Inspection Detail

Case Status: CLOSED

Inspection: 1627584.015 - 152953 - Smithfield Manor, Inc.

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 1627584.015

Report ID: 0453710

Date Opened: 10/11/2022

Site Address:
152953 - Smithfield Manor, Inc.
902 Berkshire Road
Smithfield, NC 27577

Mailing Address:
P.O. Box 1940, Smithfield, NC 27577

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 10/26/2022

Emphasis:

Case Closed: 03/21/2023

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			3		6
Current Violations	3			3		6
Initial Penalty	$8,000	$0	$0	$3,000	$0	$11,000
Current Penalty	$8,000	$0	$0	$3,000	$0	$11,000
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 F02	02/21/2023	02/27/2023	$1,500	$1,500	$0	Z - Issued
2.	01001B	Serious	19100134 E01	02/21/2023	02/27/2023	$0	$0	$0	Z - Issued
3.	01001C	Serious	19100134 C01 II	02/21/2023	02/27/2023	$0	$0	$0	Z - Issued
4.	01001D	Serious	19100134 C01 III	02/21/2023	02/27/2023	$0	$0	$0	Z - Issued
5.	01002	Serious	19100215 B09	02/21/2023	02/27/2023	$1,500	$1,500	$0	Z - Issued
6.	01003	Serious	19100303 B07 I	02/21/2023	02/27/2023	$5,000	$5,000	$0	Z - Issued
7.	02001	Other	19100305 G01 IV A	02/21/2023	02/27/2023	$1,500	$1,500	$0	Z - Issued
8.	02002	Other	19100334 A02 I	02/21/2023	02/27/2023	$0	$0	$0	Z - Issued
9.	02003	Other	19100334 A02 II	02/21/2023	02/27/2023	$1,500	$1,500	$0	Z - Issued

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