Please click the Save button on the bottom of each page, and use the Step links to navigate back to a previous section on the Submit a Complaint form. If you are logged into the portal and do not complete the final step, you may return at a later date to make changes and finalize.
You must complete the Complaint Details step before you can continue with the following steps.
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Now please click on the down arrow below on the right-hand side of the box to chose whether you prefer we contact you by phone or email.
If you’re comfortable providing more information about where you live, please click on the field that says, “start typing to search for address”. Or just click on the box beside “cannot find address” and type it in yourself. The full address should automatically appear in the rest of the fields below. Your address will be used to mail any correspondence and a copy of the decision if that is your preferred way for us to communicate with you.
Again, using the down arrows below on the right-hand side of the box, let us know if you are a resident. If you are not a resident, please let us know the status of the resident. Please also tell us how you know the resident if you are making this complaint on their behalf. Again, you will be able to choose from a list of options when you use the down arrow.
Now we need some information about the retirement home you have a complaint about. We understand you probably may not know the retirement home’s licence number – in this case, click on ‘no’ and then click on the teal-coloured magnifying glass. A window will pop up that will let you search the name of the home (the search function is at the top, right-hand side of the pop-up window).
In this section, please let us know more about the resident that this complaint relates to. It’s OK if you don’t know the suite number, whether the resident is in a subsidized suite (meaning they receive financial help from the government, a hospital or other program to pay for their suite) or other information - just fill out as much as you can. We will contact you for more information if needed.
You only need to fill out this section if there was more than one resident involved or impacted by this complaint. If you are not comfortable or do not know if other residents were involved, you can leave this section blank.
You only need to fill out this section if there was more than one resident involved or impacted by this complaint. If you are not comfortable or do not know if other residents were involved, you can leave this section blank.
You only need to fill out this section if there was more than one resident involved or impacted by this complaint. If you are not comfortable or do not know if other residents were involved, you can leave this section blank.
Let us know what your complaint is about. Please provide as much detail as you can – this could include what happened, when it happened, who was involved or impacted, where in the retirement home it happened (e.g., in your suite, in the dining room) and any reasons you think it happened. If you want, you can also attach as a separate document on the next page.
Now, if you have tried to resolve this complaint with the retirement home, let us know what you did and how the retirement home responded to you.
If you want to attach any other documents that will help us better understand the reason for your complaint, let us know the file names in the box below and then you can attach them on the next page. These documents could be emails with the home’s management, a tenancy agreement or photos that show what your complaint is about.
If there is anyone who witnessed the events you described, please provide their name and contact information. If you are not comfortable providing this information or don’t know, you can leave this section blank.
This section will give us your consent to contact the retirement home to share information about your complaint.
- I understand RHRA may share some or all of the information and documents that it receives from me and other parties with the retirement home complained about.
- I agree to RHRA sharing copies of information and documents it receives from me with the retirement home complained about.
- I understand that RHRA may not be able to help if not enough information is provided in this form or by email/telephone.
- Only applies if you’ve attached additional documents: I have attached copies of documents about my complaint.
Notice
RHRA's Information Access and Privacy Code applies to the information provided to RHRA through this form. The Code is available on RHRA's website here (hyperlink:
https://www.rhra.ca/wp-content/uploads/2023/12/RHRA-MOU-EN-FINAL-SIGNED-June-2023.pdf#nameddest=Schedule_H ). RHRA will restrict its use of any personal information or personal health information collected through this form for the purpose of carrying out its duties under the Retirement Homes Act, including responding to the report and communicating with the person who made the report.
RHRA appreciates hearing from you. We would like to have your feedback about this complaint form and how we handled it. You may or may not be contacted by a third party company, Innovative Research Group, to complete a survey. Please know that you do not need to consent to a survey – it’s only to help us improve how we interact with complainants. If you do not want to be contacted, click on ‘no’. This will have no impact on your complaint.
- I am agreeing to share some or all of the information and documents in this complaint with a third-party surveying company, Innovative Research Group Inc.
- I am also agreeing to the third-party surveying company contacting me by phone for the purpose of providing feedback for improvements to RHRA's complaint process. I am aware that whether or not I consent, it will have no impact whatsoever on the processing or determination of my complaint
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