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Inspection Detail
Inspection: 317351864 - Mariner Healthcare Dba Skyline Health Care Center
Inspection Information - Office: Fremont District Office
Site Address:
Mariner Healthcare Dba Skyline Health Care Center
2065 Forest Ave.
San Jose, CA 95128
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/25/2014
Emphasis:
Case Closed: 06/28/2014
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102910072 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,350 | $0 | $1,350 |
| Current Penalty | $0 | $0 | $0 | $670 | $0 | $670 |
| 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 | 3400 F | 04/29/2014 | 05/02/2014 | $670 | $1,350 | $0 | I - Informal Settlement |
Investigation Summary
On January 13, 2014, Employee #1, a certified nursing assistant, was dressing a dementia patient. As he was being dressed, the patient stiffened up as well as both of his legs. Employee #1 tripped over his legs and fell, fracturing her femur bone. Employee #1 was transported to a hospital, where she was treated and then hospitalized.
Keywords: FRACTURE, TRIPPED, FALL, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 317351864 | Hospitalized injury | Fracture | Occupation not reported |