Inspection Detail

Case Status: CLOSED

Inspection: 1517553.015 - Five Star Quality Care-Fl, Llc

Inspection Information - Office: Tampa Area Office

Inspection Nr: 1517553.015

Report ID: 0420600

Date Opened: 03/04/2021

Site Address:
Five Star Quality Care-Fl, Llc
2525 First Street
Fort Myers, FL 33901

Mailing Address:
2525 First Street, Fort Myers, FL 33901

Union Status: NonUnion

SIC:

NAICS: 623311/Continuing Care Retirement Communities

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/13/2021

Emphasis:

Case Closed: 05/10/2021

Related Activity
Type	Activity Nr	Safety	Health
Referral	1741512	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$9,753	$0	$9,753
Current Penalty	$0	$0	$0	$5,852	$0	$5,852
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.	01001	Other	19040039 A02	04/26/2021		$5,852	$9,753	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 133756.015

Event: 02/12/2021

Employee fractures hip in fall while walking on sidewalk

At 1:00 a.m. on February 12, 2021, an employee working as a guard for a retirement community fell while walking outside on a sidewalk. The employee was unable to stand up after the fall and reported being in pain. The employer called EMS and the employee was transported to the hospital. The employee was hospitalized in order to undergo surgery for fractured hip.

Keywords: Blunt force, Blunt force trauma, Concrete Pavement, Fall, Fall On Same Level, Fracture, Guard, Hip, Misjudgment, Misjudgment of Hazardous Situation, Security Guard, Sidewalk, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1517553.015	67	M	Hospitalized injury		Guards and police, excluding public service

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