Apply to build new or redevelop existing long-term care beds
Find out if you’re eligible and what you need to do to apply.
Ontario is now accepting applications to build new long-term care beds and upgrade older ones.
If you submitted an application under the 2019 call for applications, you will need to resubmit an application for review.
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Ontario has committed to creating 30,000 new long-term care beds by 2028 and redeveloping older beds to meet modern design standards.
New and upgraded beds will:
- help reduce waitlists
- ease hospital capacity pressures
- ensure every resident can experience the best possible quality of life, supported by safe, high-quality care
Who can apply
You are eligible to apply if you are:
- an existing non-profit, for profit or municipal long-term care home operator
- a new licensee with a partnership with an established operator eligible to operate a long-term care home in Ontario
Before you apply
Before you complete the application form, you should review the:
- Long-Term Care Home Design Manual, 2015 (Design Manual) (PDF)
- Long-Term Care Home Capital Development Funding Policy, 2020
- Long-Term Care Home Capital Development Funding Policy, 2020 (Funding Policy, 2020) Frequently Asked Questions (PDF)
- Market segment map for long-term care development
- Long-Term Care Homes Act, 2007 (LTCHA)
- Regulation 79/10
You are also encouraged to:
- review the ministry’s program objectives (summarized in the introduction to the application form)
- discuss your proposed project and your long-term care needs with local health system partners
- seek legal and financial advice, including advice on any additional provincial or federal legislative and regulatory requirements or restrictions associated with operating a business in Ontario
How to apply
To submit an application:
- Download and complete the application form.
- Prepare an email and attach your completed application form.
- In the subject line, put APPFRM - [Applicant name] - [Project name] where:
- [Applicant name] is the Legal Name of the Applicant
- [Project name] is the name of the proposed home (See section 2.1.2 in the application form for how to determine project name)
- Example: APPFRM – ACME – ACME-Ottawa
- Send the email to LTCdevelopment@ontario.ca
You will be sent an electronic confirmation of receipt after you submit your application.
- Handwritten, scanned or typed hardcopy materials will not be accepted.
- Submit only the materials requested in the application form. Supplementary materials will not be reviewed. However, you may provide letter(s) of support from local health authority/community/clinical partnerships in addition to the application.
- Only applications submitted electronically to the email address above will be accepted.
Applications will be reviewed as they are received. For early consideration, submit your application before December 31, 2021.
Applications will be evaluated based on:
- alignment with program objectives
- project readiness
- financial viability
- ability to address local need
- compliance history (where applicable)
Ontario encourages interested applicants to seek advice from industry experts to establish a cost estimate. You should fully explain any cost estimates in the application, which could range from a preliminary cost estimate based on comparable projects to a fully costed plan.
Each long-term care home development project that is approved for further review must undergo the Ministry of Long-Term Care’s capital and licensing approval process.
The capital approval process includes a review of an applicant’s ability to develop and operate the proposed long-term care home in accordance with ministry policy and legislative requirements.
In addition to receiving funding approval and executing a funding contract, an applicant must receive ministry approval for key milestones including, but not limited to, their design plans to start construction and to occupy the space as a long-term care home.
Ministry of Long-Term Care’s capital and licensing approval process
All long-term care homes in Ontario must be licensed or approved by the Ministry of Long-Term Care to operate a long-term care bed.
The requirements for the ministry’s licensing review and approval process are stipulated in Part VII and Part VIII of the Long-Term Care Homes Act, 2007 (LTCHA) and Regulation 79/10. The ministry’s licensing review has multiple components, including, but not limited to:
- the Minister of Long-Term Care’s determination for the need of long-term care beds in an area
- the Minister’s restrictions due to owner concentration and sector balance
- the Director’s determination on the eligibility of a licensee (including financial viability, regulatory compliance/ inspections performance reviews)
- public consultation
Upon completing all licensing review requirements under the Long-Term Care Homes Act, 2007 (LTCHA) and Regulation 79/10, the Director can make a decision regarding the issuance of a licence or licence undertaking, or the Minister may make a decision to grant an approval.
If you have questions regarding the call for applications, email the Ministry of Long-Term Care at LTCdevelopment@ontario.ca.