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Inspection Detail
Inspection: 306108671 - Beaver Dam Community Hospital Dba Hillside Manor
Inspection Information - Office: Madison Area Office
Inspection Nr: 306108671
Report ID: 0523300
Date Opened: 12/10/2003
Site Address:
Beaver Dam Community Hospital Dba Hillside Manor
803 S. University Avenue
Beaver Dam, WI 53916
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/12/2004
Planning Guide: Health-Manufacturing
Emphasis: N:Sstarg03, S:Ergonomics
Case Closed: 02/23/2004
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $1,500 | $0 | $0 | $0 | $0 | $1,500 |
| Current Penalty | $1,050 | $0 | $0 | $0 | $0 | $1,050 |
| 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 | 19100147 C04 I | 01/15/2004 | 01/21/2004 | $1,050 | $1,500 | $0 | I - Informal Settlement |