Only about seven percent of all the 4558 complaints made to the Patient Care Quality Offices (PCQO) throughout the province in 2012 related to residential care. However, the Seniors Advocate noted that the PCQO received 621 complaints related to residential care in 2014/15 (nearly double the 2012 figures).([[{{PAGENAME}}#References|5]]) A 2012 review of the PCQO and PCRB systems noted that the PCQ program is largely geared to addressing concerns in acute care and there are systemic challenges in being able to effectively serve people in residential care or residents of small communities. Personal relationships and fear of retribution were seen as significant barriers to any complaint process. ([[{{PAGENAME}}#References|6]])

Also the The legislation generally requires PCQO complaints to be handled on a first-come, first-served basis; this does not facilitate triaging according to case severity. ([[{{PAGENAME}}#References|7]]) The PCQ program predominantly serves English-speaking Caucasians. ([[{{PAGENAME}}#References|8]]) It has also been pointed out that the intended focus of the PCQ program is unclear– is it expected to be providing a process for managing complaints, resolving complaints or identifying opportunities for improvement? ([[{{PAGENAME}}#References|9]])