Inspection Detail

Case Status: CLOSED

Inspection: 1385568.015 - St. Joseph'S Villa, Inc

Inspection Information - Office: Omaha Area Office

Inspection Nr: 1385568.015

Report ID: 0728900

Date Opened: 03/14/2019

Site Address:
St. Joseph'S Villa, Inc
927 7th Street
David City, NE 68632

Mailing Address:
927 7th Street, David City, NE 68632

Union Status: NonUnion

SIC:

NAICS: 623110/Nursing Care Facilities

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/14/2019

Emphasis:

Case Closed: 09/20/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1433683	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$15,912	$0	$0	$0	$0	$15,912
Current Penalty	$9,550	$0	$0	$0	$0	$9,550
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100028 B01 I	08/08/2019	$3,968	$6,630	$0	I - Informal Settlement
2.	01001B	Serious	19100029 B01	08/08/2019	$0	$0	$0	I - Informal Settlement
3.	01002	Serious	19100028 B03 I	08/08/2019	$5,582	$9,282	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 114507.015

Event: 03/07/2019

Employee falls through snow covered skylight and fractures l

On March 7, 2019, an employee was walking on the roof that was covered with 6 inches of snow to change the energy recovery ventilation filters and did not see the skylight. The employee stepped onto the skylight, fell approximately 12 feet into an interior hallway. The employee sustained a fractured tibia and fibula above his ankle and was hospitalized.

Keywords: Fall, Fracture, Leg, Roof, Skylight

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1385568.015	51	M	Hospitalized injury		Occupation Not Listed

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