Complex Continuing Care

The exact length of your stay will depend on your individual needs. Many patients stay with us for a long time while others may be able to return to their home or another facility sooner. 

After you are admitted, you will meet with members of our team who will talk to you about your care. Together with you and your caregivers, we will decide on a care plan and help you set some care goals. 

Our team will help keep you medically stable and help you maintain your current abilities. 

We will review your care needs on a regular basis. If you are ready to leave the hospital, we will help you plan for a smooth transition back to your home or another facility. 

Please note that there are also co-payments applied to Complex Continuing Care beds, no matter which room you choose. 

A co-payment is a daily charge that is set by the Ontario Ministry of Health to help pay for non-medical services like meals and accommodations. This is different from the fees for semi-private or private rooms. 

Learn more about co-payments from the Ministry of Health. 

Health-care teams from acute care hospitals can refer patients through the RMR system or by faxing this referral form (PDF) to 416-785-2471. 

The Complex Continuing Care program can accept patients who fit the following criteria:  

• Age 60 and older 

• Medically stable (does not require acute care intervention) 

• If patient smokes, is able to do so safely and make own arrangements 

• Has chronic complex illness with multiple co-morbidities that require ongoing medical intervention 

The program is also able to manage the following needs: 

• Compromised skin integrity, up to stage two 

• Tracheostomy 

• Peripherally inserted central catheter (PICC) lines 

• Enteral feeding tube (G/J –tube) 

• Nephrostomy and other drains 

We are unable to accept patients with the following needs:  

• Dialysis 

• Mechanical ventilation 

• Bi-level positive airway pressure (BiPAP) machines 

• Cuffed tracheostomy tube 

• Greater than 50% oxygen 

• Total parenteral nutrition (TPN) 

• Bariatric equipment (300lbs plus) 

• Needs that can be reasonably met in a community or long-term care setting 

• Stage 1 and stage 2 ulcers without complex medical needs 

• Gastrostomy tube (G-tube) or well-established tracheostomy without complex medical needs 

• A locked and secure unit 

• Extensive rehabilitation or physiotherapy 

Patients with responsive behaviours will be assessed on a case-by-case basis 

For more information about our program, contact a social worker at 415-785-2500 ext. 6450.