A “total rethink” of the design and function of long-term-care facilities and nursing homes in Ontario is urgently needed to fight the spread of diseases like COVID-19, says a Toronto expert in the industry. Irka Dyczok, whose firm DesignFarm creates designs for retirement homes and long-term-care facilities, says the price tag to make the changes involves capital funding — everything from the creation of wings that house fewer residents — but staffing and operations are also key.