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Inspection Detail
Inspection: 309650174 - Shady Lane Nursing Home
Inspection Information - Office: Nj-Ce-Trenton (Safety) New Jersey Department Of Labor And Workforce Development
Inspection Nr: 309650174
Report ID: 0253420
Date Opened: 11/06/2006
Site Address:
Shady Lane Nursing Home
256 County House Road
Clarksboro, NJ 08020
Mailing Address:
109 Budd Boulevard, Woodbury, NJ 08096
Union Status: Union
SIC:8059
NAICS: 623110/Nursing Care Facilities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 11/06/2006
Emphasis:
Case Closed: 01/24/2007
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 11 | 11 | ||||
| Current Violations | 11 | 11 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001S | Serious | 19100132 D01 | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 2. | 01002S | Serious | 19100132 F01 | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 3. | 01003S | Serious | 19100151 C | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 4. | 01004S | Serious | 19100176 C | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 5. | 01005S | Serious | 19100212 A01 | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 6. | 01006S | Serious | 19100303 F | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 7. | 01007S | Serious | 19100303 G02 II | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 8. | 01008S | Serious | 19100304 E01 IV | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 9. | 01009S | Serious | 19100305 B01 | 11/20/2006 | 11/24/2006 | $0 | $0 | $0 | - | ||
| 10. | 01010S | Serious | 19100305 J02 II | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - | ||
| 11. | 01011S | Serious | 70005 D | 11/20/2006 | 01/22/2007 | $0 | $0 | $0 | - |