Inspection Detail

Case Status: CLOSED

Inspection: 1550358.015 - 149975 - Lutheran Home-Winston Salem, Inc. Dba Trinity Glen

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 1550358.015

Report ID: 0453720

Date Opened: 08/26/2021

Site Address:
149975 - Lutheran Home-Winston Salem, Inc. Dba Trinity Glen
849 Waterworks Road
Winston Salem, NC 27101

Mailing Address:
849 Waterworks Road, Winston Salem, NC 27101

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 09/03/2021

Emphasis:

Case Closed: 11/15/2021

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	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	19100303 B02	10/18/2021	10/22/2021	$0	$0	$0		Z - Issued

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