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Inspection Detail

Inspection: 311676118 - Evergreen Mountain View Nursing Home

Inspection Information - Office: Nv-E-Reno 0953210

 

Inspection Nr: 311676118
Report ID: 0953210
Date Opened: 12/04/2007

Site Address:
Evergreen Mountain View Nursing Home
201 Koontz Lane
Carson City, NV 89701

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Complaint

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 12/05/2007

Emphasis:

Case Closed: 11/25/2008

Related Activity
Type Activity Nr Safety Health
Complaint 206288771 Yes
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 10 12
Current Violations 2 10 12
Initial Penalty $3,600 $0 $0 $0 $0 $3,600
Current Penalty $2,160 $0 $0 $0 $0 $2,160
FTA Penalty $9,200 $0 $0 $2,300 $0 $11,500

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001A Serious 19101030 F01 IID 01/09/2008 01/07/2008 $1,200 $2,000 $0 I - Informal Settlement  
2. 01001B Serious 19101030 C01 IV 01/09/2008 01/07/2008 $0 $0 $4,400 I - Informal Settlement  
3. 01001C Serious 19101030 C01 V 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
4. 01001D Serious 19101030 F03 II 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
5. 01001E Serious 19101030 G02 VIIA 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
6. 01001F Serious 19101030 G02 VIIL 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
7. 01001G Serious 19101030 H02 IB 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
8. 01001H Serious 19101030 H02 IC 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
9. 01002A Serious 19101200 E01 01/09/2008 01/07/2008 $960 $1,600 $4,800 I - Informal Settlement  
10. 01002B Serious 19101200 E01 I 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
11. 01002C Serious 19101200 H01 01/09/2008 01/07/2008 $0 $0 $0 I - Informal Settlement  
12. 02001 Other 19100305 J02 IV 12/05/2007 12/14/2007 $0 $0 $0 -  
13. 02002 Other 19100303 B01 II 12/05/2007 12/10/2007 $0 $0 $0 -  
14. 02003 Other 19100303 B01 VI 12/05/2007 12/14/2007 $0 $0 $0 -  
15. 02004 Other 19100151 C 12/05/2007 12/10/2007 $0 $0 $0 -  
16. 02005 Other 618037601 12/05/2007 12/21/2007 $0 $0 $0 -  
17. 02006 Other 618054002 12/05/2007 12/21/2007 $0 $0 $0 -  
18. 02007 Other 19100036 D01 12/28/2007 01/07/2008 $0 $0 $0 -  
19. 02008 Other 19100036 B03 12/28/2007 01/31/2008 $0 $0 $2,300 I - Informal Settlement  
20. 02009 Other 19100037 B06 12/28/2007 01/07/2008 $0 $0 $0 -  
21. 02010 Other 19100037 B07 12/28/2007 01/07/2008 $0 $0 $0 -  
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