Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Sep 28, 2021
Visit Reason
The document is a settlement agreement resolving an administrative matter regarding the facility's failure to report compliance with Executive Order 13F requiring COVID-19 vaccination of long-term care workers by September 28, 2021.
Findings
The facility admitted it did not report compliance with the vaccination order by the required date but confirmed all long-term care workers were vaccinated prior to that date. The Department sustained a civil penalty for non-compliance with reporting requirements.
Report Facts
Civil penalty amount: 125000
Daily civil penalty: 20000
Settlement payment amount: 67000
Late payment penalty: 1000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kim Hriceniak | Public Health Services Manager | Recipient of payment as part of settlement agreement |
| Barbara Cass | Acting Branch Chief, Healthcare Quality and Safety Branch | Signed the settlement agreement on behalf of the Department of Public Health |
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