Inspection Detail

Case Status: CLOSED

Inspection: 1486085.015 - Haven Manor Health Care Center Llc

Inspection Information - Office: Queens District Office

Inspection Nr: 1486085.015

Report ID: 0215600

Date Opened: 07/31/2020

Site Address:
Haven Manor Health Care Center Llc
1441 Gateway Blvd
Far Rockaway, NY 11691

Mailing Address:
1441 Gateway Blvd, Far Rockaway, NY 11691

Union Status: Union

SIC:

NAICS: 623110/Nursing Care Facilities

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 10/15/2020

Emphasis:

Case Closed: 06/07/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1634012

Case Status: CLOSED

Violation Summary
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	$8,500	$0	$0	$0	$0	$8,500
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19100134 F02	10/15/2020	12/03/2020	$8,500	$12,145	$0	10/23/2020	F - Formal Settlement

Investigation Summary

Investigation Nr: 128225.015

Event: 04/03/2020

Employee with COVID-19 infection dies

At 5:00 p.m. on April 3, 2020, an employee went to the resident floors infrequently to speak with residents regarding complaint items. The employee did not enter resident rooms. There were 12 employee COVID-19 cases reported between Sunday, March 15, 2020 and Wednesday, April 1, 2020 (based on last day worked). The facility had suspected or confirmed cases of COVID-19 residents prior to Friday, April 3, 2020. The employee worked in an office of a nursing home facility. The employee was restricted from entering resident rooms (access restricted to essential healthcare providers). The family reported to the facility on Wednesday, April 8, 2020 that the employee died in the hospital on Tuesday, April 7, 2020 of a COVID-19 infection.

Keywords: Infectious Disease

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1486085.015	66	F	Fatality		Managers, medicine and health

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