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Inspection Detail
Inspection: 1504655.015 - Springfield Care Center, Llc
Inspection Information - Office: Peoria Area Office
Site Address:
Springfield Care Center, Llc
525 S. Martin Luther King Dr.
Springfield, IL 62703
Mailing Address:
525 S Martin Luther King Dr, Springfield, IL 62703
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 04/27/2021
Emphasis:
Case Closed: 06/11/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1698157 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $9,557 | $0 | $0 | $0 | $0 | $9,557 |
| Current Penalty | $6,689 | $0 | $0 | $0 | $0 | $6,689 |
| 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. | 01001A | Serious | 19100134 E01 | 04/27/2021 | $6,689 | $9,557 | $0 | I - Informal Settlement | |||
| 2. | 01001B | Serious | 19100134 F02 | 04/27/2021 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 9:00 a.m. on December 2, 2020, an employee was hospitalized. On October 29, 2020, the employee was tested for the SArs-CoV-2 VIRUS and came back positive for COVID-19 on November 2, 2020. The employee died on December 3, 2020, from complications from COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1504655.015 | 51 | F | Fatality | Licensed practical nurses |