 The case study examined how an integrated health and social services centre in Quebec responded to the Covid-19 pandemic. The centre faced high mortality rates during both the first and second wave of the pandemic, leading them to develop resiliency strategies. These strategies included reorganising their services and spaces to accommodate more Covid-19 patients, managing contagion risks for patients and staff, and managing PPE, supplies and medications. The centre's response was heavily influenced by the 2015 healthcare reform in Quebec, which had resulted in a centralised model of governance, budget cuts to long-term care facilities, and a shortage of human resources.