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Inspection Detail

Inspection: 307043752 - Heyde Health System - Pepin, Llc. Dba Pepin Manor

Inspection Information - Office: Eau Claire Area Office

 

Inspection Nr: 307043752
Report ID: 0523900
Date Opened: 10/17/2007

Site Address:
Heyde Health System - Pepin, Llc. Dba Pepin Manor
1110 Second Street
Pepin, WI 54759

Mailing Address:
, , 00000

Union Status: Union

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 10/18/2007

Emphasis: N:Sstarg07, S:Amputations, S:Electrical

Case Closed: 07/25/2008

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 2 6
Current Violations 4 1 5
Initial Penalty $8,500 $0 $0 $0 $0 $8,500
Current Penalty $4,250 $0 $0 $0 $0 $4,250
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001A Serious 19100219 D01 01/25/2008 02/21/2008 $1,062 $2,125 $0 I - Informal Settlement  
2. 01001B Serious 19100219 E03 I 01/25/2008 02/21/2008 $0 $0 $0 -  
3. 01002A Serious 19100304 G06 VIC5 01/25/2008 02/21/2008 $1,063 $2,125 $0 I - Informal Settlement  
4. 01002B Serious 19100334 A02 I 01/25/2008 02/21/2008 $0 $0 $0 -  
5. 01002C Serious 19100334 A02 II 01/25/2008 02/21/2008 $0 $0 $0 -  
6. 01003A Serious 19101030 D04 IIIB1 01/25/2008 01/30/2008 $1,062 $2,125 $0 I - Informal Settlement  
7. 01003B Serious 19101030 D04 IIIB1 01/25/2008 01/30/2008 $0 $0 $0 -  
8. 01004A Serious 19101030 G02 I 01/25/2008 03/13/2008 $1,063 $2,125 $0 I - Informal Settlement  
9. 01004B Serious 19101030 G02 VIIA 01/25/2008 03/13/2008 $0 $0 $0 -  
10. 01004C Serious 19101030 G02 VIID 01/25/2008 03/13/2008 $0 $0 $0 -  
11. 01004D Serious 19101030 G02 VIIK 01/25/2008 03/13/2008 $0 $0 $0 -  
12. 01004E Serious 19101030 H02 IA 01/25/2008 03/13/2008 $0 $0 $0 -  
13. 01004F Serious 19101030 H02 IB 01/25/2008 03/13/2008 $0 $0 $0 -  
14. 01004G Serious 19101030 H02 ID 01/25/2008 03/13/2008 $0 $0 $0 -  
15. 01004H Serious 19101030 H05 I 01/25/2008 03/13/2008 $0 $0 $0 -  
16. 02001 Other 19040029 B01 01/25/2008 03/13/2008 $0 $0 $0 -  
17. 02002 Other 19101030 C01 IVB 01/25/2008 02/21/2008 $0 $0 $0 I - Informal Settlement Citation has been deleted.
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