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Inspection Detail
Inspection: 1481663.015 - Countryside Nursing And Rehabilitation Center, Llc
Inspection Information - Office: Chicago South Area Office
Site Address:
Countryside Nursing And Rehabilitation Center, Llc
1635 E. 154th St.
Dolton, IL 60419
Mailing Address:
1635 E. 154th St., Dolton, IL 60419
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: 12/02/2020
Emphasis:
Case Closed: 03/31/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1614627 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $12,288 | $0 | $0 | $0 | $0 | $12,288 |
| Current Penalty | $8,000 | $0 | $0 | $0 | $0 | $8,000 |
| 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 | 01/27/2021 | 03/16/2021 | $8,000 | $12,288 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 E01 | 01/27/2021 | 03/16/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 F02 | 01/27/2021 | 03/16/2021 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
An employee was working as an activities director at a nursing care or skilled nursing facility. On June 16, 2020, she called off work, reporting sick, and was at home. That same day, her next of kin called the employer and reported that the employee had died of a heart attack. On June 26, 2020, the employee's next of kin called the employer and reported that the employee had tested positive for COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1481663.015 | 44 | F | Fatality |