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Inspection Detail

Case Status: CLOSED

Inspection: 1512957.015 - Oconto Falls Nursing And Rehab, Llc

Inspection Information - Office: Appleton Area Office

 

Inspection Nr: 1512957.015
Report ID: 0521100
Date Opened: 01/29/2021

Site Address:
Oconto Falls Nursing And Rehab, Llc
100 East Highland Drive
Oconto Falls, WI 54154

Mailing Address:
100 East Highland Drive, Oconto Falls, WI 54154

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: 05/12/2021

Emphasis:

Case Closed: 12/07/2021


Related Activity
Type Activity Nr Safety Health
Accident 1727206
Referral 1726713 Yes
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 1 1
Initial Penalty $27,306 $0 $0 $0 $0 $27,306
Current Penalty $10,000 $0 $0 $0 $0 $10,000
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 Contest Latest Event Note
1. 01001A Serious 19100134 E01 06/10/2021 07/29/2021 $10,000 $13,653 $0 I - Informal Settlement  
2. 01001B Serious 19100134 F02 06/10/2021 07/29/2021 $0 $13,653 $0 I - Informal Settlement  

Investigation Summary

Investigation Nr: 132941.015
Event: 12/29/2020
Employee with COVID-19 infection dies

An employee was working at a nursing home facility that experienced a COVID-19 outbreak starting on December 9, 2020. The outbreak resulted in all but two employees and one resident out of 64 contracting the COVID-19 virus. The employee tested positive for COVID-19 on December 21, was hospitalized at 5:00 p.m. on December 29, 2020, and died from complications shortly thereafter.

Keywords: Infectious Disease

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1512957.015 45 M Fatality Nursing aides, orderlies, and attendants
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