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Inspection Detail
Inspection: 309840387 - Extendicare Dba Weyauwega Health Care Center
Inspection Information - Office: Appleton Area Office
Inspection Nr: 309840387
Report ID: 0521100
Date Opened: 11/26/2007
Site Address:
Extendicare Dba Weyauwega Health Care Center
717 E. Alfred Street
Weyauwega, WI 54983
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: 11/26/2007
Emphasis: N:Nursing
Case Closed: 12/21/2007
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 5 | 6 | |||
| Current Violations | 1 | 5 | 6 | |||
| Initial Penalty | $2,250 | $0 | $0 | $0 | $0 | $2,250 |
| Current Penalty | $1,575 | $0 | $0 | $0 | $0 | $1,575 |
| 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 | 19100132 A | 12/11/2007 | 12/14/2007 | $1,575 | $2,250 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100132 D01 I | 12/11/2007 | 12/14/2007 | $0 | $0 | $0 | - | ||
| 3. | 02001 | Other | 19040032 A04 | 12/11/2007 | 12/29/2007 | $0 | $0 | $0 | - | ||
| 4. | 02002 | Other | 19100036 C01 | 12/11/2007 | 12/29/2007 | $0 | $0 | $0 | - | ||
| 5. | 02003 | Other | 19100038 A02 III | 12/11/2007 | 12/14/2007 | $0 | $0 | $0 | - | ||
| 6. | 02004 | Other | 19101001 J07 IV | 12/11/2007 | 12/15/2007 | $0 | $0 | $0 | - | ||
| 7. | 02005 | Other | 19101030 D04 IIIA2 | 12/11/2007 | 12/14/2007 | $0 | $0 | $0 | - |