Inspection Detail

Inspection: 307549121 - Burnette'S Retirement Village

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 307549121

Report ID: 0453710

Date Opened: 04/16/2004

Site Address:
Burnette'S Retirement Village
361 Leonard Rd
Louisburg, NC 27549

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8052

NAICS: 623311/Continuing Care Retirement Communities

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 04/26/2004

Emphasis: S:Long Term Care Facilities, S:Program Improvements

Case Closed: 07/20/2004

Related Activity
Type	Activity Nr	Safety	Health
Complaint	204876874	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			2		5
Current Violations	3			2		5
Initial Penalty	$300	$0	$0	$0	$0	$300
Current Penalty	$100	$0	$0	$0	$0	$100
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100151 C	05/07/2004	06/03/2004	$100	$100	$0	I - Informal Settlement
2.	01001B	Serious	19100133 A01	05/07/2004	06/03/2004	$0	$0	$0	I - Informal Settlement
3.	01001C	Serious	19100138 A	05/07/2004	06/03/2004	$0	$0	$0	I - Informal Settlement
4.	01002	Serious	19100305 J02 II	05/07/2004	06/03/2004	$0	$100	$0	I - Informal Settlement
5.	01003A	Serious	19101030 G02 IIA	05/07/2004	06/03/2004	$0	$100	$0	I - Informal Settlement
6.	01003B	Serious	19101030 F02 I	05/07/2004	06/03/2004	$0	$0	$0	I - Informal Settlement
7.	02001	Other	19100303 B02	05/07/2004	06/03/2004	$0	$0	$0	-
8.	02002A	Other	19101030 C01 IV	05/07/2004	06/03/2004	$0	$0	$0	-
9.	02002B	Other	19101030 H02 II	05/07/2004	06/03/2004	$0	$0	$0	-

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