Inspection Detail

Inspection: 122046386 - Hickory Creek Nursing And Rehabilitation Center

Inspection Information - Office: Columbus Area Office

Inspection Nr: 122046386

Report ID: 0522500

Date Opened: 08/04/2004

Site Address:
Hickory Creek Nursing And Rehabilitation Center
51 E. 4th St.
The Plains, OH 45780

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 08/05/2004

Emphasis: N:Sstarg04, N:Nursing

Case Closed: 10/13/2004

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			4		6
Current Violations	1			4		5
Initial Penalty	$2,250	$0	$0	$0	$0	$2,250
Current Penalty	$1,125	$0	$0	$0	$0	$1,125
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	Note
1.	01001A	Serious	19100147 C04 II	09/08/2004	10/11/2004	$1,125	$1,125	$0	I - Informal Settlement
2.	01001B	Serious	19100147 C06 II	09/08/2004	10/11/2004	$0	$0	$0	I - Informal Settlement
3.	01002A	Other	19101030 C01 IV	09/08/2004	10/11/2004	$0	$1,125	$0	I - Informal Settlement
4.	01002B	Other	19101030 C01 V	09/08/2004	10/11/2004	$0	$0	$0	I - Informal Settlement
5.	01002C	Serious	19101030 H02 IB	09/08/2004	10/11/2004	$0	$0	$0	I - Informal Settlement	Citation has been deleted.
6.	02001	Other	19100132 D02	09/08/2004	09/13/2004	$0	$0	$0	I - Informal Settlement
7.	02002	Other	19100134 C02 I	09/08/2004	10/11/2004	$0	$0	$0	I - Informal Settlement
8.	02003	Other	19100303 G01 I	09/08/2004	09/13/2004	$0	$0	$0	I - Informal Settlement
9.	02004	Other	19101200 E01 I	09/08/2004	10/11/2004	$0	$0	$0	I - Informal Settlement	Citation has been deleted.

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