Long-Term Care Homes are places where seniors can live and receive support services. They are often the right choice for seniors who need help with the activities of daily living, access to 24-hour nursing care or supervision in a secure setting.
In general, Long-Term Care Homes offer higher levels of personal care and support than those typically offered by either retirement homes or supportive housing.
Long-Term Care Homes are licensed or approved by the Ministry of Health and Long-Term Care.
All Long-Term Care Homes in Ontario (including those formerly known as Nursing Homes, Municipal Homes for the Aged, and Charitable Homes) are governed by the Long-Term Care Homes Act, 2007 (LTCHA). The requirements in the LTCHA ensure that residents of these homes receive safe, consistent, and high-quality resident-centred care in settings where residents feel at home, are treated with respect, and have the supports and services they need for their health and well-being.
You can learn more on this page about:
Long-Term Care Homes offer a variety of options. People living in a Home pay a fee for accommodation that is based on the type or style of accommodation. A Home may offer "Preferred” accommodation, which is a private or semi-private room with special features, as well as “Basic” or “Standard” accommodation.
It is important to remember that the features of basic and preferred accommodation will vary, depending on when the particular Home was constructed or renovated.
All Long-Term Care Homes have dining rooms and common rooms, and some may also have features such as a lounge, gift shop, beauty salon, chapel, or garden.
All Long-Term Care Homes offer 24-hour supervision and nursing care.
The basic accommodation package includes the following services:
Optional services are usually available for a fee. They may include services such as hairdressing, cable TV and telephone services, transportation.
Homes must prepare a "plan of care" for each resident, outlining the care requirements and levels of service offered. This plan must be reviewed at least every three months and adapted as the needs of the resident change.
The Ministry of Health and Long-Term Care (MOHLTC) provides funding for Homes. The amount paid by residents for their Long-Term Care Home accommodation is called a "co-payment".
There are two different terms used to define the length a person stays in a Home:
The MOHLTC sets accommodation co-payment rates. The following table shows resident co-payment rates effective July 1, 2012. The co-payment rates change from time to time (usually, annually). For the most up-to-date rates, contact the staff at your local Community Care Access Centre.
The following Bulletin provides important additional details on the July 1, 2012 changes to the co-payment rates for basic and preferred accommodation:
|Type Of Accommodation||Co-Payment Daily Amount||Co-Payment Monthly Amount|
|Basic or standard accommodation||Various styles (Depending on when the Home was constructed or renovated)||$55.04||$1,674.14|
|Preferred accommodation||Semi-private room||$64.04 (Basic plus a maximum of $9.00)||$1,947.89|
|Referred accommodation||Private room||$74.79 (Basic plus a maximum of $19.75)||$2,274.86|
Notes: Optional services (e.g. cable TV or hairdressing), can be purchased for an additional fee. There is no preferred accommodation surcharge for short-stay residents in the respite care or convalescent care programs. Residents in the interim bed program pay the applicable long-stay program rate based on type of accommodation.
Residents in a long-stay or interim bed with basic accommodation, who cannot afford to pay for the LTC co-payment, may be eligible to have their co-payment amount reduced. This is known as a rate reduction.You can learn more about the rate reduction system on this website, or talk to your local Community Care Access Centre
There is important legislation in Ontario that helps ensure Long-Term Care Homes provide a high standard of care.
The Long-Term Care Homes Act, 2007 (LTCHA) and Ontario Regulation 79/10 (Regulation) came into force on July 1, 2010 and are the single legislative authority for safeguarding resident rights, improving the quality of care and improving the accountability of Long-Term Care (LTC) Homes for the care, treatment and well-being of over 76,000 residents.
The LTCHA sets out the requirements for LTC Home resident rights and protections, services, accountabilities, placement rules, system management and compliance inspection and enforcement. The Regulation provides the details to support the requirements of the LTCHA.
The LTCHA and Regulation were developed to improve the resident experience and quality of life in LTC Homes.
To accompany this new legislation, the MOHLTC created the Long-Term Care Homes Quality Inspection Program (LQIP), which is designed to safeguard residents’ rights, safety and security, improve quality of care and create a culture that is focused on resident outcomes.
LQIP safeguards residents’ well-being by continuously investigating complaints, concerns and critical incidents, and by ensuring that all Homes are inspected at least once per year. The mandate of the Long-Term Care Homes Quality Inspection Program (LQIP) is to:
At the end of every inspection an MOHLTC inspector prepares an inspection report. You can read public versions of these inspection reports which are available from:
All Homes must post and follow a Residents' Bill of Rights. The MOHLTC encourages Homes to get accredited by Accreditation Canada or the Commission on Accreditation of Rehabilitation Facilityties (CARF) by providing a funding incentive to accredited Homes.
As part of the Government’s ongoing commitment to improve the quality of care and quality of life for residents, and our ongoing efforts to promote communication and transparency between the long-term care home sector, the public and the Government, we are pleased to introduce Phase One of “A Guide to the Long-Term Care Homes Act, 2007 and Regulation 79/10” (the Guide).
This Guide provides a general overview of the Act and its Regulation. The Guide does not address all aspects of the Act and its Regulation and is made available for convenient reference only. It should be read in conjunction with the Act and its Regulation and, in the case of any conflict; the provisions of the Act and its Regulation are authoritative. Users should consult their own legal counsel for all purposes of interpretation.
This Guide is designed to align with the Table of Contents of the Act and its Regulation. This Guide is divided into ten Parts, reflecting the ten Parts of the Act and its Regulation as set out in the Table of Contents:
Phase Two of the Guide will reflect Parts Three, Five, Six, Seven, Eight, Nine and Ten of the Act and its Regulation.
Note: The Guide is provided solely as an on-line reference tool. Users who require hard copies of the Guide are directed to the links above, so that they may print off hard copies for themselves. The Ministry does not provide hard copies of the Guide.
Quality care matters. If you want more information, have a concern, or want to register a complaint about a Long-Term Care Home, call this toll-free number:
Long-Term Care ACTION Line 1-866-434-0144
7 days a week, 8:30AM-7:00PM
See the Making a complaint about a LTC Home section of this website for more information
All applications to Long-Term Care Homes are coordinated by your local Community Care Access Centre (CCAC). Once your CCAC has determined that you are eligible, your next step is to choose the Homes you wish to apply to. You may apply to a maximum of five Homes. Your local CCAC will provide you with lists and information about Homes in your area. You can also find a Home in your area by using the Home locator on this site.
Your CCAC can also provide more detailed information about how to apply for and select a Home, and also prepare for a move to a Home.
The following organizations are in involved in the LTC Home sector in Ontario:
Call ServiceOntario, Infoline at 1-866-532-3161
In Toronto, 416-314-5518
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm