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A long term care resident sits in a wheel chair next to a window and is assisted by a healthcare professional

Grey County is making important changes long-term care.  County Council is moving forward with plans to combine the beds at Grey Gables and Rockwood Terrace into a new 166-bed County home in Durham. This project will maintain all 166 long-term care beds in southern Grey County. In addition, Grey Gables will be converted to an assisted living and seniors facility. Lee Manor in Owen Sound is not directly impacted by this decision.

Long-Term Care Fact Sheet Frequently Asked Questions

Next Steps

There are many steps in the project. The first of these is to set up a Council Committee of Management. Initially, this committee will oversee the RFP process for retaining the services of the long-term care management company. In future, the committee will report to Council regarding both the operations of the homes and on the redevelopment project.

How Council Reached a Decision

Many factors needed to be considered in making a decision. Over a period of 15 months, Council received multiple reports from staff, the Southwest LHIN, Ministry of Health and Long-Term Care and public feedback. All of these reports are available under Resources on this page.

Frequently Asked Questions

Why did the county start talking about long-term care redevelopment?

Rockwood Terrace in Durham needs to be redeveloped by 2025 to meet new provincial standards.

Redeveloping a home allows Grey County to address other issues facing long-term care. These issues include:

  • the more advanced needs of residents (residents of long term care have greater needs than ever before)
  • challenges finding skilled workers to fill jobs
  • expiring bed licences
  • rising costs of long term care service delivery

Why combine the beds from Grey Gables and Rockwood Terrace?

There are many reasons to combine the beds from the two homes.  Operational efficiencies that improve resident care and reduce costs (lowering the required tax levy), a new larger home allows Grey County to provide better care for our residents. It will be laid out to meet ministry standards and optimize care, including resident’s access to staff.

Why build in Durham?

Taking into consideration the projected demographics for seniors over the next 30 years, the intentions of other private long term care service providers, and discussing our options with the Southwest LHIN, it was determined that this location provided the best alignment between the population requiring care and access to services..

In addition, the Grey Gables building is in good condition and is well suited for less intensive services for seniors, such as assisted living and memory care. There is an opportunity for the buyer to expand and build senior’s apartments also. This plan maintains all 166 municipal long term care beds and attracts more services to Grey County. This will create jobs and meet the needs of seniors who need help but don’t qualify for long term care.

What’s the difference between long-term care and assisted living/memory care/retirement homes?

Long-term care is a specialized level of medical and personal care for people living with advanced medical conditions.  It is regulated by the Province and overseen locally by the Southwest LHIN. More medical staff are required for long-term care because they have more complicated health issues.  Only patients referred to long-term care can live in a long term care facility. Monthly rates for care are set by the Province based on the individual resident. The same rates are applied consistently to private, public and non-profit homes.

Assisted Living (often called retirement homes) provides basic personal care, meals, housekeeping, social activities and 24-hour emergency response. This is typically what people think of when they think of seniors care. Alzheimer’s and memory care facilities provides the same with additional focus on security and creating a low stress environment for these residents. Anyone can apply to live in an assisted living or memory care facility. Monthly rates are set by the operator at levels the market can support.

How much does it cost to construct a long term-care home?

We estimate costs to be about $230,000 per bed. This figure depends on a variety of factors which will be determined when the project goes out to public tender. The 100 beds at Rockwood Terrace are eligible for a Redevelopment Grant from the Province to offset some of the cost.

Building a new 166 bed home will have a limited immediate impact on the tax levy and reductions are expected as service efficiencies are realized.

How will redevelopment impact long-term care residents?

Our number one priority is the health and comfort of our residents. Building a new facility will take time and care at Rockwood Terrace and Grey Gables will continue unchanged until the new facility is complete and ready for occupancy.

When will the new home be built?

This is not yet confirmed.  All plans need to be approved by the Ministry of Health and Long-Term Care and the Southwest LHIN. 

Can Grey County get more long-term care beds?

The Province issues licences for long term care beds and at this time there are no more beds available.  Grey County has one of the highest ratios of long term care beds to people over the age of 75 in all of Ontario. If funding for new beds was made available, it is most likely to go to underserviced areas such as Toronto and London.

Selling the Grey Gables building to an assisted living operator will help fill some of the growing need for senior’s services as our population ages.


Long Term Care
Grey Gables
Lee Manor
Rockwood Terrace

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