Fundamental principle
2. (1) The fundamental principle to be applied in the interpretation of this Act, the regulations and a service agreement between the Crown in right of Ontario and a licensee is that a nursing home is primarily the home of its residents and as such it is to be operated in such a way that the physical, psychological, social, cultural and spiritual needs of each of its residents are adequately met and that its residents are given the opportunity to contribute, in accordance with their ability, to the physical, psychological, social, cultural and spiritual needs of others. R.S.O. 1990, c. N.7, s. 2 (1); 1993, c. 2, s. 29 (1). Note: On a day to be named by proclamation of the Lieutenant Governor, subsection (1) is amended by the Statutes of Ontario, 2006, chapter 4, subsection 49 (2) by striking out “a service agreement between the Crown in right of Ontario” and substituting “a service accountability agreement between a local health integration network”. See: 2006, c. 4, ss. 49 (2), 55 (2). Residents’ bill of rights (2) Every licensee shall ensure that the following rights of residents are fully respected and promoted: 1. Every resident has the right to be treated with courtesy and respect and in a way that fully recognizes the resident’s dignity and individuality and to be free from mental and physical abuse. 2. Every resident has the right to be properly sheltered, fed, clothed, groomed and cared for in a manner consistent with his or her needs. 3. Every resident has the right to be told who is responsible for and who is providing the resident’s direct care. 4. Every resident has the right to be afforded privacy in treatment and in caring for his or her personal needs. 5. Every resident has the right to keep in his or her room and display personal possessions, pictures and furnishings in keeping with safety requirements and other residents’ rights. 6. Every resident has the right, i. to be informed of his or her medical condition, treatment and proposed course of treatment, ii. to give or refuse consent to treatment, including medication, in accordance with the law and to be informed of the consequences of giving or refusing consent, iii. to have the opportunity to participate fully in making any decision and obtaining an independent medical opinion concerning any aspect of his or her care, including any decision concerning his or her admission, discharge or transfer to or from a nursing home, and iv. to have his or her records of personal health information within the meaning of the Personal Health Information Protection Act, 2004 kept confidential in accordance with the law. 7. Every resident has the right to receive reactivation and assistance towards independence consistent with his or her requirements. 8. Every resident who is being considered for restraints has the right to be fully informed about the procedures and the consequences of receiving or refusing them. 9. Every resident has the right to communicate in confidence, to receive visitors of his or her choice and to consult in private with any person without interference. 10. Every resident whose death is likely to be imminent has the right to have members of the resident’s family present twenty-four hours per day. 11. Every resident has the right to designate a person to receive information concerning any transfer or emergency hospitalization of the resident and where a person is so designated to have that person so informed forthwith. 12. Every resident has the right to exercise the rights of a citizen and to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the residents’ council, nursing home staff, government officials or any other person inside or outside the nursing home, without fear of restraint, interference, coercion, discrimination or reprisal. 13. Every resident has the right to form friendships, to enjoy relationships and to participate in the residents’ council. 14. Every resident has the right to meet privately with his or her spouse in a room that assures privacy and, where both spouses are residents in the same nursing home, they have a right to share a room according to their wishes, if an appropriate room is available. 15. Every resident has a right to pursue social, cultural, religious and other interests, to develop his or her potential and to be given reasonable provisions by the nursing home to accommodate these pursuits. 16. Every resident has the right to be informed in writing of any law, rule or policy affecting the operation of the nursing home and of the procedures for initiating complaints. 17. Every resident has the right to manage his or her own financial affairs where the resident is able to do so, and where the resident’s financial affairs are managed by the nursing home, to receive a quarterly accounting of any transactions undertaken on his or her behalf and to be assured that the resident’s property is managed solely on the resident’s behalf. 18. Every resident has the right to live in a safe and clean environment. 19. Every resident has the right to be given access to protected areas outside the nursing home in order to enjoy outdoor activity, unless the physical setting makes this impossible. R.S.O. 1990, c. N.7, s. 2 (2); 1999, c. 6, s. 46 (3); 2004, c. 3, Sched. A, s. 92 (1); 2005, c. 5, s. 49 (4). Further guide to interpretation (3) Without restricting the generality of subsection (1), this Act, the regulations and a service agreement relating to a nursing home are to be interpreted so as to advance the objective that the resident’s rights set out in subsection (2) be respected. R.S.O. 1990, c. N.7, s. 2 (3); 1993, c. 2, s. 29 (2). Note: On a day to be named by proclamation of the Lieutenant Governor, subsection (3) is amended by the Statutes of Ontario, 2006, chapter 4, subsection 49 (3) by striking out “a service agreement” and substituting “a service accountability agreement”. See: 2006, c. 4, ss. 49 (3), 55 (2). Deemed contract (4) A licensee of a nursing home shall be deemed to have entered into a contract with each resident of the home, agreeing to respect and promote the rights of the resident set out in subsection (2). 1993, c. 2, s. 29 (3). (5)-(7) Repealed: 1993, c. 2, s. 29 (3).