| Entity Name: | FAIRVIEW HEALTH OF SOUTHPORT, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 29 Mar 2012 |
| Business ALEI: | 1061961 |
| Annual report due: | 31 Mar 2022 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | 930 MILL HILL TERRACE, SOUTHPORT, CT, 06890, United States |
| Mailing address: | 930 MILL HILL TERRACE, SOUTHPORT, CT, United States, 06890 |
| ZIP code: | 06890 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | FRAIDYB@LTCCS.COM |
| Name | Role | Mailing address | Residence address | |
|---|---|---|---|---|
| MICHELLE CORTINA QUATTROCCHI | Agent | 51 WARRINGTON ROUND, DANBURY, CT, 06810, United States | jacob@milrosecap.com | CONNECTICUT, 51 WARRINGTON ROUND, DANBURY, CT, 06810, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ELIYAHU MIRLIS | Officer | 930 MILL HILL TERRACE, SOUTHPORT, CT, 06890, United States | 5 BARLOW ROAD, EDISON, NJ, 08817, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012689483 | 2024-07-15 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012604640 | 2024-04-11 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0007208677 | 2021-03-08 | No data | Annual Report | Annual Report | 2021 |
| 0007208416 | 2021-03-05 | No data | Annual Report | Annual Report | 2020 |
| 0006507935 | 2019-03-29 | No data | Annual Report | Annual Report | 2019 |
| 0006106599 | 2018-03-05 | No data | Annual Report | Annual Report | 2018 |
| 0005989810 | 2017-12-22 | No data | Annual Report | Annual Report | 2017 |
| 0005989796 | 2017-12-22 | No data | Annual Report | Annual Report | 2015 |
| 0005989801 | 2017-12-22 | No data | Annual Report | Annual Report | 2016 |
| 0005989794 | 2017-12-22 | No data | Annual Report | Annual Report | 2014 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 343375234 | 0111500 | 2018-07-18 | 930 MILL HILL TERRACE, SOUTHPORT, CT, 06890 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 1358960 |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101200 H03 I |
| Issuance Date | 2019-01-11 |
| Abatement Due Date | 2019-03-01 |
| Current Penalty | 5200.0 |
| Initial Penalty | 7391.0 |
| Final Order | 2019-02-08 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(3)(i): The employee training did not include the methods and observations used to detect the presence or release of a hazardous chemical in the work area: Kitchen: The employees were not trained on the methods and observations use to detect the presence or release of hazardous chemicals, such as (but not limited to) carbon monoxide. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101200 H03 II |
| Issuance Date | 2019-01-11 |
| Abatement Due Date | 2019-03-01 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2019-02-08 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(3)(ii): Employee training did not include the physical and health hazards of the chemicals in the work area: Kitchen: The employees were not trained on the physical and health hazards of the release of hazardous chemicals, such as (but not limited to) carbon monoxide. |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19101200 H03 III |
| Issuance Date | 2019-01-11 |
| Abatement Due Date | 2019-03-01 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2019-02-08 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(3)(iii): Employee training did not include the measures employees can take to protect themselves from chemical hazards, including specific procedures the employer had implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures and personal protective equipment to be used: Kitchen: The employees were not trained on the measures and specific procedures, including appropriate work practices, emergency procedures and personal protective equipment (PPE) to protect from the release of hazardous chemicals, such as (but not limited to) carbon monoxide. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040029 B01 |
| Issuance Date | 2019-01-11 |
| Abatement Due Date | 2019-03-01 |
| Current Penalty | 1280.0 |
| Initial Penalty | 1848.0 |
| Final Order | 2019-02-08 |
| Nr Instances | 5 |
| Nr Exposed | 15 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.29(b)(1): 1904.29(b)(1): The OSHA 300 log of work-related injuries and illnesses was not completed in detail: Facility: The OSHA 300 log for 2018 was not completed in detail as follow: 1. Case No. 1: Where an employee experienced days away from work and on the job transfer/restriction, columns H and/or I were not marked. 2. Cases No. 2 to No. 15: Where an employee was injured or experienced an illness, column F did not describe the injury or illness, and/or it did not include the specific part of the body affected and/or the object/substance that directly injured or made the employee ill. For example Case No. 8, where an employee injured the left hand was restricted or had a job transfer for 130 days, the specific hand nor the injury or illness the employee experienced and what directly injured or made the employee were not included. 3. Case No. 9: Where an employee was injured and did not experience any lost days and/or job transfer/restriction, column J was not marked. 4. Case No. 10: Where an employee was injured and experienced three (3) days of on the job transfer/restriction, column H was marked incorrectly. 5. Case No. 11 and No. 12: Where an employees experienced days away from work, column H was not marked. |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19040029 B03 |
| Issuance Date | 2019-01-11 |
| Abatement Due Date | 2019-02-07 |
| Current Penalty | 1280.0 |
| Initial Penalty | 1848.0 |
| Final Order | 2019-02-08 |
| Nr Instances | 6 |
| Nr Exposed | 6 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.29(b)(3): Each recordable injury or illness on the OSHA 300 Log and 301 Incident Report was not recorded within seven (7) calendar days of receiving information that a recordable injury or illness has occurred. Facility: Each recordable injury or illness was not recorded on the OSHA 300 log for 2018 and 2017: 1. In July 2018, five (5) employees experienced a recordable illness and some employees lost time and/or were restricted on the job duties. These cases were not recorded on the OSHA 300 log for 2018. 2. In/about April 2017, an employee was injured and lost time and was on restricted job duty. The case was not recorded on the OSHA 300 log for 2017. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6371177300 | 2020-04-30 | 0156 | PPP | 1188 King Street, Greenwich, CT, 06831 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Mar 2025
Sources: Connecticut's Official State Website
