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Inspection Detail
Inspection: 1508230.015 - 147086 - Principle Long Term Care Inc.
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
147086 - Principle Long Term Care Inc.
706 Pineywood Rd.
Thomasville, NC 27360
Mailing Address:
706 Pineywood Rd., Thomasville, NC 27360
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/18/2021
Emphasis:
Case Closed: 08/20/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1712738 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,200 | $0 | $5,200 |
| Current Penalty | $0 | $0 | $0 | $5,200 | $0 | $5,200 |
| 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 | Other | 19100134 C03 | 06/21/2021 | 06/25/2021 | $1,200 | $1,200 | $0 | Z - Issued | ||
| 2. | 01001B | Other | 19100134 K01 I | 06/21/2021 | 06/25/2021 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01002 | Other | 19100134 M02 II | 06/21/2021 | 06/25/2021 | $0 | $0 | $0 | Z - Issued | ||
| 4. | 02001 | Other | 19040039 A01 | 06/21/2021 | 06/25/2021 | $4,000 | $4,000 | $0 | Z - Issued |
Investigation Summary
On December 23, 2020, an employee who worked as a Housekeeping Supervisor at a long term nursing care facility died due complications of the infection from COVID-19. The employee tested positive for COVID-19 seven days prior to her death. The date, time and other details leading up to exposure are not indicated in the narrative. Information regarding engineering, administrative and personal protective equipment controls for COVID-19 are also not included in the narrative.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1508230.015 | 68 | M | Fatality | Occupation not reported |