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Inspection Detail
Inspection: 317844611 - Priddy Manor, Llc Dba Priddy Manor Assisted Living
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Inspection Nr: 317844611
Report ID: 0453720
Date Opened: 11/03/2014
Site Address:
Priddy Manor, Llc Dba Priddy Manor Assisted Living
1294 Priddy Road
King, NC 27021
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8052
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/05/2014
Planning Guide: Health-Manufacturing
Emphasis: S:Long Term Care Facilities, S:Program Improvements
Case Closed: 12/23/2014
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $3,250 | $0 | $0 | $0 | $0 | $3,250 |
| Current Penalty | $2,150 | $0 | $0 | $0 | $0 | $2,150 |
| 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 | 19101030 F02 I | 11/14/2014 | 11/24/2014 | $2,150 | $3,250 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19100157 E03 | 11/14/2014 | 11/24/2014 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 02002 | Other | 19100303 G01 II | 11/14/2014 | 11/18/2014 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02003 | Other | 19101030 H02 IB | 11/14/2014 | 11/24/2014 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 02004 | Other | 19101030 H02 ID | 11/14/2014 | 11/24/2014 | $0 | $0 | $0 | I - Informal Settlement |