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News & Updates from Niagara Health

1.3-million-square-feet of transformation

Posted Nov 2nd, 2026

This is an opinion column by Lynn Guerriero, President and CEO of Niagara Health, and Dr. Neel Malhotra, South Niagara Hospital Physician Lead, originally published in the Niagara dailies.

Lynn Guerriero is President and CEO of Niagara Health and Dr. Neel Malhotra is the South Niagara Hospital Physician Lead.

It's hard to grasp the scale of the South Niagara Hospital.

At more than 1.3 million square feet, it is one of the largest hospital projects in Ontario. Standing 61 metres tall, it will stand slightly higher the Horseshoe Falls and rank among the tallest buildings in Niagara Falls.

But the real story isn't the building itself. It's what will happen inside.

The South Niagara Hospital will include 475 single-patient rooms, creating a net increase of 156 beds across Niagara Health's hospital system. Its Emergency Department (ED) will be three times larger than the current Niagara Falls ED and designed to accommodate roughly twice as many patients.

Those numbers tell the story of how hospital care in Niagara is being transformed.

Hospital capacity affects nearly every part of the patient experience. When beds are unavailable, patients who need admission can end up waiting in the Emergency Department longer than anyone would like. Adding beds creates space throughout the system, helping patients move more quickly to the care setting they need.

A larger ED means more treatment spaces and more room to assess and care for patients.

The hospital's 475 private inpatient rooms are another significant change.

Single-patient rooms improve privacy and comfort, help reduce the spread of infection and create a better environment for recovery. Because every room in the hospital will be private, OHIP-insured patients will not face additional accommodation charges for a private room.

The South Niagara Hospital has also been designed with Niagara's population in mind.

Niagara is home to one of Ontario's oldest populations. Accessible layouts, reduced walking distances, rest stations every 30 metres and patient lifts in every bedroom will help support mobility and independence. The hospital is also being built to WELL Building standards, incorporating features such as natural light, quieter spaces and access to gardens and walking areas.

The hospital's Centre of Excellence in Wellness in Aging builds on the strong geriatric services already available at Niagara Health, giving those teams space designed specifically to support older adults and their unique healthcare needs. Seniors’ wellness and assessment services are expected to accommodate as many as 7,500 visits a year.

The same approach is being taken with stroke care.

Niagara Health's nationally recognized stroke program will move into a purpose-built Centre of Excellence that brings specialized inpatient care, outpatient clinics, rehabilitation services and advanced diagnostic technology together in one location. The expertise already exists. The new hospital will provide the space and infrastructure to help that team deliver care in an environment designed around patients recovering from stroke.

The technology inside the hospital will be just as important as the building itself. Through the support of donors across Niagara, more than 42,000 pieces of equipment will be purchased for the new hospital, including two MRI machines and three CT scanners. The new hospital is expected to increase diagnostic imaging capacity by up to 74 per cent, enabling as many as 179,000 diagnostic tests a year, including X-rays, ultrasounds, CT scans and MRIs.

The facility will also include a 36-bed Intensive Care Unit, 42 dialysis stations, 110 beds dedicated to complex care, expanded surgical services, advanced diagnostic imaging, mental health and addictions services, cardiac and respiratory care and a wide range of outpatient clinics.

It will also play a central role in Niagara Health’s future three-site hospital model. Hospital services will be planned across Niagara, making the best use of beds, specialized services and clinical teams across the system. For patients, that means being connected with the services and expertise they need across Niagara Health.

The scale of the South Niagara Hospital will make it a landmark in Niagara. But its significance won’t be measured by its size but by the care provided inside.

That's what 1.3 million square feet of transformation really looks like.

Niagara Health System