Let's Talk Antigonish Podcast
If you’ve driven past Church Street Extension lately, you’ve probably noticed the construction. That’s the new RK MacDonald Nursing Home going up — a 125,000 square foot facility that has been in the works since 2017 and is on track to open in 2028. It’s one of the biggest building projects in Antigonish right now. Justin and Anuj sat down with Terry MacIntyre — CEO and administrator of the RK MacDonald Nursing Home, 14 years in the role, for a comprehensive look at what’s coming and what it all means for Antigonish. Why a New Building? The journey to a new RK MacDonald started officially in May 2017, when the provincial government under Stephen McNeil’s Liberal cabinet invited facilities to identify buildings that might need replacement. The RK MacDonald put its hand up, and nearly a decade of planning, design, land searching, and construction has followed. The new building will be located at 61 Church Street Extension — a site chosen after the steering committee essentially drew concentric circles around the centre of Antigonish, trying to land the facility as close to downtown, the hospital, and StFX as possible. Many landowners were approached, some weren’t interested in subdividing, and eventually Church Street Extension turned out to be the right spot. The new building is enormous. That said, the bed count goes only from 136 to 144 — because 144 is the provincial maximum allowed for any new long-term care facility. What the extra space buys is dignity and room to breathe: all single-occupancy rooms, wider hallways, purpose-built storage so that mobility equipment doesn’t clutter the corridors, and the kind of design informed by decades of learning what residents actually need. What Happens to the Old Building? This is the question on everyone’s minds — and MacIntyre is refreshingly direct about the honest answer: it’s not decided yet, and the decision doesn’t belong solely to him. Under the provincial Replaced Facility Disposal Policy, the RK MacDonald Corporation has three options once it vacates 64 Pleasant Street: sell it, retain it, or demolish it and sell the land. The corporation owns the building and the land outright; the new build is fully funded by the Department of Health and Wellness, so there’s no financial pressure to sell the old property to finance the new one. What is decided is who’s in the conversation. Town and County council are at the table alongside the board, along with the Sisters of St. Martha, who — despite stepping back from day-to-day operations — still hold formal governance influence over bylaw changes and major decisions. The sisters’ values, MacIntyre says, are still very much embedded in how the RK MacDonald operates. Discussions are ongoing, with no indication yet as to what the future of the old building will be. The beloved garden at the current RK MacDonald, with its wheelchair-accessible raised beds and memory garden, is something MacIntyre is determined to carry forward into the new design. The main entrance of the new building is being designed as a community gathering space, and outdoor programming — from concerts by local musicians like Ty Wallace to vegetable harvests — will be a priority from day one. How Long-Term Care Actually Works For anyone who has never had to navigate the system, MacIntyre gives a clear and genuinely useful walkthrough. The RK MacDonald is a fully licensed long-term care facility — distinct from independent living (like the Maples) or the mixed model of Parkland, which offers independent living, assisted living, and full care across its floors. If you or a family member think long-term care might be needed, the first step is contacting Continuing Care, who will send a registered nurse for a home assessment. From there, if the person is deemed to need full care, they go on a waiting list managed entirely by the province — the RK MacDonald has no involvement in who’s on that list. When a space opens up at the RK MacDonald, they have 24 hours to notify Continuing Care, who then works through the list by priority level. The RK MacDonald reviews the incoming resident’s care profile to confirm they have the resources to meet the needs, and the whole process moves quickly — vacancies rarely last more than two days. Applicants choose three priority facilities, and if a spot at one of those comes up and is turned down — particularly if the person is in hospital waiting for transfer — they can potentially be placed at any facility anywhere in Nova Scotia. That’s a healthy pressure, MacIntyre says, that keeps things moving. The per diem charged to residents is determined by a government financial assessment. People with significant assets would typically not be in publicly funded long-term care; for those who are, the daily rate is settled between government and family. The Staffing Story: Training Their Own Long-term care faces a province-wide staffing crunch, and the RK MacDonald has responded with a solution that MacIntyre is clearly proud of: training their own continuing care assistants (CCAs) on site. Staff go through a provincially registered training program while mentored by experienced colleagues. The new building includes a dedicated education room specifically to support this. The result? The RK MacDonald currently has no vacant CCA positions — a remarkable achievement in the current environment. About 37% of their staff have been there less than three years, and 118 new staff joined across all departments this past year. The onboarding challenge is real, but it’s being managed. A significant portion of that new staff has come through immigration. During COVID, the RK MacDonald connected with an Ontario agency and brought in about a dozen workers from Nigeria — the start of a broader effort that has since included a mix of government and private immigration channels. MacIntyre is candid about the red tape involved and full of genuine warmth for the people who came. The RK MacDonald picks up new staff from the airport, helps them find housing — they even purchased a house on the Church Street Extension property for transitional accommodation — and works to ensure newcomers feel genuinely welcomed. A culture committee now sits alongside the social committee to ensure the staff community reflects and celebrates the diversity it actually contains. A Place That Belongs to the Community Perhaps the most striking thing about this conversation is how clearly Terry MacIntyre understands the RK MacDonald as something bigger than a care facility. The Martha spirit — radical hospitality, person-centred care, the belief that every resident deserves to be heard and seen — is explicitly embedded in the organization’s values: compassion, accountability, respect, excellence, and safety. The RK MacDonald recently achieved accreditation with commendation, a voluntary process that costs money and isn’t required, but that the staff pursued because it reflects who they are. Volunteers from the Kinsmen Club raise funds for things like the art program. The Lions Club runs monthly bingos. The high school volleyball team played balloon volleyball with residents over Christmas. Musicians drop in regularly. St. John Ambulance therapy dogs make the rounds. The garden is full in the summer. This is, in the fullest sense, a community institution. The new building on Church Street Extension is on schedule and on budget. Summer 2028 is the target. And whatever happens to 64 Pleasant Street, the conversation about its future belongs to all of Antigonish. Get full access to Let's Talk Antigonish at letstalkantigonish.substack.com/subscribe [https://letstalkantigonish.substack.com/subscribe?utm_medium=podcast&utm_campaign=CTA_4]
53 episodios
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