TranslateInspection Detail
Case Status: CLOSED |
Inspection: 1478339.015 - Life Care Center Of Nashoba Valley
|
Inspection Information - Office: Boston North | ||||
| Nr: 1478339.015 | Report ID: 0134000 | Open Date: 06/11/2020 | ||
| Life Care Center Of Nashoba Valley | ||||
| 191 Foster Street Littleton, MA 01460 | Union Status: NonUnion | |||
| SIC: | ||||
| NAICS: 623110/Nursing Care Facilities | ||||
| Mailing: 191 Foster Street, Littleton, MA 01460 | ||||
| Inspection Type: | Fat/Cat | |||
| Scope: | Partial | Advanced Notice: | N | |
| Ownership: | Private | |||
| Safety/Health: | Health | Close Conference: | 06/11/2020 | |
| Close Case: | 03/14/2022 | |||
| Related Activity: | Type | ID | Safety | Health |
| Accident | 1604170 | |||
| Referral | 1598394 | Yes | ||
Case Status: CLOSED |
| Serious | Willful | Repeat | Other | Unclass | Total | |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $13,494 | $0 | $0 | $7,621 | $0 | $21,115 |
| Current Penalty | $8,096 | $0 | $0 | $0 | $0 | $8,096 |
| FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
| # | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deleted | 1. | 01001A | Serious | 19100134 C01 | 09/25/2020 | 10/26/2020 | $13,494 | $13,494 | $0 | 10/20/2020 | F - Formal Settlement |
| 2. | 01001B | Serious | 19100134 E01 | 09/25/2020 | 10/26/2020 | $8,096 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 3. | 01001C | Serious | 19100134 F01 | 09/25/2020 | 10/26/2020 | $0 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 4. | 01001D | Serious | 19100134 K03 | 09/25/2020 | 10/26/2020 | $0 | $0 | $0 | 10/20/2020 | F - Formal Settlement | |
| 5. | 02001 | Other | 19040004 A | 09/25/2020 | 10/26/2020 | $0 | $2,121 | $0 | 10/20/2020 | F - Formal Settlement | |
| Deleted | 6. | 02002 | Other | 19040039 A01 | 09/25/2020 | 10/26/2020 | $5,500 | $5,500 | $0 | 10/20/2020 | F - Formal Settlement |
Accident Investigation Summary | ||||||
|---|---|---|---|---|---|---|
| Summary Nr: 126884.015 | Event: 04/10/2020 | Employee With Covid-19 Infection Dies | ||||
| At 8:00 a.m. on April 10, 2020, an employee was providing care to residents on t he long term care wing of the skilled nursing facilities as a licensed practical nurse. The employee administered medications, treatments and provided other ser vices as necessary to residents on their assignment. The last day that the emplo yee worked was March 27, 2020. After two scheduled days off, the employee calle d out on March 30, 2020. The employee tested with positive results on April 1, 2 020. The employee was hospitalized and died from complications from COVID-19 on April 10, 2020. | ||||||
| Keywords: infectious disease | ||||||
| Inspection | Degree | Nature | Occupation | |||
| 1 | 1478339.015 | Fatality | Licensed practical nurses | |||