What is Going on at Sunset Manor?

Full Disclosure: Sunset Manor is a public, long term care facility in Collingwood, Ontario. I don’t have patients at Sunset Manor. The only interaction I have with Sunset Manor is when I am on call. My personal experience is that the nature of those calls from them has been no different than those from other long term care homes. All the information in my blog is based on what has been publicly reported in the media (with links attached as appropriate).

In June of 2021, the Ministry of Long Term Care issued an order to stop admissions immediately, to Sunset Manor in Collingwood. According to the CTV News Barrie report:

  • The Ministry stopped admissions because of a belief “that there is a risk of harm to the health or well-being of residents in the home or persons who might be admitted as residents.”
  • Sunset Manor received “several written notifications and compliance orders” for not following requirements highlighted after inspections between July 2018 and April 2021.
  • What shocked me the most – the Ministry stated “There are reasonable grounds to believe that the licensee cannot or will not properly manage the long-term care home or cannot do so without assistance.”

Bureaucrats generally tend to use bland, inoffensive language to avoid controversy. That last sentence jarred me. I’ve lived through some pretty bad health care facility situations in my time and have never seen a sentence that strong.

As I write this blog, Simcoe County’s website lists Jane Sinclair as the General Manager of Health and Emergency Services for Sunset Manor, which would make her the admin person in charge of the place.

The CTV News report stated:

  • Jane Sinclair called the ministry’s report “excessive,” adding,  “We don’t agree with the level of severity of these ministry findings.”

Over a year later, Sunset Manor still isn’t allowed to accept new patients, and an exclusive article on Collingwood Today suggests why. You can read the whole article for more details but briefly, Sunset Manor is alleging that the investigations were tainted because an ex-employee of Sunset Manor, Katy Harrison, was part of Ministry Inspection team. Jane Sinclair swore out an affidavit that she told the Ministry the termination of the ex-employee was “not amicable”. Sinclair further states she complained to the Ministry in 2019 about having an ex-employee do an inspection of the home stating she “could not conduct a fair and impartial inspection of the home.”

However, the Ministry elected to have her continue inspecting Sunset Manor as a “junior” member of the team. They state the allegations of bias are “spurious and unsupported by evidence” and that multiple officials inspected Sunset Manor, not just Harrison.

There’s a whole set of details about the inspection process in the Collingwood Today article that I won’t bore you with. But I will note that the article points out there have been four further inspections of Sunset Manor since last June, none by Harrison, and the facility remains closed to new admissions.

Generally speaking, the admin person at an LTC would report to the representative of the owners (in this case the County of Simcoe) to inform them how things are going. As I write this blog, the County of Simcoe’s website indicates that person is one Mark Aitken, the CAO. The website further states one of his responsibilities is overall management for Long Term Care and Seniors Services. Yet another wrinkle thrown into this mess is that Mark Aitken is married to Jane Sinclair. (Yes I know it was a letter to the editor, but it has gone un-retracted which the press would do if it was challenged).

In summary, Sunset Manor has been repeatedly investigated by the Ministry of health over the past four years. One of the investigators was an ex employee whom the Manor feels was biased. As a result of investigations, Sunset Manor has not been allowed to admit new residents to the facility for over a year. The Administrator answers to the owner (or in this case, the owners representative) who happens to be her husband. The response of the owners is to sue the ministry alleging the inspections were biased and unfair.

Here’s my take.

1) I think it was wrong of the ministry to allow ex-employee to investigate Sunset Manor. I’m in no way suggesting that Miss Harrison acted inappropriately. The reality however, is that optics matter. If you’re going to level the most serious punishment possible to a long-term care facility you need to make sure that there’s absolutely no margin for people to think that that punishment is anything other than completely justified.

2) Similarly the administrator of Sunset Manor should not be reporting to her husband. The Administrator may have handled the situation perfectly, but again optics matter. The public needs to be reassured that if the Administrator made a mistake, appropriate action would be taken, and people won’t believe that if your spouse is your boss. (ADDENDUM: While the Simcoe County Website continues to list Mr. Aitken as the person responsible for LTC – please see the first comment below from Mr. Manary – who wrote the initial letter stating Mr. Aitken and Ms. Sinclair were married. At this time I’m simply putting the information out there, but if there is a factual correction to be made by someone in authority at County of Simcoe – I will do so).

3) You know how there are people like Dr. Samir Sinha who write articles that we must stop private nursing homes? Or that tweet the incessantly that public long term care facilities are better? Sunset Manor is public.

This situation has been allowed to drag on for over a year to the point where according to Collingwood today there are now 43 empty beds at Sunset Manor. While four compliance orders have been lifted, the home was fined another $5,500 for failing to comply with medication management.

The frustrating thing is it it should never have come to this. It’s a travesty when we have so many people waiting for long-term care beds. I recently had a patient wait over 90 days in hospital for one. Getting Sunset Manor open again would really help our community.

I don’t know who’s right and who’s wrong here, but hopefully whatever needs to be done there gets done, and our seniors can once again get the care they deserve, in the location they need.

Author: justanoldcountrydoctor

Practicing rural family medicine since 1992. I still have active privileges at the Collingwood Hospital. One Time President of the Ontario Medical Association.

3 thoughts on “What is Going on at Sunset Manor?”

  1. Dear Just an Old Country Doctor. I am the Letter to the Editor writer who brought out the fact that Jane and Mark were married. A couple of things in your Blog.. Mark is Not the Warden of Simcoe County. He is actually a well paid CAO, in fact the highest paid in Ontario. He has held this position since about 2005. (It might be longer but I could find confirmation dating that far). After my Letter to the Editor I was invited to a Meeting with the Warden and a few of his staff. At this meeting, I was assured that Jane does Not actually report to Mark to avoid any conflict of interest. She instead does report to the Warden Directly (Not exactly the way it is shown in the County Structure Diagram in the 2022 Budget or any other since Jane and Mark Began Dating. This begins another problem. SINCE the Warden position is voted on every 2 years, and SINCE the Warden is just another elected Mayor from one of our communities. Jane Sinclair’s Boss likely changes every 4 years at minimum. It may also be of interest to know that we are the ONLY County in the Province of Ontario that has combined the position of Manager of LTC and Health Services. (Health Services being our Paramedics). How did this Happen?. On this topic Jane Sinclair makes a cool 239,000.00/year salary making her the 5th highest paid County Employee in Ontario. Our Current Warden for Simcoe County is George Cornel, The Mayor of Tiny Township. That is for now, with elections coming in October, Warden Cornel is not likely going to be Jane’s Boss after the election, and it will start all over again.

    Todd Manary

    Like

  2. This whole situation with Sunset Manor is absolutely disgraceful. The ones who are supposed to be administering this place are playing games with peoples lives and welfare. Having 43 empty beds is a travesty to our community. I personally know several people who are forced to drive several miles to visit their loved ones while all the beds remain empty. Any other business would have fired those in management for their incompetency and total lack of dedication and passion for their job. Jane Sinclair is not qualified to continue and being married to the CAO is a conflict of interest. Who exactly is in charge? Where is the COUNTY OF SIMCOE?
    We are in a health care crisis and these people in management just don’t give a damn as long as they are still working and getting paid. This has gone on way too long
    Perhaps the Ontario Government should step in here and investigate what is really going on here.

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: