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Inspection Detail
Inspection: 315959544 - Willow Creek, Nursing And Rehabilitation Center
Inspection Information - Office: Nc Department Of Labor - Raleigh
Inspection Nr: 315959544
Report ID: 0453710
Date Opened: 11/03/2011
Site Address:
Willow Creek, Nursing And Rehabilitation Center
2401 Wayne Memorial Drive
Goldsboro, NC 27530
Mailing Address:
P.O. Box 11419, Goldsboro, NC 27532
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: 11/04/2011
Planning Guide: Safety-Manufacturing
Emphasis: N:Nursing, N:Sstarg11, S:Long Term Care Facilities, S:Program Improvement, S:Sst
Case Closed: 04/04/2012
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 5 | 7 | |||
| Current Violations | 2 | 5 | 7 | |||
| Initial Penalty | $5,250 | $0 | $0 | $100 | $0 | $5,350 |
| Current Penalty | $5,250 | $0 | $0 | $100 | $0 | $5,350 |
| 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 | Serious | 19100037 A03 | 11/14/2011 | 11/17/2011 | $1,050 | $1,050 | $0 | - | ||
| 2. | 01002A | Serious | 19100305 E01 | 11/14/2011 | 12/08/2011 | $4,200 | $4,200 | $0 | - | ||
| 3. | 01002B | Serious | 19100305 J02 IV | 11/14/2011 | 12/08/2011 | $0 | $0 | $0 | - | ||
| 4. | 02001 | Other | 19100037 B02 | 11/14/2011 | 12/08/2011 | $0 | $0 | $0 | - | ||
| 5. | 02002 | Other | 19100157 C01 | 11/14/2011 | 11/17/2011 | $0 | $0 | $0 | - | ||
| 6. | 02003 | Other | 19100305 B01 II | 11/14/2011 | 12/08/2011 | $0 | $0 | $0 | - | ||
| 7. | 02004 | Other | 19100303 B07 | 11/14/2011 | 12/08/2011 | $0 | $0 | $0 | - | ||
| 8. | 02005 | Other | 19101030 H03 I | 11/14/2011 | 12/08/2011 | $100 | $100 | $0 | - |