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Inspection Detail
Inspection: 1486085.015 - Haven Manor Health Care Center Llc
Inspection Information - Office: Queens District Office
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1634012 |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1486085.015 | 66 | F | Fatality | Managers, medicine and health |