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Healthcare Construction

Long-Term Care Home Construction in
Simcoe County & Muskoka

Back to Healthcare & Long-Term Care Construction

Simcoe County and Muskoka have one of the fastest-aging populations in Ontario, retirees who moved north to the lakes and now need care close to where they live. Terrahills is headquartered in Ramara, at the centre of that market. We deliver long-term care homes and retirement residences across the region under one contract, designed to the Ministry's Capital Funding Program.

The demand is structural. Cottage country's permanent population has aged faster than its care capacity, and the communities that need beds (Orillia, Midland, Collingwood, Bracebridge, Huntsville, Gravenhurst) are the ones where serviced institutional land is scarce and construction labour has to be brought in. That favours a builder who is already here and who carries the whole scope, from site plan through Ministry sign-off, rather than assembling it from separate contracts.

The Capital Funding Program funds this region at the southern Ontario tier ($436,000 eligible project cost per bed) which puts a premium on efficient design and on getting site conditions right the first time. Shoreline and low-lying parcels around Lake Simcoe, Georgian Bay and the Muskoka lakes can carry organic soils; Canadian Shield sites in Muskoka sit on rock. The geotechnical report decides the foundation, and it is commissioned before the footprint is fixed.

What is specific to long-term care construction in Simcoe County and Muskoka

  • Capital Funding Program: southern Ontario tier. Maximum eligible project cost $436,000 per bed, CFP funding to $370,600 per bed, on 800 sq ft per bed
  • Group B occupancy under OBC Part 3 with the MLTC Design Manual: non-combustible construction at the building areas involved, rated separations, full sprinkler protection
  • Shoreline and low-lying parcels can carry organic soils and high water tables that push foundations to piles; Muskoka sites frequently sit on Canadian Shield rock
  • Frost depth designed around 1.2 m in Simcoe County and deeper into Muskoka and Parry Sound
  • Servicing: many cottage-country municipalities have limited municipal water and sewer allocation; some sites need private systems and Ministry of Environment approvals
  • Site plan through the local municipality (Orillia, Midland, Collingwood, Bracebridge, Huntsville) with County or District and conservation authority sign-off

What it costs here

Ontario Ministry of Long-Term Care 2025 Capital Funding Policy: maximum eligible project cost $750,000 per bed in the Greater Toronto and Hamilton Area and $436,000 per bed across the rest of southern Ontario, funded on a maximum of 800 sq ft per bed with an eligible-cost ceiling of $1,100/sq ft. That implies roughly $545–$940/sq ft all-in eligible cost depending on tier.

Proof of delivery

Headquartered in Ramara, Simcoe County. EU-GMP certified pharmaceutical facility, Ramara, regulated-environment construction. Ramara Industrial Park: 100,000 sq ft greenfield development delivered through servicing and occupancy in the same municipal environment.

Healthcare & medical facility construction

FAQ

Questions clients ask about healthcare & long-term care

Because the population that needs it is already here and aging faster than the care capacity. Retirees who moved to the lakes now need beds close to home, and the province's redevelopment program is replacing older homes across the region. It is a market with structural demand and constrained supply.
Municipal water and sewer allocation is limited in many of these municipalities. Some sites need private water and wastewater systems with Ministry of Environment approvals, which is an approvals track that has to start early. We take it on as part of the same contract as the building.
Our headquarters is in Ramara, between Orillia and Lake Simcoe. The Ramara Industrial Park and our EU-GMP facility are both here. This is the market we know best.