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Inspection Detail
Case Status: CLOSED
Inspection: 1365991.015 - 317722774 - Evergreen Oregon Healthcare Salem Llc
Inspection Information - Office: Or-E-Salem 1054100
Inspection Nr: 1365991.015
Report ID: 1054113
Date Opened: 12/12/2018
Site Address:
317722774 - Evergreen Oregon Healthcare Salem Llc
820 Cottage St Ne
Salem, OR 97301
Mailing Address:
4601 Ne 77th Ave Ste 300, Vancouver, WA 98662
Union Status: Union
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/12/2018
Emphasis: P:Nursing, S:Nursing
Case Closed: 08/29/2019
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $180 | $0 | $0 | $0 | $0 | $180 |
| Current Penalty | $180 | $0 | $0 | $0 | $0 | $180 |
| 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 | Serious | OAR 437-001-0760(3)(A)-2 | 01/30/2019 | 02/19/2019 | $180 | $180 | $0 | Z - Issued | ||
| 2. | 02002 | Other | OAR 437-001-0765(4)-5 | 01/30/2019 | 03/04/2019 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 02003 | Other | OAR 437-001-0765(3) | 01/30/2019 | 03/04/2019 | $0 | $0 | $0 | Z - Issued |