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Inspection Detail
Inspection: 303729453 - Beverly Healthcare - Fullerton
Inspection Information - Office: Omaha Area Office
Inspection Nr: 303729453
Report ID: 0728900
Date Opened: 11/21/2001
Site Address:
Beverly Healthcare - Fullerton
202 N Esther St
Fullerton, NE 68638
Mailing Address:
Po Box 648, Fullerton, NE 68638
Union Status: NonUnion
SIC:8051
NAICS: 0
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/28/2001
Emphasis: N:Sstarg01, S:Nursing Homes
Case Closed: 05/14/2003
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Inspection | 303729552 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $5,950 | $0 | $0 | $0 | $0 | $5,950 |
| Current Penalty | $0 | $0 | $0 | $2,363 | $0 | $2,363 |
| 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. | 01001 | Other | 19100212 A01 | 01/16/2002 | 12/02/2002 | $500 | $1,700 | $0 | 02/12/2002 | F - Formal Settlement | |
| 2. | 01002 | Other | 19101030 D02 XI | 01/16/2002 | 12/02/2002 | $1,063 | $2,125 | $0 | 02/12/2002 | F - Formal Settlement | |
| 3. | 01003 | Other | 19101030 F01 IID | 01/16/2002 | 04/15/2003 | $800 | $2,125 | $0 | 02/12/2002 | P - Petition to Mod Abatement | |
| 4. | 02001 | Other | 19100038 A02 | 01/16/2002 | 02/19/2002 | $0 | $0 | $0 | 02/12/2002 | F - Formal Settlement | Citation has been deleted. |
| 5. | 02002A | Other | 19101200 E02 I | 01/16/2002 | 02/19/2002 | $0 | $0 | $0 | 02/12/2002 | F - Formal Settlement | Citation has been deleted. |
| 6. | 02002B | Other | 19101200 G08 | 01/16/2002 | 02/19/2002 | $0 | $0 | $0 | 02/12/2002 | F - Formal Settlement | Citation has been deleted. |