Effective November 4, 2021

This Minister’s Directive is issued pursuant to section 174.1 of the Long-Term Care Homes Act, 2007 (the Act), which authorizes the Minister of Long-Term Care to issue operational or policy directives respecting long-term care homes where the Minister considers it in the public interest to do so. Every licensee of a long-term care home shall carry out every operational or policy directive that applies to the long-term care home.

This directive is effective as of November 4, 2021. This directive updates and replaces the previous version of this directive dated October 1, 2021.

This directive sets out requirements related to vaccination against covid 19 for people working (including as staff and support workers), undertaking a student placement or volunteering in long-term care homes.


Achieving high immunization rates in Ontario’s long-term care homes through vaccination is part of a range of measures and actions that can help prevent and limit the spread of covid 19 in homes. Vaccination against covid 19 helps reduce the number of new cases, and, most importantly, reduces severe outcomes including hospitalizations and death due to covid 19 in both residents and others who may be present in a long-term care home.

The objectives of this directive are to:

  • set out a provincially consistent approach to covid 19 vaccination requirements in long-term care homes
  • maximize covid 19 immunization rates in long-term care homes
  • ensure that individuals have access to information about covid 19 vaccination
  • increase accountability and transparency through public reporting of immunization rates in long-term care homes


All terms in this directive have the same meaning as under the Act and Ontario Regulation 79/10 under the Act, unless otherwise defined.

The following definitions apply for the purpose of this directive:

  • Directive #3 means Directive #3 for Long-Term Care Homes under the Long-Term Care Homes Act, 2007 issued under section 77.7 of the Health Protection and Promotion Act (HPPA), R.S.O. 1990, c. H.7, by the Chief Medical Officer of Health, as amended from time to time
  • licensee has the same meaning as under the Act
  • physician has the same meaning as under the Act
  • registered nurse in the extended class has the same meaning as under the Act
  • resident has the same meaning as under the Act
  • staff has the same meaning as under the Act
  • student placement means a person working in the long-term care home as part of a clinical placement requirement of an educational program of a college or university, who does not meet the definition of “staff” or “volunteer”
  • substitute decision-maker has the same meaning as under the Act
  • support worker has the same meaning as in the Ministry of Long-Term Care’s covid 19 guidance document for long-term care homes in Ontario, effective August 20, 2021 or as amended
  • volunteer has the same meaning as under the Act

I hereby issue the following directive with respect to every long-term care home:

Updated: November 12, 2021
Published: November 12, 2021