A scathing report by Newfoundland and Labrador’s auditor general reveals a history of poor management, outdated standards, and a lack of overall accountability within the province’s long-term care system. Denise Hanrahan’s 64-page report, released on Thursday, highlights deficiencies in governance, oversight, monitoring, and operational practices, raising concerns about the quality of care received by vulnerable residents.
The audit presents 22 recommendations for the Newfoundland and Labrador government and Newfoundland and Labrador Health Services (NLHS) across four key areas. The long-term care system, catering to more than 3,100 individuals, falls under the jurisdiction of both entities. Most facilities are under NLHS ownership and operate based on health-care legislation and long-term care operational standards, last comprehensively updated in 2005.
Covering the period from April 2024 to March 2026, the audit analyzed 39 long-term care facilities, predominantly managed by NLHS, spanning administrations of both the previous Liberal government and the current Progressive Conservative government. While long-term care oversight was initially under the Department of Seniors, it shifted to Health and Community Services from April 2024 to September 2025.
The report highlights significant issues with the long-term care waitlist, with approximately 730 individuals awaiting placement. However, the report notes disarray in maintaining the waitlist, lacking reliable data and defined wait time standards. Despite an average wait time of six months, some individuals waited nearly four years for placement. The audit also uncovered outdated or missing documentation in placement applications and deficiencies in new resident orientation processes.
Staffing concerns within long-term care were also addressed in the report. It identified inadequacies in monitoring staffing levels and care hours, leading to uncertainty about the level of care received by residents. Background screenings for staff were not consistently completed or documented, with some employees lacking essential checks and training records. Additionally, the audit revealed deficiencies in food safety and medication management practices across various facilities.
Both the Newfoundland and Labrador government and NLHS have accepted all 22 recommendations outlined in the audit report. These recommendations aim to enhance processes, ensure adequate staffing levels, establish proper oversight, and prioritize resident safety in long-term care facilities.