New Brunswick Nursing Homes

Understanding The Nursing Home System


Definition of Nursing Homes in New Brunswick

Nursing homes are designed for individuals who are medically stable and need 24 hour a day, 7 day a week professional nursing supervision.

Eligibility

In order to eligible for nursing home care you must be:

Government Responsibility

The Department of Social Development is responsible for licensing and monitoring nursing homes.

Nursing Home Owners

Currently, all nursing homes in New Brunswick are not-for profit.

Accommodation/Room Type

Most nursing homes have a selection of room layouts from which to choose. A basic, or ward room consists of 3 or more beds. A semi-private room has only 2 beds, and a private room has a single bed.


Applying To A Nursing Home In New Brunswick

In order to apply for a nursing home bed, you must contact the Department of Social Development (please see the “Applying to a Nursing Home” tab on the left hand side of the screen). A nurse and Social Worker will gather demographic and health information, and conduct a thorough assessment to better understand your physical, mental, cognitive, and psychological functioning. With this information, the nurse or Social Worker will present your information to the Single Entry Point Committee, who will decide if you are eligible for nursing home placement. The client and their family/next of kin can be present for the meeting.

Waiting List

If you qualify for nursing home care, you will be asked to choose three nursing homes as your preferred homes. Your name will be added to the waiting list of all nursing homes within a 100 km radius of your location. Individual nursing homes control their own waiting list, and an individual at the home will contact you when a bed becomes available. You can refuse one bed offer, however if your refuse a second bed offer, your name will be removed from the waiting list. You can refuse any bed offer, without penalty, if you do not speak the official language of the home.

If you accept a bed offer from a home that is not on your preferred list, you can request a transfer to another home, and maintain your position on the waiting list.

If you are waiting for a nursing home bed in hospital, you must abide by the First Available Bed Policy and accept the first bed offer. Again, you can request a transfer to your preferred home once admitted and maintain your priority on the waiting list.

Admission Documentation

During the assessment process, your nurse or social worker may have collected certain documents required by the nursing home. If not, be prepared to bring the following to the home at the time of admission:


New Brunswick Nursing Home Costs

The New Brunswick government subsidizes health care costs and determines nursing home fees. Residents can expect to pay a portion the nursing home costs, known as an accommodation fee. As of April 2013, New Brunswick nursing home residents are charged a maximum of $107per day. Rates will increase to $113 per day as of April 2014.   Your rate will be determined by your family’s income, not the nursing home resident’s income alone.

  Maximum Daily Rate Maximum Monthly Rate
Accommodation Fee $107 $3255

A resident’s ability to pay maximum rate does not determine placement into a ward, semi-private, or private room. The nursing home decides which residents will receive each type of room based on several factors, such behaviour (a resident who exhibits disruptive behaviours may be assign a private room as to not disturb other residents), availability, and care needs.

Rate Reduction

If you are unable to pay the maximum accommodation rate, you can request financial assistance from the Department of Social Development. You will undergo a financial assessment and complete a Financial Declaration Form, which requires the following information:

You will not be required to sell your house to pay for your nursing home costs.

If you have a spouse who is living in the community, yet you are physically separated because of reasons beyond your control (i.e., living in a nursing home), you may be eligible for the same amount of financial assistance as a single person.

Discretionary Spending/Comfort Allowance

In determining your accommodation fee, each nursing home resident must have a given amount per month for personal spending. Also, you are able to keep the GST rebate and Low-income Seniors Benefit. If all of your income goes towards your accommodation fee, the government will provide you with the Comfort Allowance.

Short-stay/Respite Care

Respite care gives temporary relief to caregivers, or allows them to go on vacation knowing that their loved one’s care needs are met.  You can receive respite care for a maximum of 30 days per visit, and no more than two times per year. Not all nursing homes provide this service, so please contact individual homes to inquire as to whether or not you can receive respite care in the home.

Programs and Services That Are Covered

The resident accommodation fee and government subsidy will cover the costs of the following programs and services:

Programs and Services That Are Not Covered

The following programs and services are not covered by either resident accommodation fees or government subsidy, and therefore required resident out-of-pocket costs.

Medications

If a drug is not covered under the Prescription Drug program, you will be required to pay for the medication.


New Brunswick Nursing Home Policies, Programs, And Services

 

Although nursing homes vary according to some programs and services, the following are fairly standard across all nursing homes.

Restraints

Although homes may vary in their use of restraints, they should all have a least restraint policy, which typically requires that restraints are only used if:

Leave of Absence

Regardless of the reason for the absence (i.e., hospital stay, psychiatric leave, vacation, weekend leave), you cannot be away from the nursing home for more than 30 days per calendar year. During your absence, the nursing home will hold your bed, however you must continue paying the accommodation fee. If you wish to extend the absence, you must go through an application process and explain the reasons for the extension.


New Brunswick Nursing Home Regulations And Inspections

Nursing homes must abide by the Nursing Home Act and its regulations. As part of the Act, a nursing home must operate with a valid license, which must be posted in a conspicuous location in the home. Although nursing homes do not have be accredited, some choose to be part of this program by Accreditation Canada (formerly the Canadian Council for Health Services Accreditation). Accreditation Canada is an independent, non-government agency that evaluates health care facilities. This is a voluntary program, and a home can operate without this designation. Homes that have been through this process, and have been granted accreditation are presented with a plaque, which most homes prominently display.

Nursing Home Inspections

At least once a year, the Department of Social Development inspects each nursing home. Inspections occur at least one month prior to the expiry date of the nursing home’s license. An inspection takes 2 days, and culminates with a meeting with the Administrator to advise of any findings or areas of non-compliance. The Administrator will soon receive a report summarizing the outcome of the inspection, and the inspector will give the Administrator deadlines to correct concerns. The Administrator, in turn, must send the inspector a letter indicating that the concerns have been rectified, along with supporting documentation. If the Department of Social Development approves the report, and the home is fully compliant, the Administrator will complete a form to renew the license within 60 days of the license expiring.

If, however, the home has not corrected all concerns, they will only be issued a modified license. Once the home corrects all violations, they will be able to apply for a full license.

Complaints

If you have a concern with the nursing home, first speak with the relevant staff member to make them aware of the problem and discuss ways to address the issue. If you are not satisfied with this response, contact the Manager of the department. Serious issues, or concerns that are still not corrected, should be brought to the attention of the Administrator.