Translate
Inspection Detail
Inspection: 300842549 - Brookside Skilled Nursing
Inspection Information - Office: Foster City District Office
Inspection Nr: 300842549
Report ID: 0950613
Date Opened: 04/08/2005
Site Address:
Brookside Skilled Nursing
2620 Flores Street
San Mateo, CA 94403
Mailing Address:
, , 00000
Union Status: Union
SIC:8059
NAICS: 623110/Nursing Care Facilities
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/06/2005
Emphasis:
Case Closed: 06/30/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 201124302 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | Other | 5193 C01 B | 05/06/2005 | 06/01/2005 | $75 | $75 | $0 | - | ||
| 2. | 01002 | Other | 5193 G02 D | 05/06/2005 | 06/01/2005 | $75 | $75 | $0 | - | ||
| 3. | 01003 | Other | 5193 H02 A | 05/06/2005 | 06/01/2005 | $150 | $150 | $0 | - |