Fellburn Care Centre - Complaint Information
General Details
Facility TypeResidential Care (Hospital Act) - 400
Investigation CompletedJanuary 25, 2023
Reason for Investigation - Care and supervision
Report of Findings
On November 15, 2022, Licensing received a complaint alleging concerns regarding care and supervision.

All areas of the complaint were fully investigated. Evidence was collected through review of documentation and communications with the facility management.

The following contraventions were determined:

Residential Care Regulation Section 54(2)(a) General health and hygiene
Residential Care Regulation Section 85(1)(d) Policies and procedures
Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation.
Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below.
Code Category/Description
33280 - RCR s.85(1)(d)A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: The facility’s falls policy was not implemented as staff did not document post fall assessments as required.
Corrective action: Corrective action required.
34160 - RCR s.54(2)(a)A licensee must (a) assist persons in care to obtain health services as required.
Observation: The PIC did not receive assistance in obtaining health services as required.
Corrective action: Corrective action required.
Actions Required by Licensee/Operator
- Corrective action plan to be developed and submitted.
Action Required by Licensing Officer or Medical Health Officer
- Review and monitor corrective action plan > Follow up inspection required.