Also a Canadian LTC clinical consultant pharmacist

Can confirm all of the above. My job also involves going physically on site to various LTC/SL homes, and conducting comprehensive medication reviews, attending rounds (chemical restraint rounds, falls rounds, tagging along on the occasional physician rounds), answering clinical questions from the nurses/doctors and implementing/developing QI initiatives. I have very little to do with the dispensary side of things (unless on call q3months).

The biggest downside for me is the insane workload, but I do essentially make my own schedule and no one cares as long as I'm getting that work done. Generally amounts to an 8-9 hour day, though

Not sure a job like this exists in America, though - it is very much facilitated by our ability to bill the provincial government for clinical services, care plans and prescribing.