Translate
Inspection Detail
Inspection: 306777020 - Pine Meadows
Inspection Information - Office: Tennessee Osha Jackson Office - Health
Inspection Nr: 306777020
Report ID: 0454725
Date Opened: 08/01/2003
Site Address:
Pine Meadows
700 Nuckolls Road
Bolivar, TN 38008
Mailing Address:
700 Nuckolls Road, Bolivar, TN 38008
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 08/12/2003
Emphasis:
Case Closed: 12/03/2003
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 204548895 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $8,000 | $0 | $0 | $350 | $0 | $8,350 |
| Current Penalty | $4,000 | $0 | $0 | $1,400 | $0 | $5,400 |
| 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. | 01001A | Serious | 19101030 F03 IIIA | 09/30/2003 | 11/10/2003 | $4,000 | $4,000 | $0 | - | ||
| 2. | 01001B | Serious | 19101030 F03 V | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | A - Amendment | Citation has been deleted. | |
| 3. | 01001C | Serious | 19101030 F04 IIA | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | - | ||
| 4. | 01001D | Serious | 19101030 F04 IIB | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | - | ||
| 5. | 01001E | Serious | 19101030 F04 IIC | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | - | ||
| 6. | 01001F | Serious | 19101030 F04 IIE | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | - | ||
| 7. | 01002A | Other | 19101030 H01 IIIA | 09/30/2003 | 11/10/2003 | $525 | $4,000 | $0 | A - Amendment | ||
| 8. | 01002B | Other | 19101030 H05 I | 09/30/2003 | 11/10/2003 | $525 | $0 | $0 | A - Amendment | ||
| 9. | 02001A | Other | 19100103 C01 IV | 09/30/2003 | 11/10/2003 | $350 | $350 | $0 | - | ||
| 10. | 02001B | Other | 19101030 C01 IVB | 09/30/2003 | 11/10/2003 | $0 | $0 | $0 | - |