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Inspection Detail
Inspection: 1509223.015 - 147143 - Principle Long Term Care, Inc.
Inspection Information - Office: Nc Department Of Labor - Raleigh
Site Address:
147143 - Principle Long Term Care, Inc.
200 Hampton Wood Rd
Lasker, NC 27845
Mailing Address:
200 Hampton Woods Complex, Lasker, NC 27845
Union Status: NonUnion
SIC:8059
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/14/2021
Emphasis:
Case Closed: 06/14/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1707084 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $6,400 | $0 | $6,400 |
| Current Penalty | $0 | $0 | $0 | $6,400 | $0 | $6,400 |
| 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 | Other | 19100134 E01 | 05/18/2021 | 05/24/2021 | $1,200 | $1,200 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 19100134 F02 | 05/18/2021 | 05/24/2021 | $1,200 | $1,200 | $0 | Z - Issued | ||
| 3. | 02001 | Other | 19040039 A01 | 05/18/2021 | 05/24/2021 | $4,000 | $4,000 | $0 | Z - Issued |
Investigation Summary
On November 18, 2020, an employee who worked as a licensed practical nurse (LPN) at a senior health and rehabilitation center tested positive for COVID-19. The employee was presumed to have been exposed to COVID-19 during an outbreak amongst staff and residents who were receiving medical care. The employee wore an N-95 respirator during the outbreak but tested positive 7 days later. On November 23, 2020, the employee was admitted to the hospital. On December 10, 2020, the employee died due to complications including acute hypoxic respiratory failure, COVID pneumonia, and pneumothorax. The employer did not have an adequate respiratory protection program in place.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1509223.015 | 64 | F | Fatality | Occupation not reported |