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Inspection Detail
Inspection: 1305177.015 - St. Croix Regional Medical Center
Inspection Information - Office: Eau Claire Area Office
Site Address:
St. Croix Regional Medical Center
235 State Street
Saint Croix Falls, WI 54024
Mailing Address:
235 State Street, Saint Croix Falls, WI 54024
Union Status: NonUnion
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/28/2018
Emphasis:
Case Closed: 08/01/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1322083 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $8,315 | $0 | $8,315 |
| Current Penalty | $0 | $0 | $0 | $5,820 | $0 | $5,820 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 19040039 A02 | 06/27/2018 | $5,820 | $8,315 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 4:00 a.m. on March 16, 2018, Employee #1 was unhooking a sequential compression device from a patient. The employee tripped over the cords of the device and fell to the floor, fracturing her left hip. She was hospitalized for her injury.
Keywords: Cord Set, Fall, Fracture, Hip, Lost Balance, Tripped
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1305177.015 | 61 | F | Hospitalized injury |