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Inspection Detail
Case Status: CLOSED
Inspection: 1483652.015 - Clark Nursing & Rehabilitation Center
Inspection Information - Office: Avenel Area Office
Inspection Nr: 1483652.015
Report ID: 0213400
Date Opened: 07/16/2020
Site Address:
Clark Nursing & Rehabilitation Center
1213 Westfield Avenue
Clark, NJ 07066
Mailing Address:
1213 Westfield Avenue, Clark, NJ 07066
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: 07/16/2020
Emphasis:
Case Closed: 07/23/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1624001 |
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 | $10,323 | $0 | $0 | $0 | $0 | $10,323 |
| 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 | 10/15/2020 | 11/12/2020 | $10,323 | $12,145 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 E01 | 10/15/2020 | 11/04/2020 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 F02 | 10/15/2020 | 11/04/2020 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100134 K01 | 10/15/2020 | 11/04/2020 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 127815.015
Event: 04/19/2020
Employee with COVID-19 infection dies
On April 19, 2020, Employee # 1 called out sick from work, conducting customer service duties. She was admitted to the hospital with complications after exposure to COVID-19. She died.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1483652.015 | 65 | F | Fatality |