Long-Term Care Homes & Services (LTCHS) provides a continuum of high quality long-term care services to eligible adults in both long-term care homes and the community. LTCHS are leaders in excellence and ground-breaking services for healthy aging.

Budget Notes

Long‐Term Care Homes & Services provides a variety of long‐term healthcare services for residents in the City’s long‐term care homes and for vulnerable individuals who reside in the community. The scope of services provided
includes: 10 long‐term care homes, providing permanent, convalescent and short‐stay admissions; Community support programs, including adult day programs, supportive housing services, and homemaking services. As leaders in excellence and ground-breaking services for healthy aging, we are committed to providing exemplary long-term care services to residents and clients, and to actively participating in the creation of an effective continuum of care through strong partnerships with other health care organizations and community partners.

View the Long-Term Care Homes & Services Program Map in greater detail.

Long-Term Care Homes & Services (LTCHS) provides a continuum of high quality long-term care services to eligible adults in both long-term care homes and the community.  LTCHS are leaders in excellence and ground-breaking services for healthy aging.

2018 Budget Summary

The total cost to deliver these services to Toronto residents is $260.156 million gross and $47.376 million net.

Through operational efficiencies, the Program is able to fully offset the $1.063 million in operating budget pressures arising mainly from inflationary increases in utility and contract costs, and salaries and benefits. The 2018 Budget includes $2.069 million, fully funded by the Province in areas of Resident Acuity and Service Level Standards.

Fast Facts

  • There are 627 long-term care homes in Ontario operating 78,120 beds. In Toronto, 52 different organizations operate 84 long-term care homes with 15,222 beds; 17% of the beds are City of Toronto directly operated, according to the Program’s 2016 – 2020 Service Plan.
  • Residents come from over 49 countries of origin, speak 39 languages and practice 34 faiths or denominations.
  • 2,300 volunteers provide over 136,000 hours per year which is over 50 hours of volunteer time per resident.


  • The 2011 Canadian Census confirms that seniors now make up the fastest growing age group in the country, with nearly five million adults aged 65 and over in Canada, and projected to double over the next 25 years to more than 10 million by 2036.
  • Ontario will have 43 per cent more seniors by 2022 and 50 per cent more by 2032. In the Greater Toronto Area (GTA) between 2006 and 2011, the over-65 and over-75 age groups grew by 16.5%. Between 2011 and 2016, GTA represented more than half of the provincial increase in the over-75 age group.

Key Service Deliverables for 2018

Long-Term Care Homes & Services (LTCHS) provides a variety of exemplary services along with an effective continuum of care ranging from enabling vulnerable individuals to continue living in the community to healthy aging and quality of end-of-life care in Long-Term Care Homes & Services’ homes.

The 2018 Operating Budget will enable LTCHS to:

  • Support the Toronto Seniors Strategy to meet growing demand for long-term care services resulting from changing demographic and new populations.
  • Continue the implementation of the 2016 – 2020 Service Plan’s key priorities: deliver exemplary care and services, serve vulnerable individuals and respond to emerging needs; and lead advances in long-term care and support services to seniors.
  • Introduce the new Model of Care, supported by a state-of-the-art electronic healthcare record system and realignment of staffing to strengthen care and rehabilitation services.
  • Operate approved beds in 10 long-term care homes across Toronto, each connected to its local community and responsive to local needs. The homes offer a combination of long-stay, short-stay and convalescent care beds, behavioural supports, young adult care, and specialized services.
  • Serve clients at 9 supportive housing sites providing 24 hour assistance with personal care, light housekeeping, laundry, medication reminders, security checks, light meal preparation, wellness and health promotion, and a Registered Practical Nurse on site 24/7 at each location.
  • Offer light housekeeping, laundry, shopping and meal preparation to help approximately 3,000 individuals to remain in their own homes and community.
  • Offer a variety of quality activities and services in 4 locations through the Adult Day Programs, and provide a safe and supportive environment for individuals who have cognitive impairment or are socially isolated.

Our Key Issues & Priority Actions

  • Aging demographic, acuity and complexity of resident care needs continues to increase with a corresponding increase in demand for specialized services.
    • The 2018 Operating Budget includes $2.069 million in increased provincial funding to address a rise in resident acuity.
    • Through collaboration and partnerships, LTCHS will continue to advance healthy aging strategies including community hub creation, safe spaces for seniors and vulnerable individuals.
    • LTCHS will begin the implementation of new Model of Care to realign staffing mix and enhance rehabilitation services to improve the care provided to residents.
    • LTCHS will continue to advocate for additional funding from the Province.

2018 Operating Budget Highlights

  • The 2018 Operating Budget for LTCHS of $260.156 million gross and $47.376 million net is in line with the 2017 Approved Operating Budget. The Program is able to meet the budget target through the following measures:
    • Base expenditure reductions ($0.545 million)
    • Efficiency savings ($0.518 million)
  • New and enhanced funding of $2.069 million, funded by the Province is included to:
    • Maintain the provincial service standards to accommodate increasing aging demographics and resident acuity.
  • Staff complement will increase by 16.1 from 2017 to 2018.
  • The 2018 Operating Budget provides funding for:
    • Long-term care homes providing 2,641 beds including 2,542 long-term care beds, 66 convalescent care beds, 17 short-stay respite beds and 16 behavioural support beds.
    • Community based long-term care serving over 3,685 clients through services including homemaker & nurses services, adult day program, and supportive housing services.

Long-Term Care Homes & Services (LTCHS) is responsible for maintaining 10 long-term care homes with an asset book value of $248.829 million in a state of good repair to meet Ministry of Health and Long-Term Care (MOHLTC) requirements and to ensure the safety and comfort of its residents.

Included in the 10-Year Capital Plan of $82.564 million is funding of $81.926 million, financed from debt and reserves, to continue the capital maintenance program to maintain the City’s long-term care homes at its current level of state of good repair. Also included is reserve funding of $0.638 million for the Electronic Healthcare Record System project, which will improve resident care planning by enabling electronic documentation of resident health records.

Where does the money go?

The 2018 – 2027 Capital Budget and Plan totalling $82.564 million provides funding of:

  • $32.687 million to fund projects that address health and safety requirements in the long-term care homes and ensure compliance with Ministry of Health and Long-Term Care (MOHLTC) requirements.
  • $49.239 million to continue the state of good repair projects that include building upgrades, electrical, mechanical and specialty systems.
  • $0.638 million to complete the service improvement project, Electronic Healthcare Record System to enable electronic documentation of health records.

Where does the money come from?

The 10-Year Capital Plan requires:

  • Debt funding of $67.734 million (82.0%), which meets the debt guidelines over the 10 year planning period.
  • Reserve funding of $14.830 million (18.0%) to be provided from the Homes for the Aged Reserve Fund.

State of Good Repair Backlog

The 10-Year Capital Plan spending on State of Good Repair (SOGR) is $49.239 million, which will maintain the City’s asset in a state of good repair. The SOGR backlog as a % of asset replacement value is expected to remain at 1.8% between 2018 and 2027.

Key Issues & Priority Actions

  • Addressing unmet needs. Mandated by the Ministry of Health and Long-Term Care (MOHLTC), the City of Toronto has five long-term care homes with a “B” and “C” classification that need to be redeveloped over a 10-15 year period.
    • The 5 long-term care homes identified for redevelopment are Carefree Lodge, Castleview Wychwood Towers (CWT), Fudger House, Lakeshore Lodge and Seven Oaks, which will require funding of approximately $421.582 million over the next 10-15 years.
    • The redevelopment of these homes depends on the completion of George Street Revitalization (GSR) project (refer to the Capital Budget Notes for Shelter Support & Housing Administration [SSHA]), which will provide the necessary swing space for residents during redevelopment.
    • Due to funding and project dependency, the capital costs to redevelop these homes are not included in the 10-Year Capital Plan. However, capital costs for the construction of the GSR project is included in the 10-Year Capital Plan for SSHA, which will serve as a catalyst for the redevelopment of other homes.
    • 10-Year Capital Plan includes funding of $49.239 million to maintain these homes in a state of good repair until redevelopment is possible.

2018 Capital Budget Highlights

The 2018 Capital Budget for Long-Term Care Homes & Services of $8.690 million, excluding carry forward funding, will:

  • Continue the capital maintenance plan to address the required SOGR and Health and Safety requirements at 10 long-term care homes.

Long-Term Care Homes & Services Budget 2018 Infographic
Long-Term Care Homes & Services Infographic