Inspection Detail

Case Status: CLOSED

Inspection: 1129415.015 - 92600 - Phs Cambridge Care Center Llc Gracepointe Crossing

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 1129415.015

Report ID: 0552700

Date Opened: 03/01/2016

Site Address:
92600 - Phs Cambridge Care Center Llc Gracepointe Crossing
548 West 1st Ave
Brook Park, MN 55007

Mailing Address:
135 Fern Street North, Cambridge, MN 55008

Union Status: NonUnion

SIC:8059

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/01/2016

Emphasis: S:Nursing

Case Closed: 04/08/2016

Related Activity
Type	Activity Nr	Safety	Health
Inspection	1129416	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			1		5
Current Violations	4			1		5
Initial Penalty	$4,550	$0	$0	$350	$0	$4,900
Current Penalty	$3,185	$0	$0	$245	$0	$3,430
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100132 D01	03/14/2016	04/07/2016	$735	$1,050	$0	I - Informal Settlement
2.	01001B	Serious	19100133 A01	03/14/2016	04/07/2016	$0	$0	$0	Z - Issued
3.	01002	Serious	19100147 C04 I	03/14/2016	04/07/2016	$735	$1,050	$0	I - Informal Settlement
4.	01003	Serious	19100147 C06 I	03/14/2016	04/07/2016	$735	$1,050	$0	I - Informal Settlement
5.	01004	Serious	19100151 C	03/14/2016	04/07/2016	$980	$1,400	$0	I - Informal Settlement
6.	02001	Other	19100036 D01	03/14/2016	04/07/2016	$245	$350	$0	I - Informal Settlement

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