OSHA Inspection: MEADOW VIEW NURSING CENTER

Issued

May 14, 2025

Abate by

Jun 18, 2025

Penalty

Initial $10,641 · Current $5,500 Reduced

General-duty citation text

29 CFR  1910.1030(c)(1)(ii)(A):  The employer's written Exposure Control Plan did not include the exposure determination required by 29 CFR 1910.1030(c)(2):  (a)  In the Facility, on or about February 19, 2025 - The employer's written Exposure Control Plan did not include the exposure determination as required by 29 CFR 1910.1030(c)(2).  Employees of the facility including, but not limited to RN's, LPN's, CNA's, Housekeepers and Laundry Staff have occupational exposure to blood and/or bloodborne pathogens.

Issued

May 14, 2025

Abate by

Jun 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(c)(2)(i):   The employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section did not prepare an exposure determination:  (a)  In the Facility, on or about February 19, 2025 - The employer who has employee(s) with occupational exposure do blood and/or bloodborne pathogens did not prepare an exposure determination as required by 29 CFR 1910.1030(c)(2).  Employees of the facility including, but not limited to RN's, LPN's, CNA's, Housekeepers and Laundry Staff have occupational exposure to blood and/or bloodborne pathogens.

Issued

May 14, 2025

Abate by

Jun 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(c)(1)(ii)(B):  The Employer's Exposure Control Plan did not contain the schedule and method of implementation for paragraphs (d) Methods of Compliance, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard:   (a)  In the Facility, on or about February 19, 2025 - The employer's written Exposure Control Plan did not contain the schedule and methods of implementation for paragraphs (d) Methods of Compliance, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees and (h) Recordkeeping of the bloodborne pathogens standard, 29 CFR 1910.1030.

Issued

May 14, 2025

Abate by

Jun 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(ii)(C):  The employer's Exposure Control Plan did not include the procedure for the evaluation of circumstances surrounding exposure incidents, as required by 29 CFR 1910.1030(f)(3)(i):   (a)  In the Facility, on or about February 19, 2025 - The employer's written Exposure Control Plan did not include the procedure for the evaluation of circumstances surrounding exposure incidents.

Issued

May 14, 2025

Abate by

Jun 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan:   (a)  In the Facility, on or about February 19, 2025 - The employer did not solicit input on the evaluation and selection of effective engineering controls from non-managerial employees responsible for direct patient care.  Registered nurses (RNs) and Licensed Practical Nurses (LPNs) at the facility utilize sharps of various types at the facility including those for vaccinations, insulin administration and intravenous (IV) set-ups.

Issued

May 14, 2025

Penalty

Initial $14,895 · Current $8,000 Reduced

General-duty citation text

29 CFR  1910.1030(f)(1)(i): The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure and post exposure evaluation and follow-up to all employees who had an exposure incident:   a)  In the Facility, on or about February 19, 2025 - The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure to blood and/or bloodborne pathogens.  b)  In the Facility, on or about February 8, 2025 - The employer did not provide a post exposure evaluation and follow-up to an employee who experienced an exposure incident.

Issued

May 14, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(f)(2)(i):  Hepatitis B vaccination shall be made available after the employee has received the training required in paragraph (g)(2)(vii)(I) and within 10 working days of initial assignment to all employees who have occupational exposure unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons:  a)  In the Facility, on or about February 19, 2025 -  Employees of the facility who have occupational exposure to blood and/or bloodborne pathogens were not offered the hepatitis B vaccine and vaccination series within 10 working days of initial assignment.

Issued

May 14, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation and follow-up:   a)  In the Facility, on or about February 8, 2025 - The employer did not immediately make available a confidential medical evaluation and follow-up after the report of an exposure incident.

Issued

May 14, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(f)(3)(ii)(A):  The post-exposure evaluation and follow-up of an exposure incident did not include testing the source individual's blood as soon as feasible and after consent was obtained in order to determine HBV and HIV infectivity:   a)  In the Facility, on or about February 8, 2025 - The employer did not ensure the testing of the source individual's blood was tested as soon as feasible in order to determine HBV and HIV infectivity following the report of an exposure incident.

Issued

May 14, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3)(ii)(C):  Results of the source individual's testing as a result of a post-exposure evaluation and follow-up of an exposure incident were not made available to the exposed employee, or the employee was not informed of applicable laws:   a)  In the Facility, on or about February 8, 2025 - The employer did not make the results of the source individual's testing as a result of a post-exposure incident, available to an exposed employee.

Issued

May 14, 2025

Abate by

Jul 2, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(5):  The employer did not obtain or provide the employee with a copy of the evaluating health care professional's written opinion within 15 days of the completion of the evaluation:   a)  In the Facility, on or about March 25, 2025 - The employer did not provide the employee with a copy of the evaluating health care professional's written opinion within 15 days of the completion of the evaluation.

Issued

May 14, 2025

Abate by

Jul 18, 2025

Penalty

Initial $10,641 · Current $5,500 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the required training was provided to employees with occupational exposure at least annually.   (a)  In the Facility, on or about February 19, 2025 - The employer did not provide annual training on bloodborne pathogens to employees at the facility who have occupational exposure.  Employees of the facility including, but not limited to RN's, LPN's, CNA's, Housekeepers and Laundry Staff have occupational exposure to blood and/or bloodborne pathogens.

Issued

May 14, 2025

Abate by

Jul 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(A): The bloodborne pathogens training program required to be provided by the employer to each employee with occupational exposure did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents:   (a)  In the Facility, on or about February 19, 2025 - The employer's bloodborne pathogens training program did not contain an accessible copy of the regulatory text of OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) and an explanation of its contents.

Issued

May 14, 2025

Abate by

Jul 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(N):  The bloodborne pathogens training program did not contain an opportunity for interactive questions or answers with the person conducting the training session:   (a)  In the Facility, on or about February 19, 2025 - The employer's bloodborne pathogens training program did not contain an opportunity for interactive questions or answers during the training session.

Issued

May 14, 2025

Abate by

Jul 18, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(2)(i)(C):  Employee training records for bloodborne pathogens did not include the names or qualifications of persons conducting the training:   (a)  In the Facility, on or about February 19, 2025 - The employer's bloodborne pathogens training records did not include the names or qualifications of persons who conducted the training.