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City council gave unanimous approval to the project Tuesday night.
The land is part of the former Desmond orchard farm that Interior Health bought after owner Humphrey Desmond died.
Already, some of the property has been used for seniors housing at the RiverBend complex.
The remaining parcel, wedged between RiverBend and Neil Ridenour s home, was the piece approved for a 180-bed facility proposed by Riverside Retirement Centre Ltd.
Riverside president Mary McDougall said the facility will be secure and will house 130 beds to start - 125 publicly subsidized by IHA, and five private.
But the zoning request was for 180 beds, and she said there is a possibility of adding space for 50 more beds in the future.
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