Inspection Detail

Inspection: 307947481 - Lake Haven Manor

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 307947481

Report ID: 0552700

Date Opened: 11/19/2004

Site Address:
Lake Haven Manor
7700 Grand Ave
Duluth, MN 55807

Mailing Address:
, , 00000

Union Status: Union

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/19/2004

Emphasis: L:Nursing

Case Closed: 01/10/2005

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$1,400	$0	$0	$200	$0	$1,600
Current Penalty	$980	$0	$0	$140	$0	$1,120
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	Latest Event
1.	01001	Serious	19100022 A01	12/15/2004	12/25/2004	$560	$800	$0	I - Informal Settlement
2.	01002	Serious	19100212 A05	12/15/2004	12/21/2004	$420	$600	$0	I - Informal Settlement
3.	02001	Other	19100303 G01 II	12/15/2004	12/25/2004	$140	$200	$0	I - Informal Settlement

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