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Inspection Detail

Inspection: 307829366 - Maryville Nursing Home Inc

Inspection Information - Office: Or-E-Portland - Safety 1 1054111

 

Inspection Nr: 307829366
Report ID: 1054191
Date Opened: 08/25/2004

Site Address:
Maryville Nursing Home Inc
14645 Sw Farmington Rd
Beaverton, OR 97007

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: 09/24/2004

Planning Guide: Health-Manufacturing

Emphasis:

Case Closed: 06/16/2005

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 5 3 8
Current Violations 5 3 8
Initial Penalty $1,365 $0 $0 $0 $0 $1,365
Current Penalty $700 $0 $0 $0 $0 $700
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Serious 19101001 J02 I 10/20/2004 11/20/2004 $200 $325 $0 11/08/2004 L - State Settlement  
2. 01002 Serious 7020368 10/20/2004 10/30/2004 $200 $325 $0 11/08/2004 L - State Settlement  
3. 01003 Serious 19101001 K03 10/20/2004 10/30/2004 $100 $325 $0 11/08/2004 L - State Settlement  
4. 01004A Serious 19101001 J03 II 10/20/2004 10/30/2004 $100 $195 $0 11/08/2004 L - State Settlement  
5. 01004B Serious 19101001 J04 I 10/20/2004 10/30/2004 $0 $0 $0 11/08/2004 L - State Settlement  
6. 01005A Serious 19100134 C01 10/20/2004 11/20/2004 $100 $195 $0 11/08/2004 L - State Settlement  
7. 01005B Serious 19100134 E01 10/20/2004 11/20/2004 $0 $0 $0 11/08/2004 L - State Settlement  
8. 02006 Other 19101200 H01 10/20/2004 11/20/2004 $0 $0 $0 11/08/2004 L - State Settlement  
9. 02007 Other 19100132 D02 10/20/2004 11/20/2004 $0 $0 $0 11/08/2004 L - State Settlement  
10. 02008 Other 19100132 F04 10/20/2004 11/20/2004 $0 $0 $0 11/08/2004 L - State Settlement  
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