Inspection Detail

Inspection: 308105113 - Pembroke Hospital

Inspection Information - Office: Boston South Area Office

Inspection Nr: 308105113

Report ID: 0111400

Date Opened: 02/16/2005

Site Address:
Pembroke Hospital
199 Oak Street
Pembroke, MA 02359

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8063

NAICS: 622210/Psychiatric and Substance Abuse Hospitals

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/16/2005

Emphasis: L:Eisa, N:Sstarg04, S:Amputations

Case Closed: 05/24/2005

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			5		8
Current Violations	3			5		8
Initial Penalty	$4,125	$0	$0	$0	$0	$4,125
Current Penalty	$2,063	$0	$0	$0	$0	$2,063
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	19100151 C	03/11/2005	04/27/2005	$563	$1,125	$0	I - Informal Settlement
2.	01002A	Serious	19100213 C01	03/11/2005	04/27/2005	$750	$1,500	$0	I - Informal Settlement
3.	01002B	Serious	19100213 C02	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
4.	01002C	Serious	19100213 C03	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
5.	01003	Serious	19101030 D02 I	03/11/2005	04/27/2005	$750	$1,500	$0	I - Informal Settlement
6.	02001	Other	19101030 C01 V	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
7.	02002	Other	19101030 F01 IID	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
8.	02003	Other	19101030 F02 I	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
9.	02004	Other	19101030 H05 I	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement
10.	02005	Other	19101200 E01 I	03/11/2005	04/27/2005	$0	$0	$0	I - Informal Settlement

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