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.

The allegation included the following information:
- inadequate care for a PIC who fell
- family was not notified after PIC sustained a fall

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: Staff failed to contact the PIC’s medical practitioner when a decrease in the PIC’s mobility was observed and and it was accompanied with pain over a 5 day period.
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.