OSHA Inspection: SILVERSTONE MEMORY CARE, INC.

Issued

Sep 13, 2022

Abate by

Oct 12, 2022

Penalty

Initial $7,252 · Current $4,351 Reduced

General-duty citation text

29 CFR  1910.134(a)(2): A respirator shall be provided to each employee when such equipment is necessary to protect the health of such employee. The employer shall provide the respirators which are applicable and suitable for the purpose intended. The employer shall be responsible for the establishment and maintenance of a respiratory protection program, which shall include the requirements outlined in paragraph (c) of this section. The program shall cover each employee required by this section to use a respirator.  On or about March 24, 2022, at the facility located at 5100 West Schroth Lane, Appleton, WI, employees  were not provided NOISH-approved N-95 or equivalent or higher-level respirators when performing close contact resident care for suspected or positive COVID-19 residents.

Issued

Sep 13, 2022

Abate by

Nov 14, 2022

Penalty

Initial $5,801 · Current $3,626 Reduced

General-duty citation text

29 CFR  1910.1030(c)(1)(i): Each employer having an employee(s) with occupational exposure as defined by paragraph (b) of this section shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure:  On or about June 23, 2022, at the facility located at 5100 West Schroth Lane, Appleton, WI, the employer had not established a written Exposure Control Plan for employees with occupational exposure to blood and other potentially infectious material. Potential employee occupational exposure includes, but is not limited to: providing resident injections, performing resident glucose checks, providing first aid, housekeeping and laundry.

Issued

Sep 13, 2022

Abate by

Oct 12, 2022

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(c)(2)(i): Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section shall prepare an exposure determination. This exposure determination shall contain the following: (A) A list of all job classifications in which all employees in those job classifications have occupational exposure; (B) A list of job classifications in which some employees have occupational exposure, and (C) A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard:  On or about June 23, 2022, at the facility located at 5100 West Schroth Lane, Appleton, WI, the employer had not determined job classifications which all or some employees have occupational exposure to blood and other potential infectious materials  or listed the tasks and procedures or groups of closely related task and procedures in which occupational exposure may occur. Potential employee occupational exposure includes, but is not limited to: providing resident injections, performing resident glucose checks, providing first aid, housekeeping and laundry.

Issued

Sep 13, 2022

Abate by

Nov 14, 2022

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(h)(1)(ii)(B): The employer shall establish and maintain an accurate record for each employee with occupational exposure, in accordance with 29 CFR 1910.1020. (ii) This record shall include: (B) A copy of the employee's hepatitis B vaccination status including the dates of all the hepatitis B vaccinations and any medical records relative to the employee's ability to receive vaccination as required by paragraph (f)(2):  On or about June 23, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, the employer had not documented the hepatitis B vaccination status of each employee with occupational exposure to blood and other potentially infectious materials.

Issued

Sep 13, 2022

Abate by

Nov 14, 2022

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(h)(5)(i): The employer shall establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps. The information in the sharps injury log shall be recorded and maintained in such manner as to protect the confidentiality of the injured employee. The sharps injury log shall contain, at a minimum: (A) The type and brand of device involved in the incident, (B) The department or work area where the exposure incident occurred, and (C) An explanation of how the incident occurred:  On or about June 23, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, the employer had not established a sharps injury log including the June 1, 2022 and June 7, 2022 needlestick incidents.

Issued

Sep 13, 2022

Abate by

Oct 12, 2022

Penalty

Initial $7,252 · Current $0 Reduced

General-duty citation text

29 CFR  1910.1030(d)(2)(vii): Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below. Shearing or breaking of contaminated needles is prohibited:  a) On or about June 1, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, an employee received a needlestick while recapping a used insulin pen needle. b) On or about June 7, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, an employee received a needlestick while recapping a used insulin pen needle.

Issued

Sep 13, 2022

Abate by

Oct 12, 2022

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(d)(4)(iii)(A)(2)(i): During use, containers for contaminated sharps shall be: (i) Easily accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found (e.g., laundries):  a) On or about June 1, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, a sharps container was not available in the room where the resident received their injection for disposal of the used insulin pen needle. b) On or about June 7, 2022, at the facility located at 5100 W Schroth Lane, Appleton, WI, a sharps container was not available in the room where the resident received their injection for disposal of the used insulin pen needle.