Brian Sinclair's care needs were so great that medical officials didn't know if he would be able to live in the community with home care.
Diane Kubas, who coordinated Sinclair's home care from the time he was discharged from hospital after his double amputation in March 2007, to his death in Sept. 2008, said she reviewed whether Sinclair could be accepted into home care.
Kubas said Sinclair would need help in many areas to be able to live in the community including bathing, dressing, medications and transfers from bed or toilet.
Kubas said Sinclair was accepted and placed at the Quest Inn's care facility for three months.
Kubas said the temporary placement was later changed to long term after Sinclair refused to move into a foster family arrangement with New Directions, an organization which deals with housing for adults with special needs.
"Brian said he wouldn't live with any... white man," she said.
Kubas also said one of the instructions for caring for Sinclair was to "stay out of his range" after a few incidents of him striking caregivers.
She said Sinclair admitted he struck one caregiver instead of telling them the bath water was too hot.
Kubas said Sinclair was still living at the Quest Inn when he died.
Sinclair died in the Health Sciences Centre's emergency department waiting room after being there untreated for 34 hours.
An inquest looking into his death has been told Sinclair died from two to seven hours before he was discovered dead.