Inspection Detail

Case Status: CLOSED

Inspection: 1451923.015 - 144314 - Pelican Health Reidsville Llc

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

Inspection Nr: 1451923.015

Report ID: 0453720

Date Opened: 12/17/2019

Site Address:
144314 - Pelican Health Reidsville Llc
543 Maple Ave
Reidsville, NC 27320

Mailing Address:
543 Maple Ave, Reidsville, NC 27320

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: 12/17/2019

Emphasis:

Case Closed: 06/10/2020

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			3		6
Current Violations	3			3		6
Initial Penalty	$9,225	$0	$0	$0	$0	$9,225
Current Penalty	$5,995	$0	$0	$0	$0	$5,995
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	19100147 C04 I	03/26/2020	04/24/2020	$1,267	$1,950	$0	I - Informal Settlement
2.	01002	Serious	19100215 A04	03/26/2020	04/24/2020	$633	$975	$0	I - Informal Settlement
3.	01003A	Serious	19101030 C01 I	03/26/2020	04/24/2020	$4,095	$6,300	$0	I - Informal Settlement
4.	01003B	Serious	19101030 G02 VII A	03/26/2020	04/03/2020	$0	$0	$0	Z - Issued
5.	01003C	Serious	19101030 G02 VII B	03/26/2020	03/30/2020	$0	$0	$0	Z - Issued
6.	01003D	Serious	19101030 G02 VII D	03/26/2020	03/30/2020	$0	$0	$0	Z - Issued
7.	01003E	Serious	19101030 G02 VII M	03/26/2020	03/30/2020	$0	$0	$0	Z - Issued
8.	01003F	Serious	19101030 H03 II	03/26/2020	04/03/2020	$0	$0	$0	Z - Issued
9.	02001	Other	19100132 D02	03/26/2020	03/30/2020	$0	$0	$0	Z - Issued
10.	02002	Other	19101200 E01	03/26/2020	03/30/2020	$0	$0	$0	Z - Issued
11.	02003	Other	19101200 H01	03/26/2020	04/03/2020	$0	$0	$0	Z - Issued

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