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Inspection Detail
Case Status: CLOSED
Inspection: 1512083.015 - Gillette Nursing Home Inc
Inspection Information - Office: Cleveland Area Office
Inspection Nr: 1512083.015
Report ID: 0522300
Date Opened: 01/28/2021
Site Address:
Gillette Nursing Home Inc
3310 Elm Rd. Ne
Warren, OH 44483
Mailing Address:
3310 Elm Rd. Ne, Warren, OH 44483
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: 05/14/2021
Emphasis:
Case Closed: 07/01/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1723006 | Yes | |
| Accident | 1726977 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $9,557 | $0 | $0 | $0 | $0 | $9,557 |
| Current Penalty | $5,734 | $0 | $0 | $0 | $0 | $5,734 |
| 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 | Serious | 19100134 F02 | 05/18/2021 | $5,734 | $9,557 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 132806.015
Event: 11/30/2020
Employee with COVID-19 infection dies
An employee was working in a skilled nursing facility when she was exposed to patients and coworkers infected with COVID-19. The employee contracted COVID-19 and subsequently died from her infection at 1:00 p.m. on November 30, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1512083.015 | 60 | F | Fatality |