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Inspection Detail
Inspection: 1571585.015 - Champaign Urbana Nursing And Rehab, Lp
Inspection Information - Office: Peoria Area Office
Site Address:
Champaign Urbana Nursing And Rehab, Lp
302 Burwash Ave.
Savoy, IL 61874
Mailing Address:
302 Burwash Ave., Savoy, IL 61874
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: 03/24/2022
Emphasis: N:Covid-19
Case Closed: 04/25/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1850336 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $10,151 | $0 | $0 | $0 | $0 | $10,151 |
| Current Penalty | $5,000 | $0 | $0 | $0 | $0 | $5,000 |
| 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. | 01001A | Serious | 19100134 E01 | 03/25/2022 | $5,000 | $10,151 | $0 | I - Informal Settlement | |||
| 2. | 01001B | Serious | 19100134 F02 | 03/25/2022 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 8:30 p.m. on January 5, 2022, an employee who wokred as a Licensed Practical Nurse (LPN) in a skilled nursing facility died. On December 15, 2021, the employee was tested for COVID-19 at work during routine employer required testing and determined to be COVID-19 positive. The employee was sent home to quarantine. The employer was notified on January 5, 2022, that the employee had been placed on a ventilator and had died. The employer is investigating if the employee's illness was work related. Information regarding engineering, administrative and personal protective equipment controls for COVID-19 are not included in the narrative.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1571585.015 | 29 | F | Fatality |