He Deserved Better - One Man’s Final Days in Long-Term Care
"This report follows an investigation into the death of a 91-year-old nursing home resident due to complications arising from a broken hip caused by assault from another resident. (...) This report was not prepared in an attempt to find fault or to assign blame, but rather it is written to identify failings or gaps in a very complex system serving our province’s older adult population. This report is concerned with institutional capacity, processes, and monitoring to ensure the safety of residents. All recommendations are directed to government."