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Inspection Detail
Case Status: CLOSED
Inspection: 1488062.015 - Villa Crest Healthcare Center, Llc
Inspection Information - Office: Concord Area Office
Inspection Nr: 1488062.015
Report ID: 0111700
Date Opened: 08/13/2020
Site Address:
Villa Crest Healthcare Center, Llc
1276 Hanover Street
Manchester, NH 03104
Mailing Address:
1276 Hanover Street, Manchester, NH 03104
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: 12/10/2020
Emphasis:
Case Closed: 05/14/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1643756 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $12,145 | $0 | $0 | $8,675 | $0 | $20,820 |
| Current Penalty | $8,502 | $0 | $0 | $6,073 | $0 | $14,574 |
| 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 | 12/10/2020 | 01/14/2021 | $8,502 | $12,145 | $0 | 01/06/2021 | F - Formal Settlement | |
| 2. | 01001B | Serious | 19100134 E01 | 12/10/2020 | 01/14/2021 | $0 | $0 | $0 | 01/06/2021 | F - Formal Settlement | |
| 3. | 01001C | Serious | 19100134 F02 | 12/10/2020 | 01/14/2021 | $0 | $0 | $0 | 01/06/2021 | F - Formal Settlement | |
| 4. | 02001 | Other | 19040039 A01 | 12/10/2020 | 01/14/2021 | $6,073 | $8,675 | $0 | 01/06/2021 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 128602.015
Event: 06/11/2020
Employee with COVID-19 infection dies
At 12:00 p.m. on June 11, 2020, an employee cleaning resident rooms and bathrooms became infected with COVID-19 and died.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1488062.015 | 68 | F | Fatality | Housekeepers and butlers |