Inspection Detail

Case Status: CLOSED

Inspection: 1554924.015 - Boa Vida Hospital Of Aberdeen, Ms, Llc

Inspection Information - Office: Jackson Area Office

Inspection Nr: 1554924.015

Report ID: 0419400

Date Opened: 09/24/2021

Site Address:
Boa Vida Hospital Of Aberdeen, Ms, Llc
400 S Chestnut St
Aberdeen, MS 39730

Mailing Address:
400 S Chestnut St, Aberdeen, MS 39730

Union Status: NonUnion

SIC:

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 09/24/2021

Emphasis: N:Covid-19

Case Closed: 04/01/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1815214
Referral	1843505		Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$17,612	$0	$0	$0	$0	$17,612
Current Penalty	$10,567	$0	$0	$0	$0	$10,567
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	Latest Event
1.	01001A	Serious	19100502 F02 I	03/02/2022	04/04/2022	$5,284	$8,806	$0	I - Informal Settlement
2.	01001B	Serious	19100134 F02	03/02/2022	04/04/2022	$0	$0	$0	I - Informal Settlement
3.	01002	Serious	19100502 L05 III A	03/02/2022	04/04/2022	$5,284	$8,806	$0	I - Informal Settlement
4.	02001	Other	19100502 Q02 II A	03/02/2022		$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 143334.015

Event: 09/23/2021

Employee dies after experiencing pulmonary embolism

At 1:00 a.m. on September 23, 2021, an employee was sitting at her desk when she became non-responsive. The employee died from what was most likely a pulmonary embolism.

Keywords: Artery, Cardiovasc Disease, Cardiovasc System, Illness, Loss of consciousness, Lung, Medical Condition, Medical History, Natural Causes, Pulmonary Embolism, Respiratory Tract, Unconsciousness, Underlying Medical Condition, Unresponsive

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1554924.015	47	F	Fatality		Administrative support occupations, n.e.c.

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