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Inspection Detail
Inspection: 306809740 - Beverly Manor Of Plymouth
Inspection Information - Office: Boston South Area Office
Inspection Nr: 306809740
Report ID: 0111400
Date Opened: 01/13/2004
Site Address:
Beverly Manor Of Plymouth
19 Obery Street
Plymouth, MA 02360
Mailing Address:
, , 00000
Union Status: Union
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 02/03/2004
Emphasis: N:Sstarg03
Case Closed: 04/04/2005
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 2 | 5 | ||
| Current Violations | 2 | 2 | 4 | |||
| Initial Penalty | $1,275 | $0 | $400 | $0 | $0 | $1,675 |
| Current Penalty | $0 | $0 | $200 | $0 | $0 | $200 |
| 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 | Serious | 19101030 D04 IIIA2 | 02/09/2004 | 12/29/2004 | $1,275 | $1,275 | $0 | 02/26/2004 | F - Formal Settlement | Citation has been deleted. |
| 2. | 02001 | Repeat | 19101030 C01 IVB | 02/09/2004 | 12/29/2004 | $100 | $200 | $0 | 02/26/2004 | F - Formal Settlement | |
| 3. | 02002 | Repeat | 19101030 C01 V | 02/09/2004 | 12/29/2004 | $100 | $200 | $0 | 02/26/2004 | F - Formal Settlement | |
| 4. | 03001 | Other | 19101030 G01 IA | 02/09/2004 | 02/12/2004 | $0 | $0 | $0 | 02/26/2004 | F - Formal Settlement | |
| 5. | 03002 | Other | 19101030 H05 I | 02/09/2004 | 12/29/2004 | $0 | $0 | $0 | 02/26/2004 | F - Formal Settlement |