Inspection Detail

Case Status: CLOSED

Inspection: 1509935.015 - Park Ridge Care Center, Ltd.

Inspection Information - Office: Chicago North Area Office

Inspection Nr: 1509935.015

Report ID: 0524200

Date Opened: 01/12/2021

Site Address:
Park Ridge Care Center, Ltd.
665 Busse Highway
Park Ridge, IL 60068

Mailing Address:
665 Busse Highway, Park Ridge, IL 60068

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: 05/07/2021

Emphasis:

Case Closed: 03/16/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1717990
Inspection	1510176		Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$6,827	$0	$0	$2,732	$0	$9,559
Current Penalty	$6,827	$0	$0	$2,732	$0	$9,559
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100134 C01	05/10/2021	06/04/2021	$6,827	$6,827	$0	Z - Issued
2.	01001B	Serious	19100134 E01	05/10/2021	06/04/2021	$0	$0	$0	Z - Issued
3.	02001	Other	19040040 A	05/10/2021		$1,366	$1,366	$0	Z - Issued
4.	02002	Other	19040041 A02	05/10/2021		$1,366	$1,366	$0	Z - Issued

Investigation Summary

Investigation Nr: 132376.015

Event: 11/20/2020

Employee with COVID-19 infection dies

At 8:00 a.m. on November 20, 2020, an employee who had worked as a Certified Nursing Assistant (CNA) part time at skilled nursing facility died from COVID-19. On November 14, 2020, the employee reporting feeling ill, but decided to finish her shift. The employee was coughing and congested. 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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1509935.015	65	F	Fatality

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