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Inspection Detail
Case Status: CLOSED
Inspection: 1500403.015 - Good Shepard Nursing Home District
Inspection Information - Office: Kansas City Area Office
Inspection Nr: 1500403.015
Report ID: 0728500
Date Opened: 11/02/2020
Site Address:
Good Shepard Nursing Home District
610 Highway O
Laurie, MO 65038
Mailing Address:
610 Highway O, Laurie, MO 65038
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: 11/02/2020
Emphasis:
Case Closed: 05/10/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1680694 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $12,288 | $0 | $0 | $0 | $0 | $12,288 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 04/13/2021 | 05/07/2021 | $0 | $12,288 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01001B | Serious | 19100134 E01 | 04/13/2021 | 05/07/2021 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 3. | 01001C | Serious | 19100134 F02 | 04/13/2021 | 05/07/2021 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 4. | 01001D | Serious | 19100134 K01 | 04/13/2021 | 05/07/2021 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
Investigation Nr: 130803.015
Event: 10/31/2020
Employee with COVID-19 infection dies
At 6:30 a.m. on October 31, 2020, an employee became infected with COVID-19 while transporting a patient for a medically necessary physician's appointment at a hospital and later died from COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1500403.015 | 58 | F | Fatality |