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Inspection Detail
Inspection: 317525939 - Humboldt Nursing Home Inc D/B/A Humboldt Nursing &
Inspection Information - Office: Tennessee Osha Jackson Office - Health
Inspection Nr: 317525939
Report ID: 0454725
Date Opened: 01/08/2014
Site Address:
Humboldt Nursing Home Inc D/B/A Humboldt Nursing &
3515 Chere Carol Road
Humboldt, TN 38343
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Planned
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/13/2014
Emphasis: N:Nursing
Case Closed: 03/11/2014
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $1,600 | $0 | $0 | $0 | $0 | $1,600 |
| Current Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
| 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. | 01001A | Serious | 19101030 F03 | 01/30/2014 | 03/03/2014 | $1,200 | $1,600 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19101030 F04 IIA | 01/30/2014 | 03/03/2014 | $0 | $0 | $0 | - | ||
| 3. | 01001C | Serious | 19101030 F05 | 01/30/2014 | 03/03/2014 | $0 | $0 | $0 | - | ||
| 4. | 01001D | Serious | 19101030 H02 IC | 01/30/2014 | 02/04/2014 | $0 | $0 | $0 | - | ||
| 5. | 01001E | Serious | 19101030 H02 ID | 01/30/2014 | 02/04/2014 | $0 | $0 | $0 | - |