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Inspection Detail
Inspection: 1480240.015 - 101626 - Superior Healthcare Mgmt Llc Dba Centennial Garden
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
101626 - Superior Healthcare Mgmt Llc Dba Centennial Garden
3425 Vera Cruz Ave N
Minneapolis, MN 55422
Mailing Address:
222 South 9th St. Suite 2000, Minneapolis, MN 55402
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/28/2020
Emphasis:
Case Closed: 12/07/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1606640 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $3,500 | $0 | $3,500 |
| Current Penalty | $0 | $0 | $0 | $3,500 | $0 | $3,500 |
| 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 | 19040039 A02 | 11/05/2020 | 11/09/2020 | $3,500 | $3,500 | $0 | Z - Issued |
Investigation Summary
On April 30, 2020, Employee # 1 was admitted to the hospital for symptoms of COVID-19. On June 2, 2020, Employee # 1 died of an infection and symptoms attributed to COVID-19. Employee # 1 worked overseeing the daily operation of a rehabilitation center, and did not provide direct patient care. However, Employee # 1 was exposed to residents and patients daily.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1480240.015 | 60 | M | Fatality | Occupation not reported |