In February 2013, The Vines was cited for failing to protect residents after a staff member twisted a resident’s arm behind his back, resulting in a spiral fracture of the upper arm. After the resident’s arm was broken, he was not separated from the staff member who hurt him. The resident was not sent to an emergency room for 11.5 hours after the event, at which point hospital staff called the police. In reviewing the February 2013 incident, the Florida Agency for Health Care Administration (AHCA) found The Vines to be in substantial non-compliance with relevant statutes and rules. AHCA declared a moratorium on admissions and ordered the facility to pay a $10,000 fine. Additionally, because inspectors found that conditions at the facility posed “immediate jeopardy” to patients, AHCA recommended that the Vines be terminated from the Medicaid program in 23 days if deficiencies were not corrected. In order to correct the deficiencies, the facility developed a new Incident log and a new policy for chain of command incident reporting. Training was provided to staff regarding abuse and neglect, reporting procedures, and the monitoring of patient injuries.