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Inspection Detail
Case Status: CLOSED
Inspection: 1509563.015 - Fort Payne Hospital Corporation
Inspection Information - Office: Birmingham Area Office
Inspection Nr: 1509563.015
Report ID: 0418300
Date Opened: 01/12/2021
Site Address:
Fort Payne Hospital Corporation
200 Medical Center Drive
Fort Payne, AL 35968
Mailing Address:
P.O. Box 680778, Fort Payne, AL 35968
Union Status: NonUnion
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 07/08/2021
Emphasis:
Case Closed: 08/03/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1717899 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| Current Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| 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 VII | 07/08/2021 | 08/03/2021 | $13,653 | $13,653 | $0 | Z - Issued | ||
| 2. | 01001B | Serious | 19100134 E06 I | 07/08/2021 | 08/03/2021 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01001C | Serious | 19100134 M02 I B | 07/08/2021 | 08/03/2021 | $0 | $0 | $0 | Z - Issued | ||
| 4. | 01001D | Serious | 19100134 M02 I C | 07/08/2021 | 08/03/2021 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 132308.015
Event: 01/11/2021
Employee with COVID-19 infection dies
At approximately 6:30 a.m. on January 11, 2021, an employee caring for patients was exposed to COVID-19 and later died.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1509563.015 | 70 | F | Fatality | Registered nurses |