Search icon

Fort Payne Hospital Corporation

Details

Name: Fort Payne Hospital Corporation
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 23 Feb 2006 (19 years ago)
Entity Number: 000-245-903
Register Number: 000245903
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Authorized Capital: $10

Activities HOSPITAL/HEALTH CARE FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255959144 2020-07-08 2020-07-08 1573 MALLORY LN STE 200, BRENTWOOD, TN, 370272895, US 200 MEDICAL CENTER DR SW, FORT PAYNE, AL, 359683458, US

Contacts

Phone +1 615-221-3758
Fax 6152211456
Phone +1 256-845-3150
Fax 2569972512

Authorized person

Name RANDY MICHAEL COOPER
Role AUTHORIZED OFFICIAL
Phone 6152213840

Taxonomy

Taxonomy Code 275N00000X - Medicare Defined Swing Bed Hospital Unit
Is Primary Yes

Incorporator

Name Role
KECK, ROBIN J Incorporator

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345861140 0418300 2022-03-25 200 MEDICAL CENTER DRIVE, FORT PAYNE, AL, 35968
Inspection Type FollowUp
Scope Partial
Safety/Health Health
Close Conference 2022-06-09
Emphasis N: COVID-19
Case Closed 2022-06-28

Related Activity

Type Inspection
Activity Nr 1509563
Health Yes
345095632 0418300 2021-01-12 200 MEDICAL CENTER DRIVE, FORT PAYNE, AL, 35968
Inspection Type Fat/Cat
Scope Partial
Safety/Health Health
Close Conference 2021-07-08
Case Closed 2021-08-03

Related Activity

Type Accident
Activity Nr 1717899

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100134 C01 VII
Issuance Date 2021-07-08
Abatement Due Date 2021-08-03
Current Penalty 13653.0
Initial Penalty 13653.0
Final Order 2021-08-03
Nr Instances 1
Nr Exposed 524
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(c)(1)(vii): The written program did not contain provisions for training of employees in the respiratory hazards to which they were potentially exposed during routine and emergency situations: a) Fort Payne Hospital Corporation dba DeKalb Regional Medical Center located at 200 Medical Center Drive, SW, Fort Payne, Alabama: On or about January 11, 2021, and at times prior, the employer did not ensure the written respiratory protection program included a provision regarding training of employees. The employer required employees to wear respirators while providing care to suspected and confirmed positive COVID-19 patients.
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100134 E06 I
Issuance Date 2021-07-08
Abatement Due Date 2021-08-03
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-08-03
Nr Instances 1
Nr Exposed 18
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(e)(6)(i): The employer did not obtain from the physician or other licensed health care professional (PLHCP) a written recommendation regarding the employee's ability to use the respirator: a) Fort Payne Hospital Corporation dba DeKalb Regional Medical Center located at 200 Medical Center Drive, SW, Fort Payne, Alabama: On or about January 11, 2021, and at times prior, the employer did not obtain a written recommendation regarding the employee's ability to use respirators such as, from the PLHCP (physician or other licensed health care professional). The employer required employees to wear respirators while providing care to suspected and confirmed positive COVID-19 patients.
Citation ID 01001C
Citaton Type Serious
Standard Cited 19100134 M02 I B
Issuance Date 2021-07-08
Abatement Due Date 2021-08-03
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-08-03
Nr Instances 1
Nr Exposed 18
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(m)(2)(i)(B): The employer did not establish a record of the qualitative and quantitative fit tests administered to an employee which included the type of fit test performed: a) Fort Payne Hospital Corporation dba DeKalb Regional Medical Center located at 200 Medical Center Drive, SW, Fort Payne, Alabama: On or about January 11, 2021, and at times prior, the employer did not establish fit test records that included the type of fit test performed. The employer required employees to wear N95 filtering facepiece respirators to protect against the SARS-CoV-2 virus while providing care to suspected and confirmed positive COVID-19 patients.
Citation ID 01001D
Citaton Type Serious
Standard Cited 19100134 M02 I C
Issuance Date 2021-07-08
Abatement Due Date 2021-08-03
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-08-03
Nr Instances 1
Nr Exposed 18
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(m)(2)(i)(C): The employer did not establish a record of the qualitative and quantitative fit tests administered to an employee which included the specific make, model, style and size of respirator tested: a) Fort Payne Hospital Corporation dba DeKalb Regional Medical Center located at 200 Medical Center Drive, SW, Fort Payne, Alabama: On or about January 11, 2021, and at times prior, the employer failed to ensure that fit test records included the specific make, model, style and size of respirator tested. The employer required employees to wear N95 filtering facepiece respirators to protect against the SARS-CoV-2 virus while providing care to suspected and confirmed positive COVID-19 patients.
342857190 0418300 2018-01-02 200 MEDICAL CENTER DRIVE, FORT PAYNE, AL, 35968
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2018-01-02
Case Closed 2018-07-10

Related Activity

Type Complaint
Activity Nr 1295555
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100133 A01
Issuance Date 2018-06-19
Current Penalty 2827.2
Initial Penalty 4712.0
Final Order 2018-07-10
Nr Instances 1
Nr Exposed 5
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.133(a)(1): Protective eye equipment was not required where there was a reasonable probability of injury that could be prevented by such equipment: (a) On or about January 02, 2018 - Dietary, the employer did not ensure that appropriate eye protection was provided to employee(s) using hazardous chemicals such as, but not limited to, Ecolab Oasis 146 Multi-Quat Sanitizer.
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101030 C01 IV B
Issuance Date 2018-06-19
Abatement Due Date 2018-07-23
Current Penalty 2827.2
Initial Penalty 4712.0
Final Order 2018-07-10
Nr Instances 1
Nr Exposed 546
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the Exposure Control Plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: (a) On or about January 02, 2018 - Facility, the employer did not conduct and document annual consideration and implementation of appropriate commercially available and effective safer medical devices.
Citation ID 01002B
Citaton Type Serious
Standard Cited 19101030 C01 V
Issuance Date 2018-06-19
Abatement Due Date 2018-07-23
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2018-07-10
Nr Instances 1
Nr Exposed 546
Gravity 1
FTA Current Penalty 0.0
Citation text line 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) On or about January 02, 2018 - Facility, the employer did not document solicitation of input from non-managerial employees.
Citation ID 01002C
Citaton Type Serious
Standard Cited 19101030 H05 I
Issuance Date 2018-06-19
Abatement Due Date 2018-08-06
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2018-07-10
Nr Instances 1
Nr Exposed 546
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(h)(5)(i): The sharps injury log did not contain the minimum required information listed in sub items (A)-(C): (a) On or about January 02, 2018 - Facility, the employer did not ensure that all entries on the sharps log contained the minimum required information such as, but not limited to, the brand and type of device involved in the injury and a description of the incident.
Citation ID 02001
Citaton Type Other
Standard Cited 19040029 B03
Issuance Date 2018-06-19
Current Penalty 942.6
Initial Penalty 1571.0
Final Order 2018-07-10
Nr Instances 18
Nr Exposed 546
FTA Current Penalty 0.0
Citation text line 29 CFR 1904.29(b)(3): Each recordable injury or illness was not recorded on the OSHA 300 Log and 301 Incident Report within seven (7) calendar days of receiving information that a recordable injury or illness has occurred: (a) On or about January 02, 2018- Facility, the employer did not record 2 workplace injuries which occurred on 01/03/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (b) On or about January 02, 2018- Facility, the employer did not record workplace injury which occurred on 01/04/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (c) On or about January 02, 2018- Facility, the employer did not record 3 workplace injuries which occurred on 01/12/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (d) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 01/13/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (e) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 01/25/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (f) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 01/31/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (g) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 02/09/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (h) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 02/24/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (i) On or about January 02, 2018- Facility, the employer did not record a workplace injury which occurred on 03/06/2018 on the OSHA 300 Log for calendar year 2018 within seven calendar days. (j) On or about January 2, 2018- Facility, the employer did not record workplace injury, which occurred on 03/09/2018, on the OSHA 300 Log for calendar year 2018 within seven calendar days. (k) On or about January 2, 2018- Facility, the employer did not record workplace injury, which occurred on 03/11/2018, on the OSHA 300 Log for calendar year 2018 within seven calendar days. (l) On or about January 2, 2018- Facility, the employer did not record workplace injury, which occurred on 04/06/2018, on the OSHA 300 Log for calendar year 2018 within seven calendar days. (m) On or about January 2, 2018- Facility, the employer did not record workplace injury, which occurred on 04/11/2018, on the OSHA 300 Log for calendar year 2018 within seven calendar days. (n) On or about January 2, 2018- Facility, the employer did not record workplace injury, which occurred on 04/13/2018, on the OSHA 300 Log for calendar year 2018 within seven calendar days.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State