Inspection Detail

Inspection: 309650174 - Shady Lane Nursing Home

Inspection Information - Office: Nj-Ce-Trenton (Safety) New Jersey Department Of Labor And Workforce Development

Inspection Nr: 309650174

Report ID: 0253420

Date Opened: 11/06/2006

Site Address:
Shady Lane Nursing Home
256 County House Road
Clarksboro, NJ 08020

Mailing Address:
109 Budd Boulevard, Woodbury, NJ 08096

Union Status: Union

SIC:8059

NAICS: 623110/Nursing Care Facilities

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: LocalGovt

Safety/Health: Safety

Close Conference: 11/06/2006

Emphasis:

Case Closed: 01/24/2007

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	11					11
Current Violations	11					11
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	Latest Event
1.	01001S	Serious	19100132 D01	11/20/2006	01/22/2007	$0	$0	$0	-
2.	01002S	Serious	19100132 F01	11/20/2006	01/22/2007	$0	$0	$0	-
3.	01003S	Serious	19100151 C	11/20/2006	01/22/2007	$0	$0	$0	-
4.	01004S	Serious	19100176 C	11/20/2006	01/22/2007	$0	$0	$0	-
5.	01005S	Serious	19100212 A01	11/20/2006	01/22/2007	$0	$0	$0	-
6.	01006S	Serious	19100303 F	11/20/2006	01/22/2007	$0	$0	$0	-
7.	01007S	Serious	19100303 G02 II	11/20/2006	01/22/2007	$0	$0	$0	-
8.	01008S	Serious	19100304 E01 IV	11/20/2006	01/22/2007	$0	$0	$0	-
9.	01009S	Serious	19100305 B01	11/20/2006	11/24/2006	$0	$0	$0	-
10.	01010S	Serious	19100305 J02 II	11/20/2006	01/22/2007	$0	$0	$0	-
11.	01011S	Serious	70005 D	11/20/2006	01/22/2007	$0	$0	$0	-

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