Clinique La Métairie

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 44

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 2

The band rests on the occupancy model only. Rooms are single or double, so a shared bedroom is on offer, group therapy is one of the five pillars of the addiction programme, and meals are taken in a shared restaurant with shared lounges, park, gym and spa. No sole-occupancy tier and no one-client claim exist, so no contradiction deduction applies. The bed count on the operating group's page is not used as a quality signal.

ConfidenceHow well the evidence supports the score.: low

Sources (3 cited items):

• clineasuisse.ch: The operating group's own page records bed numbers for La Métairie and for the group's two other Swiss clinics.
• Clinique La Métairie: Rooms are single or double, all with ensuite bathrooms, and spa access is reserved for clients with supplementary insurance.
• Clinique La Métairie: Welcome booklet: meals are taken in the restaurant, themed evenings are held in the main lounge, anonymity of the stay can be requested at admission, and photographing, filming and recording inside the clinic are forbidden.

C2 Clinical governance and medical cover · 7

The Vaud informative hospital list of 1 January 2024 includes the clinic under psychiatry and states that every listed establishment holds an operating authorisation, and a named medical director who is a physician leads care. Overnight cover is inherent in a listed psychiatric hospital admitting around the clock, withdrawal is carried out on site by a team including a physician and nurses, and the clinic is itself a listed hospital. That gives three of the further elements, which is band 7. Band 8 is not reached: ISO 9001 and training-site status appear only in the clinic's own footer, not on an accreditor's register, no non-psychiatric medical service is published, and "all pathologies accepted" is a scope statement rather than a defined complex-psychiatry programme.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• Overnight physician cover rests on the hospital licence, not on a published statement of a resident physician.

Sources (7 cited items):

• vd.ch: The Vaud informative hospital list of 1 January 2024, drawn from the Council of State decrees of 4 October 2023, includes "Clinique la Métairie" and states that every listed establishment holds an operating authorisation.
• entscheidsuche.ch: A Vaud Cantonal Court constitutional ruling of 14 May 2024 records Clinique La Métairie as an establishment admitted to practise at the expense of compulsory health insurance.
• Clinique La Métairie: Admission 24 hours a day for any request supported by a physician, voluntary or under medical constraint, for adult and geriatric psychiatry with all pathologies accepted. Withdrawal in the addiction programme is carried out by a multidisciplinary team that includes a physician, nurses and addiction counsellors.
• Vaud liste informative 2024: Search of Vaud liste informative 2024. Scope: register entry for the clinic or its operator (licence class). Result: record found.
• Vaud arrete 832.11.1 liste LAMal: Search of Vaud arrete 832.11.1 liste LAMal. Scope: register entry for the clinic or its operator (licence class). Result: record found: 'Clinique La Métairie Nyon'.
• BAG Kennzahlen 2024 Typologie: Search of BAG Kennzahlen 2024 Typologie. Scope: register entry for the clinic or its operator (licence class). Result: record found: K212.
• Zefix firm record Clinique Privée La Métairie Sàrl (CHE-112.981.783): Search of Zefix firm record Clinique Privée La Métairie Sàrl (CHE-112.981.783). Scope: register entry for the clinic or its operator (licence class). Result: record found: purpose covers 'maisons de santé de court, moyen et long séjour, établissements de soins, et établissements médico-sociaux'.

C3 Diagnostic depth on admission · 2

No clinical assessment by the clinic's own clinicians before the client commits is described. Admission rests on a form completed by the client's own physician, which screens diagnosis groups, suicidal ideation, comorbidities and substance use. No psychiatric assessment on admission, laboratory panel, ECG, imaging, withdrawal scoring instrument, physical examination or written formulation to the client is published, so the higher bands are not met.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• Clinique La Métairie: Admission requires the psychiatry admission form to be completed by the client's own physician and sent by secure email or fax.
• Clinique La Métairie: The admission request form asks the referring physician for ICD diagnosis groups, suicidal ideation, current treatment including somatic treatment, psychiatric and somatic history, and substance use.
• Clinique La Métairie: Conditions of the stay such as telephone use and visits are discussed at a pre-admission interview with an addictologist, and the programme provides individual care by an FMH specialist psychiatrist. Neither is described as a clinical assessment before commitment. The discharge report goes to the physician the client designates, not to the client.

C4 Clinical intensity · 3

Individual interviews and family interviews are offered, but no session frequency, hours or sample schedule is published. Care is delivered by ward teams with no dedicated per-client team and no published group share. A day and night nursing post does not by itself show 24-hour clinical presence, and without a session count the band stays at 3.

ConfidenceHow well the evidence supports the score.: low

Sources (3 cited items):

• Clinique La Métairie: The five pillars are a structured timetable, group therapy, individual interviews and interviews with families and relatives, relaxation and body mobilisation, and regular support-group participation. The residential phase is 28 days.
• Clinique La Métairie: For residential psychiatric stays the day and time of discharge are set according to the care contract agreed with the client's physician.
• Clinique La Métairie: The clinic's team page publishes no dedicated per-client team, and no session count, hours per day or sample schedule appears anywhere on its pages.

C5 Continuity and aftercare · 6

Aftercare runs eleven months from the same operator: weekly relapse prevention groups, which the English programme page states are attended by clinical staff, or four three-day residential returns, plus an alumni evening and a discharge report to the client's designated physician. That meets five elements (duration of at least six months, delivery by the same operator, residential returns, discharge report and clinician-staffed scheduled contact), which is band 6. No written aftercare plan, aftercare price, psychiatric follow-up or remote delivery is published, and family inclusion is not confirmed verbatim, so band 7 is not reached.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Family inclusion in aftercare is quoted from the French page without verbatim confirmation; if confirmed, the band would be 7.

Sources (4 cited items):

• Clinique La Métairie: Eleven months of aftercare: weekly meetings for clients living near the clinic, or four three-day stays back at the clinic, with an alumni evening for the addiction unit.
• emeis.ch: The operator's own article describes the programme as 28 days in complete abstinence followed by 11 months of aftercare.
• Clinique La Métairie: A day hospital running Monday to Friday and an outpatient centre exist within the clinic, and the discharge report is sent to the physician the client designates.
• Clinique La Métairie: The English addiction programme page states: "Weekly relapse prevention groups, attended by clinical staff, are scheduled over eleven months."

C6 Admission integrity and commercial conduct · 4

A sweep of the clinic's and the group's domains found no ranking page, no unlabelled sponsored content, no award presented as accreditation and no content addressed to AI assistants (/ai-instructions/ returns 404). No price is published (quotes are individual), no referral-fee position and no declining policy exist, and admission under medical constraint is accepted. A clean sweep with no positive signal is band 4.

ConfidenceHow well the evidence supports the score.: low

Sources (4 cited items):

• Clinique La Métairie: Agreements with most major insurers, a guarantee deposit, financial terms for partial cover sent before arrival, and an individual quote for clients without insurance. No price is published.
• emeis.ch: The group news index lists clinical news and staff features, with no ranking, sponsored or award content.
• Clinique La Métairie: No page addressed to AI assistants exists on the clinic's site; the /ai-instructions/ path returns HTTP 404.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked lametairie.ch (home, notre-equipe, programme-dependance, nos-prestations, en/our-services, admission-metairie, traitements-et-soins-psychiatrie, psychiatrie-psychotherapie, politique-de-confidentialite-2, /ai-instructions/ returned 404), clineasuisse.ch (a-propos), emeis.ch.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 3

Two elements are met: the legal operating entity Clinique Privée La Métairie Sàrl is named as data controller with a registered address, and the rights brochure hosted on the clinic's site names the Vaud cantonal mediation office as an external complaints route. No fee or inclusions list, no refund, cancellation or extension terms, no licence reference, no ownership chain confirmed against the corporate record, no published inspection result and no medical-record retention period. No contradiction was deducted, giving band 3.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• Clinique La Métairie: Data controller: Clinique Privée La Métairie Sàrl, Avenue de Bois-Bougy 8, CH-1260 Nyon. The data protection information of 18 March 2025 states that the medical record is kept exclusively in Switzerland, with no retention period for client records.
• Clinique La Métairie: The rights brochure hosted by the clinic lists external mediation bodies, including the Vaud cantonal mediation office for health and disability. The welcome booklet names an internal complaints commission.
• Clinique La Métairie: A deposit is requested and personal expenses such as telephone and uncovered costs are payable on discharge day. Insurers cover the stay while it is medically justified, after which the cost falls to the client, and leaving against medical advice requires a signed release. No refund, cancellation, extension or early-departure fee terms are published.

C8 Track record and regulator standing · 7

No final court judgment, regulator decision, licence action or inquiry determination against the operating entity was found; a 2015 acquittal upheld on appeal in 2016 concerned two individual clinicians, not the operator. The cantonal inspection unit's 2022 to 2025 report names the clinic in its fourth unannounced inspection round, within five years, and a 2025 public-service documentary was filmed on site with no adverse finding. No per-site inspection grade is published and no second independent review platform was found, which keeps band 8 closed.

ConfidenceHow well the evidence supports the score.: medium

Sources (12 cited items):

• vd.ch: The cantonal inspection unit's 2022 to 2025 report on adult and old-age psychiatric hospitals covers a fourth inspection round of all adult psychiatric hospitals in the canton and names La Métairie among the establishments. Inspections are unannounced and one day long, and results are published only in aggregate.
• rts.ch: A public-service television documentary broadcast in 2025 was filmed at the Nyon clinic and follows clients through the Minnesota-model 28-day programme and the 11-month aftercare. It reports no adverse finding.
• lematin.ch: A bylined report of 5 December 2015 records that both clinicians prosecuted over a 2008 death were acquitted of negligent homicide, the court finding shortcomings in how they carried out their duties but no causal link with the death. An appeal court upheld the treating psychiatrist's acquittal in August 2016. No conviction and no finding against the operating entity.
• CIVESS, hopitaux de psychiatrie adulte et de l'age avance: Search of CIVESS, hopitaux de psychiatrie adulte et de l'age avance. Scope: register entry for the clinic or its operator (last inspection). Result: record found: 'ainsi que les cliniques privées de La Métairie et La Lignière'.
• CIVESS bilan 2022-2025 (PDF): Search of CIVESS bilan 2022-2025 (PDF). Scope: register entry for the clinic or its operator (last inspection). Result: record found: aggregate results only.
• ANQ Messergebnisse Psychiatrie: Search of ANQ Messergebnisse Psychiatrie. Scope: register entry for the clinic or its operator (last inspection). Result: source unreachable at time of search: hospital search loads by script; browser pane shared and contended, no own tab could be opened.
• general web search: Search of a general web search engine. Scope: "La Métairie" Nyon clinique tribunal OR jugement OR condamnée OR amende. Result: record found: Final criminal outcome concerning two clinicians, not the operating entity: after a client's death in 2008, the then medical director and the treating psychiatrist were tried for negligent....
• general web search (entscheidsuche.ch, bger.ch, vd.ch): Search of general web search (entscheidsuche.ch, bger.ch, vd.ch). Scope: "Clinique Privée La Métairie". Result: record found: Final criminal outcome concerning two clinicians, not the operating entity: after a client's death in 2008, the then medical director and the treating psychiatrist were tried for negligent....
• Direct page fetch: Direct fetch of the named page. Scope: lematin.ch psys-acquittes-bien-que-fautifs. Result: record found: Final criminal outcome concerning two clinicians, not the operating entity: after a client's death in 2008, the then medical director and the treating psychiatrist were tried for negligent....
• Direct page fetch: Direct fetch of the named page. Scope: 24heures.ch psychiatre-metairie-acquitte (redirect loop). Result: record found: Final criminal outcome concerning two clinicians, not the operating entity: after a client's death in 2008, the then medical director and the treating psychiatrist were tried for negligent....
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: record found: the RTS Temps présent documentary "Sortir de l'enfer de l'alcool" (2025, directed by Pierre Morath) was filmed at La Métairie and follows clients through the 28-day programme and aftercare. The....
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: record found: CIVESS, the Canton of Vaud's inspection unit, inspected all adult psychiatric hospitals in its fourth round (2022 to 2025), with La Métairie named among the establishments covered (S1). Results....

C9 Environment, safety and nutrition · 6

The criterion is the mean of a health and safety sub-band of 6 and a nutrition sub-band of 5, which is 5.5 rounded up to 6. Health and safety meets six elements including the emergency department route: one site with park and gym, clear substance rules, posted evacuation plans, and Hôpital de Nyon's 24-hour emergency department about 5 minutes by road, a travel time derived by Leading Rehabs against a verified destination. Band 7 needs published resuscitation equipment and training, which is absent. Nutrition has a named dietitian without a published qualification and no published monitoring.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The travel time is derived by the publisher, not published by the clinic.
• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (4 cited items):

• Clinique La Métairie: Site plan: central building with wards, reception, lounges and dining room, a chalet, the La Prairie ward, and a building with day hospital, outpatient centre, conference room, gym, paramedical activities, spa and hairdresser. Alcohol, illicit substances and CBD are strictly forbidden, visits run 11:00 to 20:00 unless medically restricted, and fire evacuation plans are posted.
• Clinique La Métairie: A four-hectare park of century-old trees; a restaurant serving fresh produce; a dietitian supervises the menus, guarantees nutritional balance and ensures that specific diets are respected.
• Clinique La Métairie: A 130 square metre gym and a spa with indoor pool, sauna, hammam, jacuzzi and three treatment rooms. The team page names a dietitian, a head chef and a head housekeeper.
• ghol.ch: Hôpital de Nyon's emergency page states: "L'équipe des urgences de l'Hôpital de Nyon vous accueille 24h/24 et 7 jours/7". The drive from Avenue de Bois-Bougy 8 is 5 minutes (2.4 km) by road, a travel time derived by Leading Rehabs and not published by the clinic.

C10 Clinical seniority and academic standing · 4

The team roster is published in full, with a medical director and deputy stating specialist titles in psychiatry and psychotherapy, four further specialist physicians, a head of psychologists with nine psychologists, and nursing and therapy leads. All 26 register lookups remain open because the federal registers returned no query interface to automated fetches, so no credential rests on a confirmed record. No verified doctorate, university post or publication record exists. The band holds under the range of plausible lookup outcomes.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• All 26 register lookups were not complete at publication; the C10 band may change when they are completed.

Sources (3 cited items):

• Clinique La Métairie: The team page names a medical director and deputy medical director as specialists in psychiatry and psychotherapy, four attending physicians with the FMH specialist title, five resident physicians, a head of psychologists with nine psychologists, a director of nursing, two ward nursing leads, three occupational therapists, a head of the addiction unit, a dietitian and further therapy staff.
• healthreg-public.admin.ch: Twenty-six register lookups were made on 2026-09-15 across the federal physician, psychology and health-professions registers. Every fetch returned only the platform's JavaScript application shell with no query interface, so all 26 stand as browser lookups pending and no credential is confirmed.
• vd.ch: Facility licence proof: the Vaud hospital list for rehabilitation and psychiatry of 1 January 2024 lists the clinic and states that every listed establishment holds an operating authorisation. Queried 2026-09-15 and re-checked as current on 2026-09-16.