What is Vancouver Coastal Health's new model for long-term care?

Vancouver Coastal Health is moving long-term care from large institutions into smaller, retrofitted neighborhood houses, each accommodating up to 10 residents with 24/7 clinical care.

When will the new small care homes for seniors open?

The first three small care homes are expected to open in the spring of 2026.

Why is Vancouver Coastal Health changing its long-term care model?

The shift is a response to a growing waitlist for long-term care and aims to provide a more dignified, connected, and home-like environment for seniors, especially those with dementia.

Home / Health / Seniors' Care Home: Small Homes, Big Change

Seniors' Care Home: Small Homes, Big Change

8 Feb

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Summary

Long-term care shifts to small, neighborhood homes with up to 10 residents.
This model aims to create a home-like atmosphere for seniors, especially those with dementia.
The first homes are expected to open in Spring 2026, with 200 beds planned by 2029.

Vancouver Coastal Health is implementing a new long-term care model, moving away from large institutional settings to acquire and retrofit neighborhood houses. This initiative aims to create smaller, licensed care sites, each housing a maximum of 10 residents. These homes will feature private rooms and shared living spaces, providing 24/7 clinical care in an environment designed to preserve dignity and connection.

This household-style model is supported by research, particularly for seniors with dementia, by offering a more familiar and less institutionalized experience. Health Minister Josie Osborne stated the model bridges the gap between independent living and long-term care. Vancouver Coastal Health is collaborating with B.C. Housing and local governments to secure properties.

Senior advocates have met the plan with cautious optimism. While acknowledging the innovative and pragmatic approach, some, like B.C. Seniors Advocate Dan Levitt, emphasize the urgent need for more long-term care beds overall due to B.C.'s aging population. A recent report indicated a over 200% increase in waitlists since 2016.