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Inspection Detail
Inspection: 304589732 - Gouverneur Nursing Home Incdba Kinney Nursing Home
Inspection Information - Office: Syracuse Area Office
Inspection Nr: 304589732
Report ID: 0215800
Date Opened: 02/27/2002
Site Address:
Gouverneur Nursing Home Incdba Kinney Nursing Home
77 W. Barney Street
Gouverneur, NY 13642
Mailing Address:
57 W. Barney Street, Gouverneur, NY 13642
Union Status: Union
SIC:8051
NAICS: 0
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 03/08/2002
Emphasis: N:Sstarg01, S:Nursing Homes
Case Closed: 09/10/2002
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $2,275 | $0 | $0 | $0 | $0 | $2,275 |
| Current Penalty | $1,365 | $0 | $0 | $0 | $0 | $1,365 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19101030 D02 I | 05/09/2002 | 06/11/2002 | $525 | $875 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19101030 D02 VIIA | 05/09/2002 | 05/14/2002 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19101030 D04 IIA | 05/09/2002 | 05/14/2002 | $315 | $525 | $0 | I - Informal Settlement | ||
| 4. | 01003A | Serious | 19101030 G02 VIIA | 05/09/2002 | 06/11/2002 | $525 | $875 | $0 | I - Informal Settlement | ||
| 5. | 01003B | Serious | 19101030 G02 VIIK | 05/09/2002 | 06/11/2002 | $0 | $0 | $0 | I - Informal Settlement | ||
| 6. | 01003C | Serious | 19101030 G02 VIIL | 05/09/2002 | 06/11/2002 | $0 | $0 | $0 | I - Informal Settlement | ||
| 7. | 01003D | Serious | 19101030 G02 VIII | 05/09/2002 | 06/11/2002 | $0 | $0 | $0 | I - Informal Settlement | ||
| 8. | 02001 | Other | 19100132 D02 | 05/09/2002 | 06/11/2002 | $0 | $0 | $0 | I - Informal Settlement | ||
| 9. | 02002 | Other | 19101030 C01 IIB | 05/09/2002 | 06/11/2002 | $0 | $0 | $0 | I - Informal Settlement |