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A Clinical Approach to Long-Term Care

ACHIEVA HEALTH works collaboratively with long-term care homes to deliver rehabilitation and mobility programs that prioritize resident safety, dignity, and independence.

Our model goes beyond exercise programs to incorporating physiotherapy and rehab services led by regulated healthcare professionals and grounded in assessment, progression, documentation, outcomes and clinical oversight.

The result is practical impact, improved mobility and confidence, fewer preventable falls, and a stronger standard of care across homes.

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Healthcare-led care delivery

Why Long-Term Care Requires Clinical Leadership Not just an exercise program

Residents in long-term care often present with complex medical conditions, mobility limitations, cognitive decline, and high fall risk. These realities require clinical expertise and structured intervention planning.

Our team includes physiotherapists, physiotherapist assistants and rehabilitation professionals experienced in long-term care, working safely within resident abilities and limitations while focusing on objective measurable outcomes.

Programs are customized to the needs of each resident and long term care and implemented incorporating an inter-professional approach to care that integrates with a wholistic approach to care.

Our Long-Term Care Services

Physiotherapy Services

Assessment-driven physiotherapy focused on strength, balance, gait, pain management, range of motion, and functional mobility.

Falls Prevention Program

Structured falls prevention strategies designed to reduce incident rates through strength, balance, mobility training, and education.

Occupational Therapy

Support for dressing, toileting, transfers, functional mobility, and daily routines to improve resident independence and safety.

Speech Language Pathology

Communication and swallowing support to promote safe feeding, improved connection, and better quality of life.

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Funding and Service Options

Physiotherapy services in long-term care are funded through the Ministry of Long-Term Care, at no cost to residents, with service delivery aligned to long-term care standards and clinical documentation expectations.

Homes may also choose to expand services beyond funded physiotherapy, depending on resident needs, staffing realities, and operational priorities.

Funded Physiotherapy

Clinical physiotherapy delivered in accordance with long-term care requirements, with documentation, progression planning, and collaborative integration.

Additional Physiotherapy (Fee-Based)

Expanded availability or additional physiotherapy services to support higher demand, special initiatives, or enhanced programming.

OT and SLP (Fee-Based)

Occupational Therapy and Speech Language Pathology services offered for homes seeking broader interdisciplinary rehabilitation support.

A strong long-term care program is proactive. Falls prevention and mobility support should be built into the culture of the home, not introduced after avoidable decline.

ACHIEVA HEALTH Falls Prevention Program

ACHIEVA HEALTH's Falls Prevention Program improves resident strength, balance, and mobility, and reduces fall risk through positive, effective strategies that support safer ambulation and transfers.

A successful program requires inter-professional collaboration. We provide education to staff, residents, and families so the strategies used in therapy carry into everyday care routines.

This same clinical program is also delivered in community clinics and through in-home care, tailored to the setting and the individual's mobility level.

Program Goals

  • Reduce falls in your long-term care home
  • Improve resident mobility and function
  • Increase resident confidence and well-being
  • Improve overall quality of life
  • Make caregiver work more supported and sustainable
Learn More About Our Falls Prevention Program

Resident Participation

  • Use canes, walkers, and wheelchairs properly
  • Keep mobility devices within arm's reach
  • Change positions slowly to reduce dizziness
  • Stay active with safe ambulation and exercises

Practical Safety Habits

  • Wear footwear with rubber soles
  • Wear comfortable clothing that is easy to manage
  • Avoid garments that drag on the floor
  • Ask for help early, not after a fall

Care Team Support

  • Consistent approach across staff
  • Positive reinforcement that builds confidence
  • Items like call bells placed within reach
  • Care aligned to goals and limitations

Many falls can be prevented through proper risk identification and individualized interventions. Our role is to bring a clinical framework that can be consistently applied in real-world long-term care environments.

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Mobility Devices and Safe Ambulation

Proper use of walking aids reduces fall risk and supports safer, more confident mobility. Education for staff, residents, and families is a critical part of a sustainable falls prevention strategy.

Canes

Canes widen the base of support and should typically be held in the opposite hand of the affected leg. Proper height is around the wrist crease with a slight elbow bend.

Walkers

Walkers provide stability and security. Proper height is around the wrist crease with a slight elbow bend. Residents should not pull up on the walker to stand.

When Using Any Device

  • Promote good posture, eyes forward
  • Encourage slower, controlled walking
  • Monitor wear and tear: brakes, wheels, grips
  • Ensure devices stay within reach

Gait Support for Common Conditions

Parkinson's

Often presents with forward posture and a slow, shuffling gait. Training emphasizes stability, rhythm, pacing, and planned rest.

  • Encourage a wider base of support
  • Use rhythmic cueing techniques
  • Build predictable rest breaks
  • Support breathing strategies when needed

Stroke, Arthritis, and Joint Replacement

  • Stroke: strengthen the affected side, use appropriate mobility aids, balance with rest
  • Arthritis: alternate activity and rest, reduce joint stress, use aids to improve endurance
  • Joint replacement: restore ROM, strength, and balance, progress to full weight-bearing safely
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Restorative Care and NRRC Support

ACHIEVA HEALTH supports long-term care homes with restorative care programming that aligns with a rehabilitation philosophy: maintaining function, preventing decline, and empowering staff with clear, repeatable approaches.

We help care teams build consistency through training, goal-setting, documentation support, and practical interventions that fit the realities of daily care delivery.

Staff Training and Education

On-site or virtual education for nursing and care teams on mobility, transfers, ROM, safe ambulation, and restorative approaches.

SMART Goals and Care Plans

Clear, practical goals and step-by-step interventions that support resident progress and team consistency.

Documentation Support

Tools and structure to support documentation expectations and ensure programs remain audit-ready and operationally sustainable.

Reporting, Tracking, and Continuous Quality Improvement

Long-term care programs improve when outcomes are tracked and strategies evolve. ACHIEVA HEALTH monitors resident strength, balance, and mobility so care teams can see what is working, where to adjust, and how to reinforce success across the home.

What We Track

  • Strength, balance, and mobility measures
  • Progress toward functional goals
  • Fall risk reduction strategies
  • Program participation and adherence

What Homes Receive

  • Clear, useful reporting for care planning
  • Resourceful recommendations to address falls
  • Education that improves consistency across staff
  • A structured approach to CQI and program refinement

Ideal For Long-Term Care Homes That Want To…

  • Reduce falls and prevent avoidable injury
  • Improve resident mobility and independence
  • Increase participation in safe movement
  • Support residents with complex conditions
  • Build a consistent, healthcare-led rehab culture
  • Support staff with training and clear strategies
  • Strengthen documentation and accountability
  • Partner with an interdisciplinary rehab provider

Signature Rehabilitation Programs & Policies

Mobility, Strength & Falls Prevention

  • Ambulation & Gait Training Program
  • Falls Prevention Program
  • Osteoporosis Program (Healthy Bones)
  • Arthritis & Pain Management Program
  • Pre- & Post-Surgical Rehab Program
  • Group Exercise & Mobility Programs in LTC

Neurological & Cognitive Care

  • Alzheimer's & Dementia Care Program
  • Parkinson's & Neurological Program
  • Stroke Rehab & Wellness Program
  • Neurological Rehab for MS & CP
  • Sensory Stimulation Program
  • The Butterfly Approach for Dementia Care

Daily Function & Independence

  • Activities of Daily Living (Dressing & Grooming)
  • Continence Rehabilitation Program
  • Seating & Mobility ADP Program
  • Least Restraints Program
  • Healthy Dining Program

Medical, Respiratory & Swallowing Support

  • Chest Therapy & COPD Program
  • Dysphagia, Eating & Swallowing Program
  • Communication Program
  • Skin & Wound Care Program
  • Palliative & End of Life Care Program

Restorative Care & Staff Support

  • Nursing Rehabilitation & Restorative Care (NRRC)
  • LTC Staff Wellness Program
  • Workplace Wellness Education Program
  • Back Education & Injury Management
  • Ergonomic Strategies, FCEs, PDAs

Quality, Safety & Program Governance

  • Infection Control & Health & Safety Program
  • Program Evaluation & Continuous Quality Improvement (CQI)
  • Annual Maintenance & Calibration of Equipment
Healthcare professional assisting a senior resident with mobility

Clinically led programs

Partner with ACHIEVA HEALTH Expert long-term care support

ACHIEVA HEALTH is dedicated to improving long-term care through clinically led rehabilitation, mobility, and falls prevention programs. Our team works closely with care homes to deliver practical, effective strategies that prioritize resident safety, independence, and quality of life.

Contact us today to learn more about how we can support your home's long-term care program with expert services tailored to your unique needs.

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FAQ Long-Term Care FAQs

Are services delivered by regulated healthcare professionals?

Is physiotherapy funded in long-term care?

Do you offer Occupational Therapy and Speech Language Pathology?

Do you provide staff training?

How do we start a partnership?

Are services delivered by regulated healthcare professionals?

Yes. Programs are led by regulated healthcare professionals with experience in long-term care environments.

Is physiotherapy funded in long-term care?

Physiotherapy services in long-term care are funded through the Ministry of Long-Term Care, at no cost to residents. Homes can also choose additional or expanded services depending on needs.

Do you offer Occupational Therapy and Speech Language Pathology?

Yes. Occupational Therapy and Speech Language Pathology services can be offered as additional services for homes seeking broader interdisciplinary support.

Do you provide staff training?

Yes. Education is a core part of successful outcomes. We provide training and practical strategies for staff, residents, and families.

How do we start a partnership?

Contact us to discuss your home's needs. We will review priorities, program scope, and implementation logistics.

Our Long Term Care Home Network

Below is a map highlighting our network of in-home physiotherapists, rehabilitation professionals, and the long-term care homes we support across Ontario. This network allows us to deliver in-home care and clinical services in many communities throughout the province.

Achieve Movement. Achieve Confidence. EXPERIENCE ACHIEVA HEALTH

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