term Care?

There is a wide variety of publicly and privately funded community resources available to help you live independently if you are not eligible for long-term care placement.  Some examples include home support services, bathing services, respite, adult day services and assisted living services. Your Community Case Manager will help identify appropriate services and resources that will meet your needs.

Who can I call if I have questions about this process?

If you are currently a patient in the hospital, contact the Liaison Case Manager covering your unit. If you are at home, contact your Community Case Manager or call a region contact on our Assisted Living & Long-Term Care Services page.


Monthly long-term care rates are based on 80% of your after-tax income;  minimum and maximum rates apply. The monthly rate contributes to the cost of providing the service.

The Ministry of Health allows homes to apply additional charges for optional services. This includes, but is not limited to, hairdressing, cable, and telephone services.

Services and charges may vary between settings. Home staff will inform you about these fees before you move in and must have your written consent.

For more information, please visit the Ministry of Health: Long-Term Residential Care page.

Family and Resident Councils

A Family or Resident Council is a group of persons who either live in a long-term care home or are family/representatives of residents. They work together with staff to maintain and enhance the quality of life of residents. They also provide a voice in decisions within the facility that affect them.

The Residents’ Bill of Rights

Island Health is committed to protecting the rights of the residents we care for. The BC Residents’ Bill of Rights is a set of rights for adults who live in long-term care homes, and details their rights to care; health, safety and dignity; participation and freedom of expression; and transparency and accountability. 

The Residents’ Bill of Rights is publicly displayed inside all long-term care homes to remind residents, family members and facility license-holders of each person’s right to receive high quality care and live free from abuse and neglect.

If you are not satisfied with the care you receive, please speak to the home manager so your complaint can be addressed. If you continue to be dissatisfied, please contact our Patient Care Quality Office.

Compliments and Complaints

We are dedicated to providing the highest quality of care. This includes receiving feedback and responding to complaints. If you have comments about the care you are receiving, on what we have done well and what we need to improve, please let us know.



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