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Inspection Detail
Case Status: CLOSED
Inspection: 1556420.015 - Midwest Covenant Home, Inc.
Inspection Information - Office: Omaha Area Office
Inspection Nr: 1556420.015
Report ID: 0728900
Date Opened: 10/05/2021
Site Address:
Midwest Covenant Home, Inc.
615 E. 9th St.
Stromsburg, NE 68666
Mailing Address:
P.O. Box 367, Stromsburg, NE 68666
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 10/05/2021
Emphasis: N:Covid-19
Case Closed: 04/05/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1817939 | Yes | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $6,827 | $0 | $0 | $0 | $0 | $6,827 |
| Current Penalty | $4,800 | $0 | $0 | $0 | $0 | $4,800 |
| 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 F02 | 11/24/2021 | 01/13/2022 | $4,800 | $6,827 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 139888.015
Event: 09/30/2021
Employee with COVID-19 infection is hospitalized
An employee was rendering care to a resident who subsequently tested positive for COVID-19. The employee developed COVID-19 and eventually required hospitalization at 2:30 p.m. on September 30, 2021, for her care. The employee successfully recovered from her infection.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1556420.015 | 61 | F | Hospitalized injury | Nursing aides, orderlies, and attendants |