Inspection Detail
Case Status: CLOSED |
Inspection: 1504655.015 - Springfield Care Center, Llc
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Inspection Information - Office: Peoria | ||||
Nr: 1504655.015 | Report ID: 0524500 | Open Date: 12/03/2020 | ||
Springfield Care Center, Llc | ||||
525 S. Martin Luther King Dr. Springfield, IL 62703 | Union Status: NonUnion | |||
SIC: | ||||
NAICS: 623110/Nursing Care Facilities | ||||
Mailing: 525 S Martin Luther King Dr, Springfield, IL 62703 | ||||
Inspection Type: | Fat/Cat | |||
Scope: | Partial | Advanced Notice: | N | |
Ownership: | Private | |||
Safety/Health: | Health | Close Conference: | 04/27/2021 | |
Close Case: | 06/11/2021 | |||
Related Activity: | Type | ID | Safety | Health |
Accident | 1698157 |
Case Status: CLOSED |
Serious | Willful | Repeat | Other | Unclass | Total | |
---|---|---|---|---|---|---|
Initial Violations | 1 | 1 | ||||
Current Violations | 1 | 1 | ||||
Initial Penalty | $9,557 | $0 | $0 | $0 | $0 | $9,557 |
Current Penalty | $6,689 | $0 | $0 | $0 | $0 | $6,689 |
FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
# | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
---|---|---|---|---|---|---|---|---|---|---|---|
1. | 01001A | Serious | 19100134 E01 | 04/27/2021 | $6,689 | $9,557 | $0 | I - Informal Settlement | |||
2. | 01001B | Serious | 19100134 F02 | 04/27/2021 | $0 | $0 | $0 | I - Informal Settlement |
Accident Investigation Summary | ||||||
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Summary Nr: 131470.015 | Event: 12/02/2020 | Employee With Covid-19 Infection Dies | ||||
At approximately 9:00 a.m. on December 2, 2020, an employee was hospitalized. O n October 29, 2020, the employee was tested for the SArs-CoV-2 VIRUS and came ba ck positive for COVID-19 on November 2, 2020. The employee died on December 3, 2020, from complications from COVID-19. | ||||||
Keywords: infectious disease | ||||||
Inspection | Degree | Nature | Occupation | |||
1 | 1504655.015 | Fatality | Licensed practical nurses |