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Inspection Detail
Inspection: 1472882.015 - Andover Subacute And Rehab Center Services One, Inc.
Inspection Information - Office: Parsippany Area Office
Site Address:
Andover Subacute And Rehab Center Services One, Inc.
1 O'Brien Lane
Andover, NJ 07821
Mailing Address:
1 O'Brien Lane, 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 | 1576343 | ||
| Inspection | 1472602 | Yes | |
| Inspection | 1477209 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $12,145 | $0 | $0 | $10,410 | $0 | $22,555 |
| Current Penalty | $13,000 | $0 | $0 | $4,000 | $0 | $17,000 |
| 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 | 10/13/2020 | 01/06/2021 | $13,000 | $12,145 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 E01 | 10/13/2020 | 01/06/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 F02 | 10/13/2020 | 01/06/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19040039 A01 | 10/13/2020 | $3,494 | $8,675 | $0 | I - Informal Settlement | |||
| 5. | 02002 | Other | 19040004 A | 10/13/2020 | 11/04/2020 | $506 | $1,735 | $0 | I - Informal Settlement |
Investigation Summary
On April 2, 2020, Employee # 1 was getting ready for work and complained to not feeling well. His family took his temp and it was very high so they took him to a local medical center. Employee # 1 was confirmed COVID-19 positive and admitted to the hospital. He died on April 13, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1472882.015 | 52 | M | Fatality | Nursery workers |