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Inspection Detail
Case Status: CLOSED
Inspection: 1504852.015 - Faith Lutheran Home
Inspection Information - Office: Iowa 0751910
Inspection Nr: 1504852.015
Report ID: 0751910
Date Opened: 12/03/2020
Site Address:
Faith Lutheran Home
914 Davidson Drive Attn: Hunter Lauitsen
Osage, IA 50461
Mailing Address:
914 Davidson Drive, Osage, IA 50461
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: 12/03/2020
Emphasis:
Case Closed: 06/22/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1697446 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $8,096 | $0 | $0 | $1,276 | $0 | $9,372 |
| Current Penalty | $6,000 | $0 | $0 | $1,000 | $0 | $7,000 |
| 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 A02 | 03/24/2021 | 05/10/2021 | $6,000 | $8,096 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 C01 | 03/24/2021 | 05/10/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 19100132 D02 | 03/24/2021 | 05/10/2021 | $500 | $638 | $0 | I - Informal Settlement | ||
| 4. | 02002 | Other | 19100134 C02 I | 03/24/2021 | 05/10/2021 | $500 | $638 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 131459.015
Event: 12/01/2020
Employee with COVID-19 infection dies
At approximately 8:06 p.m. on December 1, 2020, an employee was hospitalized for complications related to COVID-19. The employee later died from complications from COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1504852.015 | 56 | M | Fatality | Painters, construction and maintenance |