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Inspection Detail
Case Status: CLOSED
Inspection: 1515287.015 - Medilodge Of Green View
Inspection Information - Office: Miosha General Industry Safety & Health Division
Inspection Nr: 1515287.015
Report ID: 0552652
Date Opened: 02/19/2021
Site Address:
Medilodge Of Green View
1234 Golf Course Rd
Alpena, MI 49707
Mailing Address:
1234 Golf Course Rd, Alpena, MI 49707
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: 03/25/2021
Emphasis:
Case Closed: 08/02/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1736072 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $3,500 | $0 | $0 | $0 | $0 | $3,500 |
| Current Penalty | $1,750 | $0 | $0 | $0 | $0 | $1,750 |
| 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 F01 | 05/06/2021 | 06/09/2021 | $1,750 | $3,500 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 133374.015
Event: 02/15/2021
Employee with COVID-19 infection dies
An employee providing skilled nursing care to a COVID-19 positive resident/patient. The communicable disease was believed to have been transmitted during care. The employee later died from complications of COVID-19 on February 15, 2021.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1515287.015 | 64 | F | Fatality |