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Inspection Detail

Case Status: CLOSED

Inspection: 1504700.015 - 102261 - The Evangelical Lutheran Good Samaritan Soc Of Mn

Inspection Information - Office: Minnesota Department Of Labor And Industry

 

Inspection Nr: 1504700.015
Report ID: 0552700
Date Opened: 11/20/2020

Site Address:
102261 - The Evangelical Lutheran Good Samaritan Soc Of Mn
1119 Owens St N
Stillwater, MN 55082

Mailing Address:
1119 Owens St N, Stillwater, MN 55082

Union Status: NonUnion

SIC:

NAICS: 623110/Nursing Care Facilities


Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 03/25/2021

Emphasis:

Case Closed: 04/29/2021


Related Activity
Type Activity Nr Safety Health
Accident 1692146
Case Status: CLOSED

Investigation Summary

Investigation Nr: 131571.015
Event: 11/18/2020
Employee with COVID-19 infection dies

On November 18, 2020, an employee who had worked as a Registered Nurse at a skilled nursing facility died from respiratory distress related to COVID-19. The employee had been working in a Long Term Care part of the facility. The employee worked around Nursing Assistants, other Registered Nurses and residents in the section he was worked. There was a recent outbreak of COVID-19 amongst staff and residents within the facility. On November 8, 2020, the employee was tested but was not experiencing any COVID-19 related symptoms. On November 10, 2020, the employee was tested a second time and on November 13, 2020, the employee received a positive test result. The employee was sent home to quarantine. The employee developed symptoms while at home, which progressed. On the evening of November 17, 2020, the employee, was hospitalized. Information regarding engineering, administrative and personal protective equipment controls for COVID-19 are not included in the narrative.

Keywords: Infectious Disease

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1504700.015 63 M Fatality Occupation not reported
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