Long Term Care

Woodingford Lodge first opened its doors in October of 1969 and currently provides long-term care services to Oxford County residents through 228 beds located in 3 facilities. This portfolio is categorized into two components: facilities and furniture and equipment.

Inventory

The replacement cost valuation is based on the latest information available, which includes current replacement costs, insurance valuations, inflation, and valuations from studies and assessments completed in prior years.

Condition

The percentage of assets in poor or critical condition has increased from 33% as reported in the 2024 AMP to 34%. The percentage of assets in good or excellent condition has remained the same as reported in the 2024 AMP at 43%. These changes are reflective of the shorter lifecycle of assets in this portfolio. The overall condition is mainly driven by the condition of the facilities as they form approximately 93% of the long-term care asset replacement value.

Key Performance

Oxford County, through its three Woodingford Lodge sites, is committed to delivering exceptional care and maintaining the highest standards of quality and safety for all who live and work at Woodingford Lodge.

Proposed Levels of Service Review

Information on the scenarios reviewed is located within the AMP document. Risk mitigation is a challenge in long-term care environments given the nature of the service and direct support provided. Mitigation may include using vacant bed space at a different Woodingford Lodge site, utilizing vacant bed space at an external provider or hospital space at additional cost. It is unlikely that space could be accommodated within Oxford County for a facility-wide failure, and thus it is imperative that Woodingford Lodge sites are maintained to high standards to reduce the likelihood of risk occurrence. Asset decisions are made to ensure service continuity is achieved. Debenture funding would be a likely source of funding when an entire facility replacement is the most effective lifecycle strategy.

Based on the analysis, staff are recommending Scenario C, the proposed level of service target is to achieve 80% funding for this portfolio. It is important to achieve a higher funding level to manage this portfolio, as adherence to ministry regulations, including asset useful lives, demand lower risk and higher quality assets. Staff identified an improvement area to review lifecycle strategies for various facility components as it may be beneficial in the long-term to not anticipate a run-to-failure strategy for some assets. Once incorporated this may result in reductions to the annual investment required. Through the 2025 budget survey, approximately 77% of respondents indicated that the service levels related to long-term care services should be maintained or enhanced.

Funding Gap Analysis

Planned Investment Level
Inflationary increases are included in the table below in both the required investment and planned investment figures. As the debt obligation for Woodingford Lodge Woodstock decreases over the 2025 to 2027 period the associated levy funds are re-invested in the capital requirement.

Proposed Investment Change
Aside from the inflationary increase, staff are proposing marginal increases in the contribution to the reserve of $20,000 in each of 2026 and 2027. Additional marginal increases are proposed for 2033 and 2034 to close the gap created by reduced interest revenue on a lower reserve balance.

Comparison of required investment to proposed investment (millions)