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Inspection Detail
Inspection: 307216366 - Diversicare Assisted Living Of Carolina Beach
Inspection Information - Office: Nc Department Of Labor - Raleigh
Inspection Nr: 307216366
Report ID: 0453710
Date Opened: 02/24/2004
Site Address:
Diversicare Assisted Living Of Carolina Beach
400 Goldsboro Ave.
Carolina Beach, NC 28428
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8059
NAICS: 623210/Residential Mental Retardation Facilities
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 02/25/2004
Emphasis: N:Nursing, S:Long Term Care Facilities, S:Program Improvements
Case Closed: 06/15/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 204841746 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $100 | $0 | $100 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Other | 19101030 C01 IVB | 02/26/2004 | 04/13/2004 | $0 | $100 | $0 | I - Informal Settlement |