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Inspection Detail

Inspection: 310397393 - Forsyth Health Investors Llc Dba Clemmons

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

 

Inspection Nr: 310397393
Report ID: 0453720
Date Opened: 12/08/2006

Site Address:
Forsyth Health Investors Llc Dba Clemmons
3905 Clemmons Road
Clemmons, NC 27012

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: Safety

Close Conference: 12/11/2006

Planning Guide: Safety-Manufacturing

Emphasis: S:Long Term Care Facilities, S:Program Improvements

Case Closed: 05/21/2007

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 5 7
Current Violations 2 5 7
Initial Penalty $2,800 $0 $0 $0 $0 $2,800
Current Penalty $1,650 $0 $0 $0 $0 $1,650
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 19101030 D04 IIIA1 01/09/2007 01/12/2007 $825 $1,400 $0 I - Informal Settlement  
2. 01002 Serious 19100133 A01 01/09/2007 01/12/2007 $825 $1,400 $0 I - Informal Settlement  
3. 02001A Other 19100036 B05 01/09/2007 01/12/2007 $0 $0 $0 -  
4. 02001B Other 19100037 B02 01/09/2007 01/12/2007 $0 $0 $0 -  
5. 02002 Other 19100303 B02 01/09/2007 01/12/2007 $0 $0 $0 -  
6. 02003 Other 19100303 G01 II 01/09/2007 01/12/2007 $0 $0 $0 -  
7. 02004 Other 19100304 F05 VC5 01/09/2007 01/12/2007 $0 $0 $0 -  
8. 02005A Other 19101030 D04 IIIB1 01/09/2007 01/12/2007 $0 $0 $0 -  
9. 02005B Other 19101030 F02 I 01/09/2007 01/12/2007 $0 $0 $0 -  
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