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Inspection Detail
Inspection: 304091440 - Tri State Nursing Home
Inspection Information - Office: Chicago South Area Office
Inspection Nr: 304091440
Report ID: 0521700
Date Opened: 11/14/2001
Site Address:
Tri State Nursing Home
2500 175th St
Lansing, IL 60438
Mailing Address:
, , 00000
Union Status: Union
SIC:8051
NAICS: 0
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/04/2002
Emphasis: N:Sstarg01, S:Nursing Homes
Case Closed: 02/02/2002
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $1,250 | $0 | $0 | $0 | $0 | $1,250 |
| Current Penalty | $875 | $0 | $0 | $0 | $0 | $875 |
| 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 | 19101030 G02 VIII | 01/17/2002 | 02/13/2002 | $875 | $1,250 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19101030 C01 III | 01/17/2002 | 01/23/2002 | $0 | $0 | $0 | - | ||
| 3. | 02002 | Other | 19101030 H01 IIC | 01/17/2002 | 02/13/2002 | $0 | $0 | $0 | - | ||
| 4. | 02003 | Other | 19101030 H02 II | 01/17/2002 | 02/13/2002 | $0 | $0 | $0 | - |