Inspection Detail

Case Status: CLOSED

Inspection: 1560590.015 - Village Shalom

Inspection Information - Office: Wichita Area Office

Inspection Nr: 1560590.015

Report ID: 0729700

Date Opened: 10/27/2021

Site Address:
Village Shalom
5500 West 123rd Street
Overland Park, KS 66209

Mailing Address:
5500 West 123rd Street, Overland Park, KS 66209

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: 03/31/2022

Emphasis: N:Covid-19

Case Closed: 03/31/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1826979

Case Status: CLOSED

Investigation Summary

Investigation Nr: 140601.015

Event: 10/15/2021

Employee with COVID-19 infection dies

An employee was at home. The employee contracted COVID and died from complications from the virus at approximately 12:00 a.m. on October 7, 2021.

Keywords: Infectious Disease

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1560590.015	41	M	Fatality		Guards and police, excluding public service

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