Inspection Detail
Inspection: 315490888 - Premier Senior Living Llc Dba Clemmons Village 1
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
Premier Senior Living Llc Dba Clemmons Village 1
6401 Holder Rd
Clemmons, NC 27012
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8059
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 07/08/2011
Planning Guide: Health-Manufacturing
Emphasis: N:Nursing, S:Long Term Care Facilities, S:Program Improvement
Case Closed: 07/15/2011
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| 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 | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 19100134 C02 I | 07/13/2011 | 07/18/2011 | $0 | $0 | $0 | - |
Translate