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Inspection Detail
Inspection: 304017130 - Kingswood Place
Inspection Information - Office: Appleton Area Office
Inspection Nr: 304017130
Report ID: 0521100
Date Opened: 04/01/2003
Site Address:
Kingswood Place
597 Kingswood Avenue
Fond Du Lac, WI 54935
Mailing Address:
714 Woodward Drive, Madison, WI 53704
Union Status: NonUnion
SIC:8059
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 04/01/2003
Emphasis: N:Nursing, S:Nursing Homes
Case Closed: 06/27/2003
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 203683636 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $2,450 | $0 | $0 | $0 | $0 | $2,450 |
| Current Penalty | $1,100 | $0 | $0 | $0 | $0 | $1,100 |
| 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 | 19100133 A01 | 05/12/2003 | 06/14/2003 | $300 | $525 | $0 | I - Informal Settlement | ||
| 2. | 01002A | Other | 19101030 F02 I | 05/12/2003 | 06/14/2003 | $0 | $700 | $0 | I - Informal Settlement | ||
| 3. | 01002B | Other | 19101030 G02 IIA | 05/12/2003 | 06/14/2003 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01002C | Other | 19101030 G02 IIC | 05/12/2003 | 06/14/2003 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 01003A | Serious | 19101200 E01 | 05/12/2003 | 06/14/2003 | $500 | $700 | $0 | I - Informal Settlement | ||
| 6. | 01003B | Serious | 19101200 H | 05/12/2003 | 07/01/2003 | $0 | $0 | $0 | I - Informal Settlement | ||
| 7. | 01003C | Serious | 19101200 H03 IV | 05/12/2003 | 07/01/2003 | $0 | $0 | $0 | I - Informal Settlement | ||
| 8. | 01004A | Serious | 19100157 E02 | 05/12/2003 | 06/14/2003 | $300 | $525 | $0 | I - Informal Settlement | ||
| 9. | 01004B | Serious | 19100157 G01 | 05/12/2003 | 07/01/2003 | $0 | $0 | $0 | I - Informal Settlement | ||
| 10. | 02001 | Other | 19100022 A03 | 05/12/2003 | 05/15/2003 | $0 | $0 | $0 | I - Informal Settlement |