Year: 2020

Director of Finance

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Director of Finance

As a member of the Leadership Team, the Director of Finance provides the day to day management of the financial services operation and its personnel and provides a vital link between the finance department and its personnel and the leadership team. Reporting to the CEO, the Director of Finance is responsible for the overall management and delivery of services of the department. The essential functional areas of responsibility include the planning, development, implementation and management of accounting and financial management policies, procedures and systems. In keeping with our Mission, Vision and Values and our philosophy of Resident Centered Care, the Director of Financial Services, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.


Key Responsibilities:

  1. Effectively oversee the facility budget
    • Flag any significant variances and ensure that these variances are brought to the attention of the CEO
    • Provide guidance to CEO and Directors in managing variances
    • Ensure the conservation of the assets of the Home by planning, developing, implementing, managing, evaluating and monitoring financial policies and procedures, accounting systems and internal and external reporting and analytical systems.
    • Maintain the financial records of the RK MacDonald Nursing Home in accordance with Generally Accepted Accounting Principles (GAAP) including reconciliation of the Protected budget envelope
    • Prepare and assist as required in the required annual audit
    • Ensure the timely and accurate recording of all financial and statistical transactions including bank reconciliation as well as providing supervision of Accounts Payable and Accounts Receivable, and trust accounts
    • Provide monthly financial statement for the Board of Directors
    • Ensure that accounting decisions are in the best interest of the board and, in particular, its financial operations, by being fully aware of the Home’s accounting requirements.
    • Working with CEO, Analyze budget approvals from DOHW against budget requested
    • Assist in development of Home’s business planning process including preparation of annual budget.
    • Assist all other Directors and Coordinators in explaining budget variances and methods of expenditure reductions in areas of deficit.
    • Coordinate submission of data and/or payments to various external agencies such as NSHEPP, CRA, Stats Canada, DOHW, licensing and insurance
    • Coordinate submission of Nursing Strategy, Leadership and Education Premium recoveries
    • EFT with updates to Occupancy and Revenue Journals
    • Process the EFT for payments to Resident accounts
    • Accurate maintenance of data into Acc Pac with monthly reports to Directors
    • Payroll transfer functions
    • Generation of annual T4 for all employees
  1. Coordinate the provision of Finance department services that are Resident centered and that support and reflect the Mission, Vision and Values of the RK Mac Donald Nursing Home
    • Develop, implement and annual review departmental policies and procedures
    • Develop departmental yearly departmental goals and objectives that support the strategic plan
    • Annually review and update departmental job descriptions
  1. Effectively manage the human services within the Finance department
    • Working with the HR Department, responsible for the hiring of employees
    • Manages staff performance on a daily basis and performs annual performance reviews on all staff
    • Coaches, mentors and empowers staff
    • Conducts monthly departmental meetings
    • Approves departmental LOA and vacation requests
    • Progressive discipline, and when warranted and upon consultation with HR and CEO, up to and including dismissal
  1. Ensure the orientation and ongoing education of departmental staff including development and continuing education
    • Works with Education Coordinator to identify departmental specific needs
    • Ensures all staff attend yearly mandatory education
  1. Accountable for the safety and risk management of the financial department
    • Identify potential departmental risks and implement strategies to minimize risk
    • Participate as a leader in the JOHS and Risk Management programs
  1. Communication – through personal behavior and interactions, demonstrates a humanistic, affliitative approach to relationships
    • Within department, with other team members and union representatives
    • In all interactions within and while representing the facility
    • With all Residents and families
    • In all interactions in the Home
  1. Continuous Quality Initiatives
    • Ensure that the independent accounting systems, policies and procedures meet the requirements of the board and government by adhering to CHA/MIS and CICA standards and guidelines and principles.
    • Ensure the efficient operations of the accounting branch through the organization of the work, delegation, setting standards, reviewing operations, conducting meetings, general observations, and implementing the concepts and visions of the quality management program
    • Establishes and directs systems for measuring and improving quality of departmental services
  1. Participates in Committees/teams as required
    • Acts as committee chair on one in-house committee
    • Participates on other committees as required
  1. Other duties as required
    • Provides phone system back-up
    • Liaison role with external IT services
  1. Leadership Roles
    • Active participant on Leadership Team
    • Demonstrates integration of Mission, Vision and Values into practice
    • Active participant in Strategic Planning process
    • Commitment to excellence and moving the organization forward

Leadership Competencies Required

  • Leading Others as demonstrated by the ability to establish focus, to provide motivational support, fostering teamwork, empowering others.
  • Managing Change as indicated by the ability to demonstrate support for innovation and for organizational changes needed to improve the organization’s effectiveness
  • Managing Others as demonstrated by the ability to work with others to coach and mentor them to develop their capabilities
  • Managing Performance as demonstrated by ability to take responsibility for one’s own or one’s employee’s performance by setting clear goals and expectations, tracking progress against goals, ensuring feedback and addressing performance issue promptly.
  • Communication as demonstrated by the ability to ensure that information is passed on to others who should be kept informed as well as the ability to express oneself clearly in conversations and interactions, in writing and to be able to plan and deliver conversations that have an impact and persuade their intended audience.
  • Interpersonal Awareness as demonstrated by the ability to notice, interpret and anticipate others concerns and feelings and to communicate this awareness empathetically to others
  • Influence Others as demonstrated by the ability to gain others’ support for ideas, proposals, objectives, projects and solutions
  • Building Collaborative relationships as demonstrated by the ability to develop, maintain and strengthen partnerships both internal and external to the facility
  • Customer Service Orientation perspective as demonstrated by the respectful, positive manner in which one responds to expressed concerns and the strong desire to find resolution and meet people’s needs
  • Information Gathering as demonstrated by the ability to identify information needed to clarify a situation and using skillful questioning to draw out information from reluctant sources
  • Thinking abilities including analytical, forward, conceptual and strategic abilities to enable one to tackle a problem, anticipate implications and consequences, find effective solutions and planning for the future direction of the Home
  • Initiative to identify what needs to be done and take action before being asked or the situation requires it
  • Results oriented to enable one to focus on the desired results, sets challenging goals and meeting or exceeding them
  • Thoroughness as demonstrated by ensuring that one’s own work, the work of employees and all information collected and shared is complete and accurate. Ensuring that commitments are fulfilled
  • Decisiveness as demonstrated by the ability to make difficult decisions in a timely manner
  • Self Confidence
  • Stress management
  • Personal Credibility
  • Flexibility

Position Specific Competencies, Skills & Abilities

  • Sound knowledge of financial management concepts and systems.
  • Ability to effectively use personal computers, including word processing and spreadsheet programs.
  • Ability to think creatively, develop policies, terms of reference, implementation plans and result evaluations.
  • Ability to execute plans, seeking and implementing imaginative and effective ways to continually improve operations.

Educational Qualifications

  • Professional designation required.


Experience Required

  • Minimum of three years management experience at the senior level, preferably in health care.

Chief Executive Officer

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Chief Executive Officer
DEPARTMENT: Administration
RESPONSIBLE TO: Board of Directors

The Chief Executive Officer is accountable and responsible to the Board of Directors for the efficient and effective operation of the R.K MacDonald Nursing Home. The Chief Executive Officer will be responsible to manage all activities of the Nursing Home subject to the mission, strategic plan, policies, legal regulations, licensing requirements, budget, and accreditation standards and ensure compliance with the Eden Alternative.

Mission, Vision & Values:

Mission: Providing loving, dignified and excellent care in a home-like environment that enables our Elders to live full and abundant lives.

Vision: An alive and vibrant community built on meaningful relationships that celebrates and encourages a uniqueness of spirit and character.


We are committed to understanding the feelings, needs and desired of those we serve and take action to enhance their quality of life.
 We are committed to honesty and integrity in achieving outcomes for those we serve.
We are committed to respecting the dignity and value of each person we serve. We also believe in the provision of a respectful and supportive work environment.
We are committed to enhancing the quality of life of those we serve through everyday best practices and improvement initiatives.

Safety              We are committed to building a culture of safety for those we serve incorporating right to risk in a calculated way within an informed and collaborative decision process.

Specific Duties and Responsibilities:

Stewardship with the Board:

  • Maintains an open dialogue with the board chairperson to ensure the Board is aware of major developments and issues that affect the home through regular reports and attendance at Board meetings. As well as reporting as soon as possible any adverse incidents to the Board that represent risk exposure.
  • The CEO is an ex-officio member of all Committees of the Board.
  • Participate with the Board in establishing the strategic plan for the home based upon identified needs and trends.
  • Ensure risks are managed by ensuring proper liability and insurance protection; compliance with regulations; implementing recommendations from inspection, licensing, and accreditation reports;
  • Maintain a safe environment for staff, residents, volunteers and the public
  • Assist Board proceedings and deliberations by providing timely and the necessary support, information and advice designed to facilitate its decision-making process and activities.
  • Represents the interest of the Corporation in Board approved Regional and Provincial Industry Associations.
  • Provides secretarial support to the Board.
  • Other duties as assigned by the Board of Directors.


  • Effectively manage the Corporations finances, including the preparation of annual Operating and Capital budgets showing planned revenue and expenditures, and funding proposals.
  • Develop and sell business plans to the funders which address areas of underfunding and access all available resources to ensure sustainability
  • Ensure a system of responsible accounting, including budget and internal controls.
  • Maintain a thorough understanding of accounting principals

Strategic Planning:

  • Implementation of the Board’s direction on strategic plans programs, services and special projects.
  • Provide an Operating Plan setting out goals and objectives.
  • Articulate, promote and practice the Vision, Mission and Values of the Corporation
  • Promote and maintain the safety of resident, staff and visitors as a strategic priority for the home at all times.
  • Manages all activities of the Nursing Home subject to the mission, strategic plan, policies, legal regulations, licensing requirements, budget, and accreditation standards.
  • Ensure a continuous quality improvement (CQI) process is in place that is consistent with the mission and strategic direction of the home.


Community Relations

  • Represents the Corporation in partnership discussions with agencies and like organizations in accordance with Board policy and government direction.
  • Build new partnerships throughout Nova Scotia, establishing alliances and partnerships which are of benefit to the organizations residents.
  • Promote and establish strategic community alliances and partnerships which are of benefit to the organization’s residents.
  • Support senior managers participation in establishing and maintaining community alliances
  • Advocate on behalf of the Corporation and its residents to ensure needs and interests are taken into account by decision-makers and the public.
  • Act, when necessary, as spokesperson for the Corporation
  • Participate in local, regional, and provincial continuing care meetings to provide input and to keep abreast of changes that will have an impact on the home.
  • Promote community awareness of the home through effective public relations.

Leadership and Management:

  • Ensure that the Corporation complies with all governing bodies, acts, and regulations, as well as contractual agreements with other organizations.
  • Ensure that the residents receive a level of care consistent with our values and the standards of care approved by the Board and as prescribed by the Eden Alternative
  • Oversee and provide guidance of the planning and implementing of programs and activities which provide social, educational, vocational, spiritual and recreational opportunities for the residents.
  • Lead, coach, and oversee the development of staff in conjunction with the implementation and administration of the collective agreement and the administration for management and non-union staff. Encourage and where possible, provide for formal and informal continuing education for all personnel.
  • Meets regularly with management and staff to facilitate effective communication of organization policies and decisions and to provide a forum for an exchange and sharing of information on issues related to short and long term planning for the organization. As well provide leadership and direction to managers, staff, residents and their families.
  • Promote positive work practices and inclusiveness in relations with the Board, staff, volunteers and the community in order to ensure the efficient and optimal use of all organizational resources. This includes ensuring the efficient and effective use of resources through review, restructuring, and reallocation as necessary.
  • Take initiative and provide leadership to drive a positive effective cultural change
  • Delegate functions and establish formal lines of communication and accountability through an appropriate organizational structure.
  • Delegate responsibilities to Department Directors where appropriate.
  • Ensure appropriate departmental and interdepartmental committees and meetings are in place to facilitate completion of tasks that are assigned or delegated.
  • Ensure appropriate job descriptions are in place and kept up to date.
  • Ensure a performance appraisal process is in place for all staff.
  • Ensure policies and practices are in place that support resident care and provides for their safety and well-being.
  • Negotiate labour contracts and ensure practices are in place that supports fair labour relations.
  • Ensure that an emergency plan is in place and exercised as per licensing requirements so that the home is prepared to respond to fire and other emergencies in the home or community.
  • Practice an inclusive style leadership which highlights practices of listening, observing, auditing, self-awareness, social awareness, and emotional management.

Core Competencies:

  • Ability and experience in working with a volunteer Board of Directors.
  • Proven ability in managing human and financial resources
  • Excellent negotiation, leadership, interpersonal, conflict resolution, decision making, problem solving, communication and organizational skills.
  • Ability to establish and maintain partnerships to enhance the Corporations Mission, Vision and Values
  • Ability to make sound, ethical, effective business decisions engaging others for expertise input.
  • Demonstrated skills in planning at the strategic and operational levels
  • Operates with a realistic, level headed, calming, and rational approach
  • Superior written and verbal communication skills
  • Exhibit Vision and Passion for our residents.
  • Demonstrated ability to positively build teams and engage staff
  • Ability to effectively delegate and multitask
  • Proven track record of continuous quality improvement initiatives
  • Engaging with family members of our residents promoting their involvement in care


  • Minimum 5 years of experience in senior management roles in the health care sector.
  • Senior Administration in Long Term Care is preferred.
  • Proven success in public policy, administration, human resources and financial management
  • Experience in working within a unionized environment
  • Knowledge of the healthcare sector in Nova Scotia would be considered an asset
  • University degree in Health or Health related field is preferred or a degree in Business Administration would be considered.
  • Masters in Health related field is preferred.
  • Extensive clinical experience would be considered an asset.

Update to Visitation Policy

Family and Friends of The RK

As you are likely aware, the Nova Scotia Government announced on July 17, 2020 that long-term care facilities in the Province will be reopening to visitors. Premier McNeil highlighted that safety remains the priority during this reopening process.

The RK has allowed socially distanced outdoor visits on our grounds for several weeks. For the foreseeable future, we are keeping the outdoor visitation policy in place. As of right now, this visitation format is how we can best protect residents and staff while still allowing you to see and talk to your loved ones.

Effective Monday, July 27th, 2020 the following changes to the outdoor visitation policy will be implemented:

  • Continuation of scheduled outdoor visits that do not include touch.
  • Visitors are required to wear a non-medical mask when on the grounds of the RK. The masks may be removed during your scheduled visit as long as the mandatory 6 feet distance is maintained.
  • The maximum number of visitors per resident at one time is now five people.
  • Visitors must remain six feet from your loved one as well as the staff member supporting the visits- this will be strictly enforced.
  •  Visiting options include outside gazebo visits, fence visits, drive thru visits and virtual visits and all must be scheduled in advance.
  • As per the Public Health guidelines, all visitors must be screened, have their contact information collected, and visits must be supervised by a staff member.

Until we are able to develop further protocols and address additional issues, we are unable to further reduce the restrictions on these visits. We know you miss your family and we thank you for your ongoing support as we all work together to navigate these challenging circumstances. Safety has and will remain our top priority and we need to ensure proper procedures can be confidently put in place before we are able to open our doors to visitors.

We understand this may not be the news you were looking to receive. However, this is an incredibly difficult time for everyone involved, and we need to take steps to ensure the safety of our residents and the well-being of our staff and the organization.

If you have any questions regarding visits, please contact the Recreation Department at

There is more information posted on our website. We have also posted the guidelines for “Resident Visitation, Hair Salons and Social Activities in LTC” as issued by Public Health and Department of Health and Wellness July 17, 2020. If you have any additional questions on policies and procedures currently in place, please contact: Cathy Brouwer at 902-863-2578 ext 233 and she will redirect your call to the appropriate person.

Yours truly,

Michelle Thompson

Link to original letter.

Visitation to LTC Update July 17,2020

We have been made aware of the announcement today from Premier McNeil regarding some of the restrictions being lifted for visitation at Long Term Care Homes across the province. We know that this is welcome news for many, however, we must stress that there are still several safeguards and procedures that need to be reviewed and implemented before we are able to open our doors to visitors.

Over the coming days, we will be doing our due diligence to review the requirements recently released by Public Health. Our main goal is to review the capacity of our staff to implement these changes that come with the lifting of visitor restrictions. We will have more information to share with families and the community in the coming days.

Our priority remains to keep the safety and protection of our residents, visitors and staff top of mind.

We know that you miss your family members and that they miss you as well. Our outdoor visiting policy remains in place and if you would like to speak with a staff member to set up a visit, please contact: the recreation Department at

We would like to thank everyone for their continued support has we all work together to navigate these challenging times.

Occupational Therapist

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Occupational Therapist
DEPARTMENT: Walking Stick Rehabilitation
RESPONSIBLE TO: Director, Rehabilitation Services

Reporting to the Director of Clinical Services, the Occupational Therapist is responsible for encouraging growth through the provision of programs and services to residents according to established standards and administrative policies.  This will involve promotion of health and optimal occupational performance; prevention of disability; assessing resident’s needs, and planning, implementing, evaluating and documenting a plan of care. Occupational Therapists work as part of a multi-disciplinary team.  As an employee of the RK Mac Donald Nursing Home every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with the philosophy of RK MacDonald Nursing Home and the established policies and procedures of RK MacDonald Nursing Home, all services provided are in accordance with residents’ personal choice and preferences with the aim of achieving excellence in the care and well-being. In keeping with our Mission, Vision and Core Values and our philosophy of Resident Centered Care, the Occupational Therapist, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities

Professional Accountability

  1. Carries out assessment, plan implementation, plan evaluation and education in accordance with RK policies and procedures, the Occupational Therapy Code of Ethics, the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
  2. Conducts self within legal/ethical/professional obligations and requirements.
  3. Performs beyond entry level competencies and within medical directives and delegated medical functions as approved for the practice setting as per the the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
  4. Works as a champion of person-centered care.
  5. Respects the individuality, autonomy and confidentiality of the resident and ensures the resident is treated respectfully and uses an resident centred approach involving shared decision making and responsibility with the resident and Substitute Decision Maker.
  6. Demonstrates professional integrity and a commitment to the well-being of all residents.
  7. Engages in professional development and lifelong learning activities.
  8. Orientation of new employees and mentoring / preceptors new and existing employees as appropriate.
  9. Acts as a mentor / preceptor for student clinical internships.

Communication and Collaboration

  1. Establishes and maintains effective communication with residents, relevant others and professional colleagues.
  2. Maintains an accurate account of care given through clear, concise, written and verbal communication and evaluates, communicates and documents resident response to care in a timely manner.
  3. Develops and maintains information systems to ensure appropriate access to accurate, objective, relevant information about the resident and general occupational therapy services.
  4. Collaborates, partners, and communicates with the individual, family, and external service providers when there is a difference between the care plan and the wants, needs and abilities of the resident.
  5. Demonstrates effective collaboration and inter-professional teamwork by consulting and sharing information with other health professionals, family and community organizations in a timely manner, provided resident consent is obtained where required, to ensure comprehensive, safe service delivery.
  6. Facilitate admission planning and transitions across the health care continuum, ensuring the resident’s needs are met in appropriate setting.
  7. Participation in staff meetings or working group meetings.
  8. Participation in and /or leadership of program planning, research, continuous quality improvement initiatives, committees, staff education, safety initiatives, and accreditation as requested.
  9. Demonstrates effective verbal and non-verbal communication abilities to prevent adverse events.
  10. Communicates effectively in special high-risk situations to ensure the safety of residents.

Assessment / Treatment / Education

  1. Participates in screening and prioritizing referrals to Occupational Therapy to determine the individual’s need for Occupational Therapy Services as required. Identifies the resident, based on each unique situation, and identifies the resident’s support system (e.g., family, significant others, caregivers, community, etc.).
  2. Consults with the resident on options for service; explains and obtains resident consent. Services at the RK include:
    • Seating prescription – assessment and maintenance
    • Assessment and provision of Individual Specialized Equipment
    • Administration of the Red Cross Specialized Equipment
    • Dysphagia Assessment
    • Pressure Management – Wound care
    • Activities of Daily Living Assessment
    • Administration of wheelchair safety audits and maintenance
    • Administration of specialized mattress program
    • Assessment and provision of slings for ceiling / hoyer lifts
    • Transfer Code and Mobility Assessments
    • Mental Health and Behavioural Assessments
    • Provide clinical education to occupational therapy student interns
    • Provides annual Safe Lifting and Transferring In-services for CCA staff
  1. Selects an appropriate theoretical approach to address the resident’s occupational performance issues.
  2. Advocates with resident to establish positive first contact, consults on options for service; educates and collaborates to establish/remind resident of previous signing and document consent.
  3. Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
  4. Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  5. Collaborates with members of the healthcare team and resident to collect, validate and expand assessment data.
  6. Documents and communicates pertinent information in a timely and concise manner.
  7. Monitors, through assessment data, the ongoing status of the resident.
  8. Recognizes changes in occupational performance and engagement, functional abilities, and health care needs and adjusts the care plan accordingly.


  1. Engages the resident in the goal setting process to identify the resident’s priorities.
  2. Engages in critical thinking, analyzes and interprets assessment data for the resident, his/her support system and the health care team to identify the resident’s occupational performance issues, strengths and weaknesses.
  3. Re-evaluates and adjusts theoretical approach (es) as necessary to fit with the resident’s Occupational Performance Issues (OPIs).
  4. Through collaboration with the resident, develops the plan of care based on the analysis of assessment findings, chosen theoretical approaches, clinical best practices, and the resident’s vision for his/her life opportunities.
  5. Initiates planning and establishes short and long term goals, expected outcomes, a plan of care, and a discharge plan.
  6. Applies knowledge of pertinent Occupational Therapy and related healthcare research and evidence to care planning; uses current knowledge to justify plan of care.
  7. Integrates interdisciplinary and multiagency factors into the care plan.
  8. Negotiates and communicates with the resident, his/her support system, the health care team, and service providers when there is a difference between the care plan and the wants, needs and strengths of the resident.


  1. Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
  2. Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
  3. Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
  4. Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
  5. Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  6. Supervises Rehabilitation Assistants, and Rehabilitation Aides.


  1. Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
  2. Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
  3. Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
  4. Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
  5. Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  6. Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Other Related Duties

Other duties as assigned by the Director of Clinical Services

Inter-professional Competencies

  1. Describes one’s roles and responsibilities and scope of practice clearly to other professionals / residents / family members.
  2. Describes overlapping aspects of own professional knowledge and skills with other health professionals and paraprofessionals.
  3. Recognizes and respects the role, responsibilities and competence of other professions / paraprofessionals in relation to one’s own.
  4. Demonstrates respect and trust to ensure that collaborative relationships are fostered.
  5. Practices within own scope of practice, code of ethics, standards and/or clinical guidelines while working within a collaborative person-centered relationship.
  6. Works with others to assess, plan, provide and review care to maximize health outcomes for individual residents.
  7. Gathers assessment data from all health professionals/paraprofessionals / residents / family involved in care.
  8. Demonstrates effective sharing of information and exchanging of ideas.
  9. Integrates information from each health professional / paraprofessional / resident / family to develop common resident centred goals.
  10. Participates effectively and appropriately in an inter-professional health care team to optimize resident safety.


Minimum Formal Education

Education preparation accepted by the College of Occupational Therapists of Nova Scotia for Registration with the Nova Scotia College of Occupational Therapists.

Certification / Registration / Designation

  1. Eligible for registration with the College of Occupational Therapists of Nova Scotia.
  2. Eligible for membership with the Nova Scotia Society of Occupational Therapists and the Canadian Association of Occupational Therapists.

Special Knowledge and Skills

  1. Thorough knowledge of Occupational Therapy practice, with an interest in program development and evaluation skills
  2. Demonstrated accountability and responsibility.
  3. Strong resident focus and ability to build solid resident relationships.
  4. Demonstrated collaboration and teamwork skills with the resident at the centre.
  5. Commitment to continuous improvement and innovation.
  6. Demonstrated leadership abilities.
  7. Demonstrated planning, organization, and time management skills.
  8. Commitment to promoting a culture that supports safety, ethical practices and organizational health.
  9. Demonstrated good attendance in current and past employment.
  10. Exemplary work history as demonstrated in current and past employment.
  11. Computer skills (e.g., statistics input, word processing, email, etc.).
  12. Physical capabilities to perform the duties of the position.
  13. Occupational Therapy is a diverse profession and additional courses/education/ or training in many specialized areas of practice may be required, e.g., stroke rehabilitation, seating, splinting, mental health services, etc.
  14. Experience with the Red Cross Specialize Equipment Program
  15. Experiences managing Responsive Behaviors or willingness to learn

Judgement and Initiative

  1. Identifies the need for and coordinates occupational therapy services to maintain and enhance the occupational performance and engagement of the resident.
  2. Continuously engages in critical thinking, and evaluates plan of care and makes revisions to plan as necessary in consultation and collaboration with the resident, his/her support system and other members of the health care team.
  3. Articulates rationale for decisions that are based on clinical best practice, current theory and research
  4. Intervenes when standards of practice are violated or not upheld.
  5. Refers to appropriate professionals for issues beyond the profession’s scope of practice and the individual’s personal competence.
  6. Seeks direction or assistance from other health care professionals as required.

Type and Level of Supervision Exercised

  1. Delegates appropriate tasks/ activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  2. Supervision of Occupational therapy assistants, rehabilitation assistants, and occupational therapy aides.
  3. Acts as a mentor / preceptor for students.

Key Relationships:

  1. Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
  2. Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  3. Collaborates and communicates effectively with resident, his/her support system, team member(s) and internal/external resources to implement and coordinate plan of care/services.
  4. Collaborates and works consultatively with team members, all levels of management, and other departments and agencies both internal and external to the organization.
  5. Engages with Professional Associations.
  6. Act as a Communicator, to promote of the profession of Occupational Therapy, and the concepts of occupational performance, occupational functioning and occupational engagement.

Physical Demand

Physical capabilities to perform the duties of the position including working in awkward positions; sitting; stretching/reaching; on feet, standing/walking; pulling/pushing; lifting more than 40 lbs.; transferring residents; crouching; and manual dexterity.

Mental and Visual Demand

These include but are not limited to:

  • Active listening / counselling / interviewing
  • Clinical reasoning and critical thinking
  • Observation
  • Providing training/instruction to patients/students/families/caregivers
  • Report Writing/documentation
  • Data entry/computer use
  • Health Record review
  • Making presentations
  • Driving

Working Environment and Unavoidable Hazards:

Work is inside in resident’s rooms and Occupational Therapy spaces

Safety (resident, worker & workplace)

Demonstrate good stewardship in the identification, reporting & mitigation of unsafe Acts or conditions

  1. Contribute to a culture of resident safety.
  2. Work in teams for resident safety.
  3. Communicate effectively for resident safety.
  4. Manage safety risks.
  5. Optimize human and environmental factors.
  6. Recognize, respond to and disclose adverse events.

Professional Qualification / Education / Experience

  • Minimum of 3 years recent experience in a Long Term Care setting and/or Community with emphasis on adaptive equipment [Red Cross Specialized Equipment Program] and responsive behaviors
  • Bachelor of Science Degree in Occupational Therapy or Masters of Science in Occupational Therapy Entry Level, from an accredited University.
  • Registered member of the College of Occupational Therapists of Nova Scotia.
  • Safety certification such as BCLS, CPR, WHIMIS, CPI
  • Ability to work independently with minimal supervision.
  • Ability to organize, develop and initiate ideas and programs.
  • Commitment to working in an interdisciplinary approach.
  • Demonstrate good communication skills, verbally and in writing.
  • Demonstrated physical ability to perform the duties of the position.
  • Good Attendance and Work Record.
  • Alzheimer and Related Dementia course
  • Criminal Records check – including Vulnerable Sector Search

Notice Regarding Family Visits

Please note that as of June 15th the new Family Visit Rules are available here.

We are preparing to welcome loved ones for outdoor visits beginning Thursday, June 18, 2020. There will be more information about the visits on the RK website on Monday, June 15, 2020; we anticipate the information will be added to the website between 3 & 4pm.  As the restrictions in NS and in Long Term Care loosen, RK MacDonald will be taking a very cautious approach. I know people are anxious to see one another again, but the reality of the effect of this virus on people in Long Term Care cannot be ignored; 82% of deaths in Canada related to COVID-19 have been linked to LTC facilities across the country. While as individuals we may feel our risk to others is minimal, we will be increasing the number of people on the property by up to 270 people per week if every resident has 2 visitors.

We are asking residents or their Substitute Decision Maker to designate two “in-person” visitors [must the same two people for all visits]  to visit their family member.  Window visits and virtual visits can continue for other families not identified as the “in person” visitors.

The Home will begin to facilitate outdoor visits in a couple of ways. Initially, some visits will be done as drive thru visits.  Residents will be sitting outside under a canopy and family members will enter our front roundabout driveway and remain in their vehicles. They will be 6 feet apart during the visit. Other residents will meet family members through the gates near their care areas. Again, spaces will marked off on either side of the gate to ensure social distancing is maintained. Staff will be available to assist with the outdoor visits. For some residents, it may still be best to continue to communicate with their  loved ones through window and virtual visits. We will decide this with the residents and/or family on a case by case basis. As per the Public Health Long Term Care guidelines, we feel that if physical distancing is strictly maintained, family members will not be required to wear masks (unless they choose to) in order to facilitate communication.

As the province and communities “open up”, we will regularly re-evaluate our processes and procedures and work safely and diligently to continue to connect residents and their loved ones. We are working on our procedures as well as securing human resources to support these visits to ensure they are both enjoyable and safe.

Final details will be released on Monday which will also include contact information to schedule your visit and/or speak to someone in Administration.

Thank you for your continued patience as we work through this extra-ordinary time.

Michelle Thompson

CEO Update on the R.K. as of March 16, 2020

March 16, 2020 6:00 pm

Good Evening Everyone:

The facility continues to work through the information shared from Department of Health and Wellness (DHW) as well as finalizing many parts of our pandemic plan.


Phone System– As you know, our phone system unexpectedly collapsed.  When we ordered replacement equipment, we realized we had a much bigger system issue. New equipment was ordered and is currently being programmed. We have indicated to the provider that we need that equipment on site and functional as soon as possible. We do not expect the technicians on site until the week of march 23, 2020(subject to change).  We understand the difficulty this presents especially now that all visitation to RK MacDonald has been restricted.

CareQ: As you know we have purchased a rapid notification system. The information for residents has been collected and we expect the system to be up and running by end of day Wednesday. This will allow us to notify families more efficiently of changes and where to find updates.

Communicating with your loved one: We had a staff and resident meeting today televised on channel 1885 today. This provides an opportunity for us to reach out to residents in their rooms as well as residents and staff in common areas. We reviewed the current guidelines regarding COVID-19 and the reasons for the visitor restrictions. We were able to discuss some of the interim planning we have in place and the activities we are undertaking to prepare.   We have purchased iPads for each of the care areas to facilitate video conferencing with residents. We are working through the IT pieces and hope to have more information on Tuesday.

Pandemic Planning: RK MacDonald has had a generalized pandemic plan for a number of years; it is a requirement of the LTC Licensing Requirements. We are currently In the process of overlaying the information specific to this virus to the pandemic plan. We received Long Term Care (LTC) Infection Control Guidelines today from DHW. We are doing one on one education with staff regarding infection control measures and staff are also watching educational/instructional videos to ensure everyone is updated on best practice. The staff at RK MacDonald have had this education many times before. This situation is reason for us to do a full staff refresher in advance of any cases of COVID-19 in the facility. We will continue to update the plan and processes as well as prepare for unforeseen circumstance to the very best of our ability. We have an experienced and dedicated staff here and I feel confident in our ability to make sound, practical decisions as scenarios arise. Department of health and Wellness and the Nova Scotia Health Authority are providing excellent and timely information to us. We feel connected to these partners and we are doing our very best to get the information they send out to all of you.

Michelle Thompson

CEO R.K. MacDonald Nursing Home

64 Pleasant St, Antigonish, NS

B2G 1W7

Phone: 902-863-2578 ext 232


Fax: 902-863-4437


Closed to ALL Visitors

HEALTH/WELLNESS–First Presumptive Cases of COVID-19 in Nova Scotia; New Prevention Measures


Nova Scotia announced the province’s first three presumptive cases of novel coronavirus (COVID-19), today, March 15. The province is also taking further measures to reduce the spread of COVID-19.

The cases are not connected and are travel related. The individuals followed all the proper procedures when they started to feel unwell.

“My thoughts are with the individuals affected and I wish them a speedy and thorough recovery. Now, more than ever, all Nova Scotians must follow public health direction – that’s how we will reduce the spread of this virus in our province,” said Premier Stephen McNeil. “We need to work together to protect our most vulnerable.”

Two individuals are in the Halifax Regional Municipality and one is in Kings County. All three are managing their symptoms at home in self-isolation. Details include:

  1. a female in her 60’s, who returned to Halifax from Australia on March 8.
  2. a male in his late 50’s, who recently attended a conference in California and returned to Halifax on March 13.
  3. a male in his 30’s, who returned to Halifax on March 10 following travel throughout Europe.

Public health has been in contact with these individuals and those who have come in close contact with them are also being directed to self-isolate at home, away from the public, for 14 days.

Additional prevention measures for Nova Scotians are in effect immediately under the authority of the Health Protection Act and include:

  • long-term care facilities closed to visitors effectively immediately
  • public schools closed for two weeks following March Break (weeks of March 23 and March 30) and then will be reassessed
  • regulated child care centres closed March 17 to April 3 and then will be reassessed
  • March break camps cancelled
  • casinos in Halifax and Sydney are closed as of 12 am March 16 and bar owners can no longer operating VLT
  • anyone who travelled outside of Canada must self-isolate even if symptom-free
  • organizations and businesses must practise social distancing of two metres or six feet and keep gatherings below 150 or much smaller if possible. This applies to restaurants, bars, movie theatres and other gathering spots

Starting Monday, March 16, public health inspectors will be onsite at the Halifax International Airport and the J.A. Douglas McCurdy Sydney Airport. Work is ongoing with federal partners responsible for border security to strengthen the screening process. As well, both airports now have information on digital screens in all areas frequented by travellers.

Nova Scotians can find accurate, up-to-date information, handwashing posters and fact sheets at .

Quick Facts:

  • as of March 15, Nova Scotia has completed 418 tests for COVID-19, with 415 negative results and 3 presumptive positive cases. Testing numbers are updated daily at
  • the Government of Canada has issued a travel advisory asking Canadians to avoid non-essential travel outside Canada until further notice.
  • anyone who has travelled outside of Canada or has been in close contact with someone who has and are experiencing fever (above 38C) or cough should complete the online questionnaire to see whether you need to call 811. The online questionnaire can be found at:
  • Nova Scotia’s Health Protection Act gives the chief medical officer of health the authority to give advice to protect public health and decrease risk to public health presented by communicable diseases such as COVID-19 –the public school system will be investigating virtual schools focused on essential curriculum to ensure Grade 12 students can graduate

Additional Resources:

The Public Health Agency of Canada maintains a list of affected areas:

Government of Canada:

Government of Canada toll-free information line 1-833-784-4397 Nova Scotia Public Health offices: