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Inspection Detail
Inspection: 1478339.015 - Life Care Center Of Nashoba Valley
Inspection Information - Office: Boston North Area Office
Site Address:
Life Care Center Of Nashoba Valley
191 Foster Street
Littleton, MA 01460
Mailing Address:
191 Foster Street, Littleton, MA 01460
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: 06/11/2020
Emphasis:
Case Closed: 03/14/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1598394 | Yes | |
| Accident | 1604170 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $13,494 | $0 | $0 | $7,621 | $0 | $21,115 |
| Current Penalty | $8,096 | $0 | $0 | $0 | $0 | $8,096 |
| 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 | 09/25/2020 | 10/26/2020 | $0 | $13,494 | $0 | 10/20/2020 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01001B | Serious | 19100134 E01 | 09/25/2020 | 10/26/2020 | $8,096 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 3. | 01001C | Serious | 19100134 F01 | 09/25/2020 | 10/26/2020 | $0 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 4. | 01001D | Serious | 19100134 K03 | 09/25/2020 | 10/26/2020 | $0 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 5. | 02001 | Other | 19040004 A | 09/25/2020 | 10/26/2020 | $0 | $2,121 | $0 | 10/20/2020 | F - Formal Settlement | |
| 6. | 02002 | Other | 19040039 A01 | 09/25/2020 | 10/26/2020 | $0 | $5,500 | $0 | 10/20/2020 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
At 8:00 a.m. on April 10, 2020, an employee was providing care to residents on the long term care wing of the skilled nursing facilities as a licensed practical nurse. The employee administered medications, treatments and provided other services as necessary to residents on their assignment. The last day that the employee worked was March 27, 2020. After two scheduled days off, the employee called out on March 30, 2020. The employee tested with positive results on April 1, 2020. The employee was hospitalized and died from complications from COVID-19 on April 10, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1478339.015 | 59 | F | Fatality | Licensed practical nurses |