Abuse, neglect unveiled by investigation into Floralies long-term care homes in Montreal

An investigation into two long-term care homes run by the same company, which hascontracts with several regional health boards, has found abuse "in all its forms," severeunder-staffing, management issues and a lack of contingency planning.

More than half of the nearly 240 beds in each of theFloralies care homes one of which is in Lachine and the other in LaSalle are under contract by various health boards.

The report comes two years and several public inquiries after crises exacerbated by the COVID-19 pandemic caused a rash of deaths in Quebec'sprivate and public long-term care homes,and suggests there is still work to do to improve the living situations of their residents.

The two homes were put under trusteeship by the Health Ministry in September.

Michel Delamarre, who recently retired from his position as CEO for the Quebec City regional health board, conducted the report. He also found that the health boards overseeing the Floralies homes had failed to take action soon enough.

Quebec's minister responsible for seniors, Sonia Blanger,said she had commissioned a team to implementDelamarre's 21 recommendations.

"Beyond the shortcomings of the owners of Floralies, there was a lack of co-ordination by the health network," Blanger said.

The minister said a management team hired by the CIUSSS de l'Ouest-de-l'le-de-Montral, the West Island regional health board, was put in place as of Sept. 1 for 180 days, and that she will not hesitateto extend its mandate, if needed.

That same CIUSSS was the health board that put the now infamous CHSLD Herronin Dorval under trusteeship during the pandemic's first waveand was later admonished byCoroner Ghane Kamelfor its poor handling of the situation.

Blanger also said her ministry would be drafting a clear set of responsibilities the health network must havein relation to privately run institutions.

"As minister and as a citizen, I was shaken to see what took place [there]," she said ata Montrealnews conference Thursday.

The issues Delamarre listed in his report include abuse and violence from staff toward patients, negligence, both from staff and as a result of Floralies's insitutional mismanagement, as well as poor scheduling practices, and a lack of governance accountability. There is no board of governors overseeing practices at the homes, for example.

When Delamarrebegan his investigation in August, an outbreak of streptococcus A had already been spreading in one of the homes since April,but Floralies had only that month advised the Health Ministry, which he called "unusual."

By the time he finished his report in October, Delamarre said six patients had died and the outbreak was still ongoing. It's unclear if, now a month later, that remains the case.