Inspection Detail

Case Status: CLOSED

Inspection: 1393493.015 - 141853 - Archdale Nursing Center, Inc.

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 1393493.015

Report ID: 0453720

Date Opened: 04/16/2019

Site Address:
141853 - Archdale Nursing Center, Inc.
116 Lane Drive
Trinity, NC 27370

Mailing Address:
116 Lane Dr., Trinity, NC 27370

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: 04/16/2019

Emphasis:

Case Closed: 09/06/2019

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$2,925	$0	$0	$0	$0	$2,925
Current Penalty	$2,000	$0	$0	$0	$0	$2,000
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.	01001	Serious	19100133 A01	05/09/2019	05/17/2019	$450	$675	$0	I - Informal Settlement
2.	01002A	Serious	19101030 D04 III A 2	05/09/2019	05/17/2019	$1,550	$2,250	$0	I - Informal Settlement
3.	01002B	Serious	19101030 H05 I	05/09/2019	05/13/2019	$0	$0	$0	I - Informal Settlement

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