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Care Pathway in Geriatric Inpatient Program

All patients receiving care in our geriatrics program follow a consistent care pathway during their 59-day stay. Each patient's care pathway is unique and individualized to meet their personal needs.


  • Referrals and collection of necessary information and documentation.
    The referring physician, together with the Ontario Shores Central Intake department ensures all necessary information is collected. This may include:
    • clinical summary (including course in hospital/long-term care facility, proposed goals of treatment at Ontario Shores, current medications & known medication trials to referral form,
    • reciprocating agreement for patients if applicable,
    • medical clearance,
    • name and contact number of Substitute Decision Maker (SDM) or Power of Attorney (POA) and any copies of signed consents if applicable,
    • names and contact information of community or outpatient supports if applicable
    • address or indication as homeless,
    • current finances, and
    • collateral information and Mental Health Act Forms (if applicable).
  • Admission Day Checklist is completed and documented by Ontario Shores Central Intake team in collaboration with referral source.


  • Within 72 hours of admission, an initial patient and family meeting will be offered.
  • During this time an estimated discharge date will be identified and confirmed with the referral source.
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