Inspection Detail

Case Status: CLOSED

Inspection: 1462872.015 - Good Samaritan Hospital Association

Inspection Information - Office: Bismarck Area Office

Inspection Nr: 1462872.015

Report ID: 0830300

Date Opened: 02/12/2020

Site Address:
Good Samaritan Hospital Association
800 South Main Avenue
Rugby, ND 58368

Mailing Address:
800 South Main Avenue, Rugby, ND 58368

Union Status: NonUnion

SIC:

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/12/2020

Emphasis:

Case Closed: 10/20/2020

Related Activity
Type	Activity Nr	Safety	Health
Accident	1542402

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$11,567	$0	$11,567
Current Penalty	$0	$0	$0	$5,784	$0	$5,784
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	Note
1.	01001	Other	19040029 B03	03/13/2020	03/25/2020	$964	$1,928	$0	I - Informal Settlement
2.	02001A	Other	19040039 A01	03/13/2020	03/25/2020	$4,820	$9,639	$0	I - Informal Settlement
3.	02001B	Other	19040039 A02	03/13/2020	03/25/2020	$0	$0	$0	I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 124069.015

Event: 01/30/2020

Employee falls and later dies

At 10:45 a.m. on January 30, 2020, an employee was preparing to make a bed at the hospital. Then, the employee fell to the floor and struck his head onto the floor. The employee suffered head trauma including a laceration. The employee later died from the injuries.

Keywords: Fall, Head, Laceration

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1462872.015	91	M	Fatality		Nursing aides, orderlies, and attendants

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.