Inspection Detail

Case Status: CLOSED

Inspection: 1631654.015 - 153072 - Central Long Term Care Facility, Incorporated

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

Inspection Nr: 1631654.015

Report ID: 0453720

Date Opened: 11/01/2022

Site Address:
153072 - Central Long Term Care Facility, Incorporated
139 Apex Lane
Mount Airy, NC 27030

Mailing Address:
139 Apex Lane, Mount Airy, NC 27030

Union Status: NonUnion

SIC:8059

NAICS: 623110/Nursing Care Facilities

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/09/2022

Emphasis:

Case Closed: 10/16/2023

Related Activity
Type	Activity Nr	Safety	Health
Complaint	1944448	Yes	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$3,650	$0	$0	$0	$0	$3,650
Current Penalty	$3,650	$0	$0	$0	$0	$3,650
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	19100303 G02 I	12/06/2022	12/14/2022	$2,900	$2,900	$0	Z - Issued
2.	01001B	Serious	19100022 A02	12/06/2022	12/14/2022	$0	$0	$0	Z - Issued
3.	01002	Serious	19100036 G02	12/06/2022	12/14/2022	$750	$750	$0	Z - Issued

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