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Inspection Detail
Inspection: 1513563.015 - Carlinville Rehabilitation And Health Care Center, Llc
Inspection Information - Office: Fairview Heights Area Office
Site Address:
Carlinville Rehabilitation And Health Care Center, Llc
751 North Oak St.
Carlinville, IL 62626
Mailing Address:
751 North Oak St., Carlinville, IL 62626
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 02/05/2021
Emphasis:
Case Closed: 09/13/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1730494 |
| 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 | $6,690 | $0 | $0 | $0 | $0 | $6,690 |
| 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 E06 I | 07/02/2021 | 08/19/2021 | $6,690 | $9,557 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 F02 | 07/02/2021 | 08/19/2021 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
On January 7, 2021, Employee #1 who had been working as a Licensed Practical Nurse (LPN) providing direct patient care at a rehabilitation and health care center started exhibiting COVID-19 related symptoms. Employee #1 was confirmed to have been exposed to COVID-19. Employee #1 was hospitalized 5 days later and died due to COVID-19 related complications on February 3, 2021. The employer provided N95 respirators and established several administrative controls (social distancing, employee and patient testing) in an attempt to control the spread of COVID-19. Employee #1 worked a double shift with three residents who had tested positive for COVID-19 following her shifts. COVID-19 positive residents were isolated in their private rooms and staff conducting work inside the rooms were provided and required to wear Personal Protective Equipment (PPE) such as gloves, gowns, eye protection, and N95 respirators. Signage was provided to instruct employees of positive COVID-19 residents and the required PPE. Staff were required social distance during shifts including breaks and while at workstations. However, the employer failed to fit test employees or obtain respirator medical clearance from a physician or other licensed health care professional (PLHCP).
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1513563.015 | 66 | F | Fatality | Licensed practical nurses |