Significant Event Notification

Operators of private long-term care or community-care facilities must notify the Department of Health and Wellness within 24 hours of a significant event. 

Significant-event notification must be submitted using the online form and will be the only avenue for significant event notification starting April 1, 2021.

IMPORTANT You will receive a confirmation email to the email address entered on this electronic submission form. Please retain a copy of the email as it includes your submission ID number.

What information is required on the notification?

You must provide as much information about the event as possible including:

  • Name of the facility and the person submitting the report
  • Date, time and location of the event
  • Name of the person(s) involved
  • Name(s) of staff involved
  • Additional required notifications completed:
    • Adult Protection
    • Next of kin
    • Coroner
    • Operator/manager
    • Resident(s) physician
  • Type of event, such as: 
    • Potentially life-threatening accident or injury to resident, staff, or visitor
    • Resident missing
    • Death requiring a report in accordance with the Coroner’s Act
    • Harm or suspected harm suffered by a vulnerable resident as a result of unlawful conduct, improper treatment or care, harassment or neglect
    • Incident involving a resident that has been reported to law enforcement officers
    • Fire
    • Prolonged disruption of supply of electrical power, heat, water, or food
    • Prolonged disruption of the provision of any other basic service of the facility which interferes with the ability to give adequate care to residents 
    • A critical situation due to inadequate 24 hour staff coverage
  • Description of the event (text box or upload field provided)
  • Description of the immediate response and outcome (text box or upload field provided)
  • List steps taken to mitigate risk of event recurring (text box or upload field provided).

IMPORTANT You will only be able to print a copy of the submission form for your records prior to clicking submit form. 

Health and Wellness

General Inquiries

Department of Health and Wellness
4th Floor North, Shaw Building
105 Rochford Street
Charlottetown, PE   C1A 7N8

Phone: 902-368-6414
Fax: 902-368-4121

DeptHW@gov.pe.ca