Inspection Detail

Case Status: CLOSED

Inspection: 1577899.015 - 151141 - Pelican Health Reidsville

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

Inspection Nr: 1577899.015

Report ID: 0453720

Date Opened: 02/10/2022

Site Address:
151141 - Pelican Health Reidsville
543 Maple Avenue
Reidsville, NC 27320

Mailing Address:
543 Maple Avenue, Reidsville, NC 27320

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 05/20/2022

Emphasis:

Case Closed: 03/27/2023

Related Activity
Type	Activity Nr	Safety	Health
Complaint	1864789		Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			1		5
Current Violations	4			1		5
Initial Penalty	$13,500	$0	$0	$750	$0	$14,250
Current Penalty	$13,500	$0	$0	$750	$0	$14,250
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	19100134 E01	06/16/2022	06/20/2022	$3,750	$3,750	$0	Z - Issued
2.	01001B	Serious	19100134 C01	06/16/2022	06/20/2022	$0	$0	$0	Z - Issued
3.	01002	Serious	19100141 A03 I	06/16/2022	06/24/2022	$2,250	$2,250	$0	Z - Issued
4.	01003	Serious	19101030 D04 III A 1	06/16/2022	06/20/2022	$3,750	$3,750	$0	Z - Issued
5.	01004A	Serious	19101030 H02 II	06/16/2022	06/24/2022	$3,750	$3,750	$0	Z - Issued
6.	01004B	Serious	19101030 C01 IV	06/16/2022	06/24/2022	$0	$0	$0	Z - Issued
7.	01004C	Serious	19101030 H02 I	06/16/2022	06/24/2022	$0	$0	$0	Z - Issued
8.	02001	Other	19040001 A02	06/16/2022	06/24/2022	$750	$750	$0	Z - Issued

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