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Inspection Detail
Inspection: 1472602.015 - Andover Subacute And Rehab Center Services Two, Inc.
Inspection Information - Office: Parsippany Area Office
Site Address:
Andover Subacute And Rehab Center Services Two, Inc.
99 Mulford Road
Lafayette, NJ 07848
Mailing Address:
Po Box 1279, Andover, NJ 07821
Union Status: Union
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 04/17/2020
Emphasis:
Case Closed: 02/12/2026
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1573389 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $13,494 | $0 | $0 | $3,010 | $0 | $16,504 |
| Current Penalty | $13,000 | $0 | $0 | $0 | $0 | $13,000 |
| 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. | 01001A | Serious | 19100134 C01 | 10/16/2020 | 01/06/2021 | $13,000 | $13,494 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 D01 II | 10/16/2020 | 01/06/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 E01 | 10/16/2020 | 01/06/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100134 F02 | 10/16/2020 | 01/06/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Other | 19100145 F08 I | 10/16/2020 | 11/13/2020 | $0 | $1,082 | $0 | I - Informal Settlement | ||
| 6. | 02002 | Other | 19101020 E01 I | 10/16/2020 | 11/13/2020 | $0 | $1,928 | $0 | I - Informal Settlement |
Investigation Summary
At 11:30 a.m. on April 6, 2020, Employee # 1 died of COVID-19. Employee #1 came to the employee health office and was not feeling well. A coworker, a nurse, assessed her and sent her home with instructions to follow up with her doctor. Employee # 1 saw her doctor and was excused from work with a note until April 13, 2020. On April 3, 2020, Employee # 1's family informed her employer that Employee # 1 was in the hospital. Employee # 1 was tested for COVID-19 in the hospital and was positive. Employee # 1 died at the hospital on April 6, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1472602.015 | 60 | F | Fatality | Nursing aides, orderlies, and attendants |