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Inspection Detail
Inspection: 307688150 - Penn Yan Manor Nursing Home
Inspection Information - Office: Syracuse Area Office
Inspection Nr: 307688150
Report ID: 0215800
Date Opened: 12/21/2004
Site Address:
Penn Yan Manor Nursing Home
655 Liberty St.
Penn Yan, NY 14527
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: 12/21/2004
Emphasis: N:Sstarg04
Case Closed: 10/25/2005
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $2,625 | $0 | $0 | $0 | $0 | $2,625 |
| Current Penalty | $1,700 | $0 | $0 | $0 | $0 | $1,700 |
| 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. | 01001A | Serious | 19101030 C01 IIB | 01/20/2005 | 02/22/2005 | $567 | $875 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19101030 C02 I | 01/20/2005 | 02/22/2005 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19101030 F01 IID | 01/20/2005 | 02/22/2005 | $567 | $875 | $0 | I - Informal Settlement | ||
| 4. | 01003 | Serious | 19101030 F02 I | 01/20/2005 | 01/28/2005 | $566 | $875 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Other | 19101020 G01 III | 01/20/2005 | 02/02/2005 | $0 | $0 | $0 | I - Informal Settlement | ||
| 6. | 02002 | Other | 19101030 H02 IB | 01/20/2005 | 02/22/2005 | $0 | $0 | $0 | I - Informal Settlement |