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Inspection Detail
Inspection: 1532351.015 - Petersen Health Junction, Llc
Inspection Information - Office: Peoria Area Office
Site Address:
Petersen Health Junction, Llc
129 S 1st Avenue
Canton, IL 61520
Mailing Address:
830 West Trailcreek Drive Attn: Greg Wilson, Peoria, IL 61614
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: 05/24/2021
Emphasis: N:Covid-19
Case Closed: 10/07/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1769406 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| Current Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| 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 C01 | 08/10/2021 | 08/25/2021 | $13,653 | $13,653 | $0 | Z - Issued | ||
| 2. | 01001B | Serious | 19100134 E01 | 08/10/2021 | 09/01/2021 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01001C | Serious | 19100134 F02 | 08/10/2021 | 09/01/2021 | $0 | $0 | $0 | Z - Issued | ||
| 4. | 01001D | Serious | 19100134 K03 | 08/10/2021 | 09/01/2021 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
An employee was working in housekeeping at a nursing care or skilled nursing facility. On April 22, 2021, during routine testing at work, she tested positive for COVID-19. She was admitted to the hospital. She was on a ventilator until she died at 1:30 p.m. on May 19, 2021.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1532351.015 | 50 | F | Fatality |