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Inspection Detail
Case Status: CLOSED
Inspection: 1474191.015 - Butterfield Health Care Viii Llc Dba Meadowbrook Manor
Inspection Information - Office: Chicago South Area Office
Inspection Nr: 1474191.015
Report ID: 0521700
Date Opened: 05/06/2020
Site Address:
Butterfield Health Care Viii Llc Dba Meadowbrook Manor
431 Remington Blvd
Bolingbrook, IL 60440
Mailing Address:
431 Remington Blvd, Bolingbrook, IL 60440
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/06/2020
Emphasis:
Case Closed: 08/06/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1584063 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $12,145 | $0 | $0 | $0 | $0 | $12,145 |
| Current Penalty | $9,000 | $0 | $0 | $0 | $0 | $9,000 |
| 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 | 11/05/2020 | 12/24/2020 | $9,000 | $12,145 | $0 | 11/24/2020 | F - Formal Settlement | |
| 2. | 01001B | Serious | 19100134 E01 | 11/05/2020 | 12/24/2020 | $0 | $0 | $0 | 11/24/2020 | F - Formal Settlement | |
| 3. | 01001C | Serious | 19100134 F02 | 11/05/2020 | 12/24/2020 | $0 | $0 | $0 | 11/24/2020 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
Investigation Nr: 125904.015
Event: 05/02/2020
Employee with COVID-19 infection dies
On April 26, 2020, Employee # 1, a nurse at a nursing home, tested positive for COVID-19. She was at home sick. On April 30, 2020, she went to the emergency room. Employee # 1 was hospitalized, and on May 2, 2020, she died of COVID-19 related illness.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1474191.015 | 35 | F | Fatality | Occupation Not Listed |