TranslateInspection Detail
Case Status: CLOSED |
Inspection: 1477798.015 - Little Village Nursing And Rehabilitation Center, Llc
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Inspection Information - Office: Calumet City | ||||
| Nr: 1477798.015 | Report ID: 0521700 | Open Date: 06/08/2020 | ||
| Little Village Nursing And Rehabilitation Center, Llc | ||||
| 2320 S. Lawndale Ave. Chicago, IL 60623 | Union Status: Union | |||
| SIC: | ||||
| NAICS: 623110/Nursing Care Facilities | ||||
| Mailing: 2320 S. Lawndale Ave., Chicago, IL 60623 | ||||
| Inspection Type: | Fat/Cat | |||
| Scope: | Partial | Advanced Notice: | N | |
| Ownership: | Private | |||
| Safety/Health: | Health | Close Conference: | 06/08/2020 | |
| Close Case: | 01/20/2021 | |||
| Related Activity: | Type | ID | Safety | Health |
| Accident | 1601971 | |||
Case Status: CLOSED |
| Serious | Willful | Repeat | Other | Unclass | Total | |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $9,446 | $0 | $0 | $0 | $0 | $9,446 |
| Current Penalty | $9,446 | $0 | $0 | $0 | $0 | $9,446 |
| FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
| # | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19100134 C01 | 10/27/2020 | 11/16/2020 | $9,446 | $9,446 | $0 | Z - Issued | ||
| 2. | 01001B | Serious | 19100134 E01 | 10/27/2020 | 11/16/2020 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01001C | Serious | 19100134 F02 | 10/27/2020 | 11/16/2020 | $0 | $0 | $0 | Z - Issued |
Accident Investigation Summary | ||||||
|---|---|---|---|---|---|---|
| Summary Nr: 126762.015 | Event: 05/18/2020 | Employee With Covid-19 Infection Dies | ||||
| An employee was working as a nursing supervisor at a nursing care or skilled nur sing facility. He attended to residents' health needs, such as administrating me dication, taking vital signs, and charting. On April 21, 2020, he worked a full shift and then called off work for the following day, due to a dry cough. On or about April 25, 2020, he tested positive for COVID-19. On or about April 29, 202 0, he was hospitalized due to COVID-19-related symptoms. At 9:00 a.m. on May 18, 2020, the employee died of COVID-19. His employer was notified on May 19, 2020, of his death. This was an OSHA-covered fatality. | ||||||
| Keywords: infectious disease | ||||||
| Inspection | Degree | Nature | Occupation | |||
| 1 | 1477798.015 | Fatality | Physician/Nurse | |||