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Inspection Detail
Inspection: 1504284.015 - 146886 - Ssc Hickory 13th Operating Company Llc
Inspection Information - Office: Nc Department Of Labor - Charlotte
Site Address:
146886 - Ssc Hickory 13th Operating Company Llc
220 13th Ave Place Nw
Hickory, NC 28601
Mailing Address:
220 13th Ave Place Nw, Hickory, NC 28601
Union Status: NonUnion
SIC:8051
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/30/2020
Emphasis:
Case Closed: 06/29/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1696003 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $14,550 | $0 | $0 | $650 | $0 | $15,200 |
| Current Penalty | $14,550 | $0 | $0 | $650 | $0 | $15,200 |
| 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 | 19100134 E01 | 05/14/2021 | 06/10/2021 | $1,950 | $1,950 | $0 | Z - Issued | ||
| 2. | 01002 | Serious | 19100134 F02 | 05/14/2021 | 06/10/2021 | $6,300 | $6,300 | $0 | Z - Issued | ||
| 3. | 01003 | Serious | 19100134 K03 | 05/14/2021 | 06/10/2021 | $6,300 | $6,300 | $0 | Z - Issued | ||
| 4. | 02001 | Other | 19040029 B03 | 05/14/2021 | 05/24/2021 | $650 | $650 | $0 | Z - Issued |
Investigation Summary
On November 25, 2020, an employee who worked for a skilled nursing facility died from COVID-19. November 15, 2020 was the employee's last day of work. On November 21, 2020, the employee tested positive for COVID-19 and was admitted to the hospital. The employee's death was presumed to be work related due to a COVID-19 outbreak at the facility where he worked. The employer did not have an adequate Respiratory Protection Program in place.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1504284.015 | 80 | M | Fatality | Occupation not reported |