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In 1891 missions were established in western Canada. The first in Alberta was the St. Bernard Mission in Grouard (1894) followed by St. Joseph Mission in Cluny (1899) and Lacombe Home (1909). The first Sisters of Providence in the west were French Canadian. They were quickly joined by young women from the west, of many ethnic backgrounds and speaking a variety of languages. By 1912 the community had grown so much that reorganization was needed. Fourteen settlements were assigned to the Provincialate known as Holy Angels Province, which was headquartered at Lacombe Home in Midnapore. For many years, providence was all that stood between needy people and a desperately bleak existence. However, as the century advanced, the provision for basic human needs was taken on by the public through various levels of government. The Sisters were increasingly able to address new and growing needs in palliative care, home care, and the prevention of family violence.
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