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Inspection Detail
Inspection: 317805430 - Shady Lane Nursing Home
Inspection Information - Office: Nj-Ce-Trenton (Safety) New Jersey Department Of Labor And Workforce Development
Inspection Nr: 317805430
Report ID: 0253420
Date Opened: 08/13/2014
Site Address:
Shady Lane Nursing Home
256 County House Road
Clarksboro, NJ 08020
Mailing Address:
109 Budd Boulevard, Woodbury, NJ 08096
Union Status: Union
SIC:8059
NAICS: 623110/Nursing Care Facilities
Inspection Type: Prog Related
Scope: Complete
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 08/14/2014
Emphasis: N:Nursing
Case Closed: 10/06/2014
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 6 | 2 | 8 | |||
| Current Violations | 6 | 2 | 8 | |||
| 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 | Serious | 19100036 A03 | 08/29/2014 | 09/03/2014 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Serious | 19100213 H04 | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Serious | 19100219 C03 | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Serious | 19100242 B | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Serious | 19100333 B02 I | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 6. | 01006 | Serious | 6A0033 A | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 7. | 02001 | Other | 19100145 C03 | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - | ||
| 8. | 02002 | Other | 19100147 C07 IV | 08/29/2014 | 10/01/2014 | $0 | $0 | $0 | - |