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Inspection Detail
Case Status: CLOSED
Inspection: 1510454.015 - Elevate Care Niles, Llc
Inspection Information - Office: Chicago North Area Office
Inspection Nr: 1510454.015
Report ID: 0524200
Date Opened: 01/15/2021
Site Address:
Elevate Care Niles, Llc
8333 West Golf Road
Niles, IL 60714
Mailing Address:
8333 West Golf Road, Niles, IL 60714
Union Status: Union
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/15/2021
Emphasis:
Case Closed: 07/09/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1720290 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $12,288 | $0 | $0 | $10,534 | $0 | $22,822 |
| Current Penalty | $8,650 | $0 | $0 | $7,350 | $0 | $16,000 |
| 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 C01 | 05/26/2021 | 06/30/2021 | $8,650 | $12,288 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 E01 | 05/26/2021 | 06/30/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 F02 | 05/26/2021 | 06/30/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100134 M02 I C | 05/26/2021 | 06/30/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Other | 19040039 A01 | 05/26/2021 | $6,200 | $8,778 | $0 | I - Informal Settlement | |||
| 6. | 02002 | Other | 19040040 A | 05/26/2021 | $1,150 | $1,756 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 132480.015
Event: 01/07/2021
Employee with COVID-19 infection dies
An employee worked as a nurse providing care to residents on the fifth floor. The employee tested positive on December 14, 2020, was hospitalized on December 14, 2020 and died from COVID-19 related illness on January 7, 2021.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1510454.015 | 49 | M | Fatality | Registered nurses |