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Inspection Detail
Inspection: 303801427 - Ellsworth Good Samaritan Retirement Village
Inspection Information - Office: Wichita Area Office
Inspection Nr: 303801427
Report ID: 0729700
Date Opened: 10/10/2001
Site Address:
Ellsworth Good Samaritan Retirement Village
1156 Hwy 14
Ellsworth, KS 67439
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8059
NAICS: 0
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/11/2001
Emphasis: N:Sstarg01, S:Nursing Homes
Case Closed: 12/27/2001
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 3 | 9 | ||
| Current Violations | 4 | 2 | 3 | 9 | ||
| Initial Penalty | $6,000 | $0 | $400 | $0 | $0 | $6,400 |
| Current Penalty | $6,000 | $0 | $400 | $0 | $0 | $6,400 |
| 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 | Serious | 19100303 F | 11/21/2001 | 12/18/2001 | $1,500 | $1,500 | $0 | - | ||
| 2. | 01002 | Serious | 19100304 F01 IV | 11/21/2001 | 12/18/2001 | $1,500 | $1,500 | $0 | - | ||
| 3. | 01003 | Serious | 19100304 F05 V | 11/21/2001 | 12/18/2001 | $1,500 | $1,500 | $0 | - | ||
| 4. | 01004 | Serious | 19100305 A02 IIIF | 11/21/2001 | 11/27/2001 | $1,500 | $1,500 | $0 | - | ||
| 5. | 02001 | Repeat | 19100303 G01 IV | 11/21/2001 | 12/18/2001 | $200 | $200 | $0 | - | ||
| 6. | 02002 | Repeat | 19100305 B01 | 11/21/2001 | 11/27/2001 | $200 | $200 | $0 | - | ||
| 7. | 03001 | Other | 19100303 B01 | 11/21/2001 | 12/18/2001 | $0 | $0 | $0 | - | ||
| 8. | 03002 | Other | 19100303 B02 | 11/21/2001 | 11/27/2001 | $0 | $0 | $0 | - | ||
| 9. | 03003 | Other | 19100305 E01 | 11/21/2001 | 12/18/2001 | $0 | $0 | $0 | - |